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THIS HIPAA PRIVACY NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW THIS INFORMATION CAREFULLY.
Note: If you have questions about this notice, please contact GETRELIEFRX, LLC, 149 Shiloh Rd, Suite 7, Billings, MT 59106.
This notice describes the privacy practices of GETRELIEFRX. All of our staff may have access to information in your chart for treatment, payment, and health care operations, which are described below, and may use and disclose information as described in this Notice. This Notice also applies to any volunteer or trainee we allow to help you while seeking services from us.
Your medical information includes information about your physical and mental health. We understand that information about your physical and mental health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive from us to provide you with quality care and comply with certain legal requirements. This notice applies to any and all of the records of your care generated by us.
This notice will tell you about the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information.
We reserve the right to revise or amend our notice of privacy practices without additional notice to you. Any revision or amendment to this notice will be effective for all of your records our practice has created or maintained in the past, and for any of your records we may create or maintain in the future. We will post a copy of our current notice in our offices in a prominent place and will post the notice on our website.
We are required by law to:
The following categories describe different ways that we may use and disclose medical information. For each category of uses or disclosures, we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed.
This notice covers treatment, payment, and what are called health care operations, as discussed below. It also covers other uses and disclosures for which consent or authorization are not necessary. Where Montana law is more protective of your medical information, we will follow state law, as explained below.
For Treatment:
We may use medical information about you to provide you with medical treatment or services without consent or authorization unless otherwise required by applicable state law. We may disclose medical information about you to doctors, pharmacists, laboratories, or other health care providers or case managers or case coordinators or other service providers involved in your care, whether or not they are affiliated with us.
For example, we may disclose medical information concerning you to the local hospital, physicians, or counselors who care for you, as well as to any other entity that has provided or will provide care to you. We will disclose any mental health information, including psychotherapy notes, AIDS or HIV-related information, or drug treatment information that we may have about you only with written authorization as required by Montana law, HIPAA, and other federal regulations.
During the course of your treatment, we may refer you to other health care providers with which you may not have direct contact. These providers are called “indirect treatment providers.” “Indirect treatment providers” are required to comply with the privacy requirements of state and federal law and keep your medical information confidential. These providers will be bound by the HIPAA privacy rule.
For Payment:
We may use and disclose medical information about you without consent or authorization so that the treatment and services you receive from us may be billed to and payment may be collected from you, an insurance company, or a third party. For example, we may need to give your health plan information about treatment received so your health plan will pay us or reimburse you for the treatment.
For Health Care Operations:
We may use and disclose medical information about you without consent or authorization for “health care operations.” These uses and disclosures are necessary to operate GETRELIEFRX and ensure quality care. For example, we may use medical information to review our treatment and services and evaluate the performance of our staff in caring for you.
Appointment Reminders:
We may use and disclose medical information to contact you by mail or phone to remind you that you have an appointment for treatment unless you tell us otherwise in writing.
Treatment Alternatives:
We may use and disclose medical information to tell you about or recommend possible treatment options or alternatives that may be of interest to you. We will not use or disclose medical information to market other products and services without your authorization.
Health-Related Benefits and Services:
We may use and disclose medical information to tell you about health-related benefits or services that may be of interest to you.
Individuals Involved in Your Care or Payment for Your Care:
We may release medical information, including mental health information, about you to a family member who is involved in your care without consent or authorization. If Montana law requires specific authorization for such disclosures, we will obtain it before proceeding.
As Required By Law:
We will disclose medical information about you when required to do so by federal, state, or local law without your consent or authorization.
To Avert a Serious Threat to Health or Safety:
We may disclose medical information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public.
To Business Associates:
GETRELIEFRX may disclose your medical information to business associates who provide services to us. Business associates are required to maintain confidentiality under state and federal law.
Examples of “business associates” are accounting firms that we hire to perform audits of billing and payment information, and computer software vendors who assist us in maintaining and processing medical information.
Military and Veterans:
If you are a member of the armed forces, we may release medical information about you as required by military command authorities. We may also release medical information about foreign military personnel to the appropriate foreign military authority.
Worker’s Compensation:
We may release medical information about you for workers’ compensation or similar programs without consent or authorization. These programs provide benefits for work-related injuries or illnesses. For example, if you are injured on the job, we may release information regarding that specific injury.
Public Health Risks:
We may disclose medical information about you for public health activities without your consent or authorization. These activities generally include the following:
Health Oversight Activities:
We may disclose medical information to a health oversight agency, such as the Department of Health and Human Services, for activities authorized by law.
These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.
Lawsuits and Administrative Proceedings:
If you are involved in a lawsuit or dispute as a party, we may disclose medical information about you in response to a court or administrative order. We may also disclose medical information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute.
Similarly we may disclose medical information about you in proceedings where you are not a party, but only if efforts have been made to tell you or your attorney about the request or to obtain an order protecting the information requested.
In addition, we may disclose medical information, including mental health treatment information, to the opposing party in any lawsuit or administrative proceeding where you have put your physical or mental condition at issue if you have signed a valid release.
Law Enforcement:
We may release medical information if asked to do so by a law enforcement official:
Coroners, Medical Examiners and Funeral Directors:
We may release medical information including mental health information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death.
National Security and Intelligence Activities:
We may release medical information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.
Protective Services for the President and Others:
We may disclose medical information about you to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or conduct special investigations.
Inmates:
If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release medical information about you to the correctional institution or law enforcement official. This release would be necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety and security of the correctional institution.
You or your personal representative have the following rights regarding medical information we maintain about you (when we say “you” this also means your personal representative, which may be your parent or legal guardian or other individual who is authorized to care for you):
Right to Inspect and Copy:
You have the right to inspect and copy medical information that may be used to make decisions about your care. If you wish to be provided a copy of medical information that may be used to make decisions about you, you must submit your request in writing to the Privacy Officer at GETRELIEFRX.
If you request a copy of the information, we may charge a reasonable fee for the costs of copying, mailing and or other supplies associated with your request.
We may deny your request to inspect and/or obtain a copy in certain very limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed.
Another licensed health care professional chosen by us will review your request and the denial. The person conducting the review will not be the person who denied your request. We will comply with the outcome of the review.
Right to Request an Amendment:
If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for us.
To request an amendment, your request must be made in writing and submitted to the Privacy Officer at GETRELIEFRX. In addition, you must provide a reason that supports your request.
We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:
Right to an Accounting of Disclosures:
You have the right to request an “accounting of disclosures.” This is a list of some of the disclosures we made of medical information about you.
To request this list or accounting of disclosures, you must submit your request in writing to the Privacy Officer at GETRELIEFRX. Your request must state a time period which may not be longer than six years.
Your request will be provided to you on paper. The first list you request within a 12-month period will be free. For additional lists, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
Right to Request Restrictions:
You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations.
You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care, like a family member or friend. However, you will need to make alternative arrangements for payment if you restrict access of individuals responsible for the payment of your care.
We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.
To request restrictions, you must make your request in writing to the Privacy Officer at GETRELIEFRX. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply, for example, disclosures to your spouse.
Right to Request Confidential Communications:
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail.
To request confidential communications, you must make your request in writing to the Privacy Officer at GETRELIEFRX. We will not ask the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.
You have the right to a paper copy of this notice at any time.
Patients have the right to request and receive their medical records in an electronic format if preferred.
We are committed to:
Patient Notification of Updates: Informing patients of any significant changes to this privacy policy and making revised copies available.
Explanation of the “Minimum Necessary” Rule:
Is a principle within the Health Insurance Portability and Accountability Act (HIPAA) that requires covered entities (such as healthcare providers, health plans, and clearinghouses) to limit the use, access, and disclosure of protected health information (PHI) to only the amount needed to accomplish a specific purpose. This rule is designed to protect patient privacy by ensuring that sensitive health information is not shared unnecessarily.
Here’s a breakdown of the rule:
Purpose Limitation: PHI should only be used or disclosed for specific purposes, such as treatment, payment, or healthcare operations, or when required by law. The rule asks that the minimum amount of information be shared for these purposes.
Scope of Access: Only individuals who need PHI to perform their job functions should have access to it. This means that healthcare providers, administrators, or other staff members are only permitted access to PHI relevant to their specific role.
Types of Information Limited: In many cases, only certain parts of a patient’s medical record are necessary to fulfill a request. For example, a billing department may only need to know what treatments were provided, not the full medical history.
Exceptions to the Rule: The minimum necessary standard does not apply to:
Reasonable Efforts Required: Covered entities must make reasonable efforts to identify what PHI is necessary for a particular purpose and implement policies that enforce the minimum necessary standard.
COMPLAINTS:
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with us, submit your complaint in writing to the Privacy Officer at GETRELIEFRX. You will not be penalized for filing a complaint.
If you have any questions about these Terms, please contact us at: compliance@getreliefrx.com
149 Shiloh Road, Ste 7,
Billings MT 59106
Thank you for choosing GETRELEIFRX.
Last updated: March 21, 2024
©2024 GETRELIEFRX. Inc.
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