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HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA)
NOTICE OF PRIVACY PRACTICES - Effective Date: April 14, 2003
We are required by law to:
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Make sure that the mental and physical health
information that identifies you is kept private and secured.
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Give you this notice of our legal duties and privacy
practices with respect to mental and physical health information about you.
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Follow the terms and conditions of the privacy rights
notice that is currently in effect pursuant to HIPAA.
How we may use and disclose mental and physical health
information about you:
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If you or your legal guardian consents
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As required by law, court order, or law enforcement
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Pursuant to national security and intelligence
activities
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Pursuant to protective services for the President and
others
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As required by the rules and regulations of the
Military and Veterans Administration
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Pursuant to lawsuits and disputes concerning you
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Pursuant to legal request by security officials for
inmates
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Pursuant to legal requests by coroners, health
examiners and funeral directors
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To avert a serious threat to health and safety
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Pursuant to legal provisions relative to public health
risks and health oversight activities
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If needed for statistical or audit purposes with
certain safeguards
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If needed to get benefits for you or get reimbursement
for cost of treatment provided to you
Your rights regarding mental and health information
about you:
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Right to a paper copy of this notice about your rights
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Right to inspect and copy your treatment record
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Right to request, in writing, confidential
communications about you
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Rights as guaranteed under the Michigan Mental Health
Code 330.1748 Section 748
Changes to this notice:
We reserve the right to change this privacy rights notice.
We will have available a copy of the current notice with our Administrative
Assistant in our private practice office with the current effective date on the
first page.
Complaints:
If you believe that your privacy rights under HIPPA have
been violated, you may file a complaint with the appropriate Privacy Officer.
All complaints must be in writing.
Complaints should be directed to:
Paris M. Finner-Williams, Esq., PC
at 313.537.1000
or mailed to Dr. Atty. Paris M. Finner-Williams
at:
The Finner-Williams Building
17620 West McNichols Road
Detroit, MI 48235
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