Our commitment to privacy

Cancer Family Care does not ask for personal information on this Web site.

Your privacy is important to us. To better protect your privacy, we provide this notice explaining our practices and the choices you can make about the way your information is collected and used. Should you have questions or concerns about these privacy policies, please contact us at 513-731-3346 or click here.

NOTICE OF PRIVACY PRACTICES
Effective 4/16/2003

THIS NOTICE DESCRIBES HOW PERSONAL HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GAIN ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

If you have any questions, please contact our Privacy Officer, whose name and number is at the bottom of this notice.

Our pledge to you:

We understand that mental health information about you is personal. We are committed to protecting mental health information about you. To provide quality care and to comply with legal requirements, we create a record of the care and services you receive. This notice applies to all of the records of your treatment that we maintain. We are required by law to:

  • Keep mental health information about you private.
  • Give you this notice of our legal duties and privacy practices with respect to mental health information about you.

We provide mental health care to clients in partnership with other professionals and organizations. The privacy of information practices described below will be followed by:

  • Your Cancer Family Care mental health professional
  • CFC staff and volunteers
  • Business associates and partners with whom we share mental health information (e.g., your health insurance company)

How we may use and disclose mental health information about you:

  • To ensure quality treatment (such as sending mental health information about you to a specialist if you seek a referral)
  • To obtain payment for treatment (such as sending billing information to your insurance company)
  • To support and improve our mental health services (such as consultation with our Quality Assurance Committee)
  • We may use or disclose mental health information about you without your prior authorization for several other reasons:
    • Suicidal or homicidal threats
    • Public health purposes
    • Physical or sexual abuse
    • Emergencies
    • By court order

Other uses of mental health information:

In any other situation not covered by this notice, we will ask for your written authorization before using or disclosing mental health information about you. If you choose to authorize use or disclosure, you can later revoke that authorization by notifying us in writing of your decision.

Your rights regarding mental health information about you:

  • You have the right to look at or get a copy of your records, when you submit a written request. If you request copies of multiple pages in a record, we may charge a fee. If we deny your request to review or obtain a copy, you have the right to submit a written request for a review of that decision.
  • If you believe that information in your record is incorrect or if important information is missing, you have the right to request that we correct the records, by submitting a request in writing that provides your reason for requesting the amendment. We could deny your request to amend a record if the information was not created by us, if it is not part of the mental health information maintained by us, or if we determine that record is accurate. You may appeal a decision by us not to amend a record.
  • You have the right to a list of those instances where we are thought to have disclosed personal health information about you in some exceptional circumstance.
  • You have the right to request that personal health information about you be communicated to you in a confidential manner, such as sending mail to an address other than your home, by notifying us in writing of the specific way or location for us to use to communicate with you.
  • You may request, in writing, that we not use or disclose mental health information about you for treatment, payment, or health care operations or to persons involved in your care, except when specifically authorized by you, when required by law, or in an emergency. We will consider your request, but we are not legally required to accept it. We will inform you of our decision on your request.

All written requests or appeals should be submitted to our Privacy Officer listed at the bottom of this notice.

Complaints:

If you are concerned that your privacy rights may have been violated, or you disagree with a decision we made about access to your records, you may contact our Privacy Officer with a written complaint.

Finally, you may send a written complaint to the U.S. Department of Health and Human Services Office of Civil Rights. Our Privacy Officer can provide you the address.

Under no circumstances will you be penalized or retaliated against for filing a complaint.

Privacy Officer
Carol Huber, LISW, MSW
Cancer Family Care
2421 Auburn Avenue
Cincinnati, OH 45219
(513) 731-3346

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