Right Access to Inspect and Copy.

You have the right, which may be restricted in certain circumstances, to inspect and copy PHI that may be used to make decisions about your care. 

Right to Amend.

If you feel that the PHI we have about you is incorrect or incomplete, you may ask us to amend
the information although we are not required to agree to the amendment.

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Right to an Accounting of Disclosures.

You have the right to request an accounting of the disclosures that we make of your PHI.

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Right to Request Restrictions. You have the right to request a restriction or limitation on the use of your PHI for treatment, payment, or health care operations. We are not required to agree to your request.

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Right to Request Confidential Communication.
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.

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Right to a Copy of this Notice.
You have the right to a copy of this notice.

Complaints. You have the right to file a complaint in writing to us or to the U. S. Secretary of Health and Human Services if you believe we have violated your privacy rights.

We will not retaliate against you for filing a complaint.

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Confidentiality of Substance Use Disorder Patient Records

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Federal law and regulations protect the confidentiality of substance use disorder patient records. Monarch Mental Health is required to comply with these confidentiality protections. Information identifying you as having or having had a substance use disorder may only be provided if allowed under federal regulation. Release of information without your written permission may only be allowed under limited circumstance, such as in response to a court order or to medical personnel in the event of a medical emergency.

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Violation of Federal laws or regulations by this program is a crime. Suspected violations of confidentiality should be reported to Monarch Mental Health's Privacy Officer. If your concern is not resolved you may also file with your local U.S. Attorney’s Office.

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If you commit a crime on program premises or against program personnel, we will disclose information identifying you to law enforcement.

We will make a report of suspected child abuse and neglect, as mandated under state law to appropriate state and local authorities.

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The confidentiality of substance use disorder treatment records regulations are found at title 42 of the Code of Federal Regulations (CFR) part 2 (42 CFR part 2).

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If you have any questions about this Notice of Privacy Practices, please contact the Monarch Mental Health Privacy Officer.

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Your health record contains personal information about you and your health. State and federal law protects the confidentiality of this information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services. As referenced in the Client Rights form, this Notice of Privacy Practices describes how we may use and disclose your protected health information (“PHI”) in accordance with applicable law, including the Health Insurance Portability and Accountability Act (“HIPAA”) and regulations promulgated under HIPAA including the HIPAA Privacy and Security Rules. It also describes your rights regarding how you may gain access to and control your PHI. We are required by law to abide by the terms of this Notice of Privacy Practices. We reserve the right to change the terms of our Notice of Privacy Practices at any time. Any new Notice of Privacy Practices will be effective for all PHI that we maintain at that time. We will make available a revised Notice of Privacy Practices by posting a copy on our website www.monarchmentalhealth.org, or upon request sending a copy to you by mail, or providing one to you in person.