Midland

1525 Ridgewood Dr.
Midland, MI 48642

Phone: 989 - 835 - 6333
Fax: 989 - 835 - 4920

Midland Email

Traverse City

808 S. Garfield Ave Suite A
Traverse City, MI 48686

Phone: 231 - 929 - 2354
Fax: 231 - 929 - 2853

Traverse City Email

Hours
Monday - Thursday
8:30 am - 6:30 pm

Friday
8:30 am - 12:30 pm




 

HIPAA NOTICE
OF PRIVACY PRACTICES

Effective April 14, 2003

This notice describes how personal and medical information about you and your child may be used and disclosed and how you can get access to this information. Please review this information carefully.

CTC Code
of conduct

Treat Others With Uncompromising Truth

People deserve the truth; and when they haven’t received it, they feel betrayed and disempowered.

Lavish Trust On Your Associates

People are trusted to take on new responsibilities, to ask questions, and to carry out agreements.

Mentor Unselfishly

Mentoring is a sharing of information to the people we report to, to the people we work with, and to the people who report to us.

Be Receptive to New Ideas, Regardless Of Their Origin

New ideas are the lifeblood of an organization. To be successful, a company must acknowledge that it cannot “see” everything.

Take Personal Risks For The Organization

People share valuable information with the group in order to protect and support the organization.

Give Credit Where It’s Due

People need to feel appreciated every day, and they need to see the fairness of the credit given.

Do Not Touch Dishonest Dollars

People feel pride in an organization built upon honesty and integrity.

Put The Interests Of Others Before Your Own

Putting others first adds vitality to both the individual and the organization.

Purpose of the Notice of Privacy Practices

The main purpose of the privacy rules are to allow those who receive services at Children's Therapy Corner to control the manner in which sensitive, personal information is used and disclosed.

Our Privacy Commitment to You

We care about your privacy. The information that we collect about you and your child is private and is protected by the Federal Health Insurance Portability and Accountability Act (HIPAA).
We are required to give you a notice of our privacy practices. Only the people who have both the need and the legal right may see your records. Unless you give us permission in writing, we will only disclose your records for purpose of treatment, business operations, payment, or when we are required by law to do so.
If you give us permission in writing, we may use and disclose you or your child's records. You do have the right to revoke that permission. The request must in writing and dated.

Treatment

We may disclose records to coordinate your therapy services. For example:
  • Primary care physician for prescription for treatment.
  • Case managers or other service providers working on behalf of your child's therapy.

Business Operations

We may need to use and disclose information for our business operations. For example:
  • Quality of care review.
  • Appointment reminders and confirmations.
  • Informational correspondence about business, programs, events and other special mailings.

Payment

We may use and disclose records so that the care your child receives can be properly billed and payment obtained. We inform the insurance company of your child's diagnosis and send required reports in order to obtain payment or preauthorization of treatment.

As Required by Law

We will release records when we are required by law to do so. For example:
  • Court orders or subpoenas.
  • Communicable disease reporting.
  • Threat to safety or other kinds of emergencies.

Your Privacy Rights

You have the following rights regarding the personal information and health records that we have about you or your child. You may be charged a fee for copying.

Your Right to Inspect and Copy

You have the right to review or get copies of records.
Your Right to Amend
If you think there is a mistake in the records, you have the right to add a statement. We can deny your request, but we must give you a written reason for our denial.

Your Right to a List of Disclosures

You have the right to ask for a list of disclosures made after April 14, 2003. This list will include those disclosures not pertaining to treatment, business oper-ations, payment, or as required by law.

Your Right to Request Restrictions on Our Use or Disclosure of Records

You have the right to ask for limits on how the records are used and disclosed. We are not required to agree with such requests.

Your Right to Request Confidential Communication

You may ask that we share information in a certain way or certain location. For example:

  • Send records to work versus home.
  • Private areas for discussions.

How to Use Your Rights Under This Notice

If you want to exercise your rights under this notice , wish to communicate with us about privacy issues, or if you wish to file a complaint, you may write to or contact us. You will not be penalized for filing a complaint.

Privacy Officer

Children's Therapy Corner
1525 Ridgewood Drive
Midland, MI 48642
Phone: (989) 835-6333

If you believe that your privacy rights have been violated, you have the right to file a complaint with the federal government.

Office of Civil Rights
Dept. of Health and Human Services
200 Independence Ave S.W.
Washington, D.C. 20201
Phone: (866) 627-7748
TTY: (886) 788-4989
Email: ocrprivacy@hhs.gov

You have the right to receive additional copies of this notice at any time. This notice can be made available in other languages and alternative formats that meet the guidelines for the Americans with Disabilities Act (ADA).

We reserve the right to revise this Notice. We are required by law to comply with whatever notice is currently in effect.

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