S.B.H. Medical Ltd. Privacy Notice
S.B.H. Medical Ltd. is committed to protecting
the confidentiality of your health information. We have policies and safeguards
in place to ensure your privacy. S.B.H. Medical is also required by state
and federal laws to protect the confidentiality of your health information.
THIS NOTICE DESCRIBES HOW MEDICAL
INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS
TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
The confidential health information that
we collect as we deliver care or services to you is called “protected
health information”. We can use and disclose your protected health
- To provide treatment and
to help us coordinate services among S.B.H Medical personnel and with
others involved in your care such as family members, your home health
agency, suppliers of medical equipment and your physician; or we can
use your information to recommend an alternative treatment to you
or to notify you of a service.
- To obtain payment such as
including your health information on invoices to collect payment.
For example, we may be required by your insurer to provide information
regarding your health so that they will pay you or S.B.H Medical.
We may also need to obtain prior approval from you insurer and explain
your need for home infusion therapy, home care and the care or services
that we will provide to you.
- For health care operations
such as using your protected health information to evaluate and improve
the quality of the services or to write new guidelines to provide
more effective pharmacy information and care; to conduct supervision
of employees or evaluate their performance; to train our employees;
to determine your satisfaction with our services; for general business
planning and development; or for business management and general administrative
You also have the following rights regarding
the use and disclosure of your protected health information:
- Right to Inspect and Copy. You have
the right to inspect and/or obtain a copy of the health information
about you that we maintain to make decisions about your care. You
request must be in writing. If you request a copy of your health information,
we may charge you a fee to cover the cost of copying and mailing the
In certain very limited circumstances, we may deny your request to
inspect and copy your health information. If you are denied access
to your health information, we will explain our reasons in writing.
You have the right to request that the decision be reviewed by another
person. We will comply with the outcome of the review.
- Right to Receive Electronic Copies.
You have the right to receive electronic copes of health information,
or any changes made to the use of disclosures of your protected health
- Right to Amend. If you feel that
health information about you that we maintain is inaccurate or incomplete,
you have the right to request that we amend the information. You have
the right to request for an amendment as long as we maintain the information.
Your request must be in writing and include a reason supporting the
In certain circumstances, we may deny or request to amend your health
information. If your request for an amendment is denied, we will explain
our reasons in writing. You have the right to submit a statement explaining
why you disagree with our decision to deny your amendment request.
We will share your statement when we disclose health information about
you that we maintain.
- Right to Request Alternative Communications.
You have the right to request that we communicate with you about medical
matters in a certain way or at a certain location. We will agree to
the request to the extent that it is reasonable for us to do so. For
example, we can send all our written communication to your daughter’s
address, if you ask us to do so.
- Right to Receive Notification. You
have the right to receive a notification of a breach in your health
- Right to Request Restrictions. You
have the right to request a restriction or limitation of the health
information about you that we use or disclose. Your request must be
in writing. Please be aware that we are not required to agree to your
request for restrictions. If we agree to your request for a restriction,
we will comply with it unless the information is needed for emergency
treatment. Also to restrict disclosures of PHI to
a health plan with respect to health care for which you paid out of
pocket in full.
- Right to Accounting of Disclosures.
You also have the right, with limited exceptions under federal regulations
to receive an accounting of the disclosures we have made of your protected
health information other than those used for treatment, payment, and
operations. The time period covered by the accounting is limited.
Your request must be in writing. If you request an accounting more
often that once every twelve (12) months, we may charge you a fee
to cover the cost of preparing that accounting.
- Right to Revoke Authorization. There
are occasions when you may give us written authorization to use or
disclose your health information. You have the right to revoke your
authorization to use or disclose health information, except to the
extent that action has been taken in reliance upon your authorization.
- Right to a Copy of our Notice of Privacy
Practices. You have the right to a paper copy of our Notice
of Privacy Practices at any time. To obtain a copy of our current
Notice, please contact S.B.H. Medical at 866.724.6333.
- Right to Require Authorization.
It is required to have your authorization for: prohibited use of PHI
that is considered genetic information for underwriting purposes;
most uses and disclosures of PHI for marketing purposes; and disclosures
of psychotherapy notes; uses and disclosures of PHI for marketing
purposes; and disclosures that constitute a sale of PHI.
If you believe that your confidentiality
has been violated, you can contact the Privacy Office at our S.B.H Medical
office at 866.724.6333 to file a complaint, or you can file a complaint
with the office of the Secretary of Health and Human Services. We want
to hear your concerns, and you will not be retaliated against if you file
If you wish to see your protected health
information, receive a copy of it or ask to amend it, please contact the
Privacy Officer at 866.724.6333.
If any one wishes to use or access your
protected health information for reasons other that to provide care, obtain
payment or run our operations, we can only release it with your written
authorization. And, you may revoke that authorization at any time.
However, there are some important exceptions
to requiring an authorization stated in the federal regulation. We can
provide your protected health information to representatives of the following
organizations without your written authorization or without obtaining
your agreement or objection:
- To public health authorities;
- To government representative responsible for responding
to concerns about abuse, neglect or domestic violence as permitted
- For judicial or administrative proceedings or in
response to a subpoena or discovery request;
- For law enforcement purpose;
- To local or national health oversight organizations
that conduct audits or investigations;
- To funeral directors, coroners and medical examiners;
- For purposes of organ or tissue donation;
- For research purposes as approved by a Privacy Board;
- To avert a serious threat to health or safety;
- For special government functions such a national
- For purposes of worker’s compensation.
We may not disclose your health information
if you are the subject of an investigation unless your health information
is directly related to your receipt of public-benefits.
We at S.B.H. Medical abide by this Notice
effective April 14, 2003. The Notice is available to any individual upon
request. We do reserve the right to change the terms of the Notice, and
to provide the revised Notice to any patient/client who is receiving care
or services. We will also honor the terms of the Notice for any protected
health information that we maintain at the time of the change. Updated
you have any concerns about this Notice or wish to have additional information,
you may contact our Privacy Officer at 866.724.6333. We welcome your
questions, as the privacy of your protected health information is one
of our most important promises to you.