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Privacy Policy

Our Privacy Policy and HIPAA page is dedicated to upholding the highest standards of confidentiality and privacy for our users. Here, you will find a comprehensive overview of how we collect, use, and protect your personal and health information following the Health Insurance Portability and Accountability Act (HIPAA). We are committed to ensuring the security of your data and maintaining your trust. This page outlines our practices and procedures designed to safeguard your privacy rights and provide transparency about our data handling processes. Whether you’re a new visitor or a long-time user, we encourage you to review our policies to understand our dedication to your privacy and the measures we take to protect your information.

Additionally, our policy explains your rights under HIPAA, including your ability to access, amend, and control your personal health information. We also detail the steps we take to ensure compliance with all relevant regulations and the protocols we have in place to respond to any potential data breaches. By keeping you informed, we aim to empower you with the knowledge and confidence that your information is safe.

Notice of Privacy Practices

Your Information. Your Rights.
Our Responsibilities.

This notice describes how medical information about your minor may be used and disclosed and how you as a parent or legal guardian may get access to this information.
Please review it carefully.

Your Rights

When it comes to your health information, you have certain rights.
This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record.

  • You may ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
  • We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

 

Ask us to correct your medical record.

  • You may ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
  • We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

  • You may ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
  • We will say “yes” to all reasonable requests

Ask us to limit what we use or share.

  • You may ask us not to use or share certain health information for treatment, payment, or our services.
    • We are not required to agree to your request, and we may say “no” if it would affect your care.
  • If you pay for a service or health care item out- of-pocket in full, you may ask us not to share that information for the purpose of payment or our operations with your health insurer.
    • We will say “yes” unless a law requires us to share that information.

 

Get a list of those that you wish to share the information with.

  • You may ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with and why.
  • We will include all the disclosures except for those about treatment, payment, and health care services, and certain other disclosures (such as any you asked us to make).
  • We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice.

  • You may ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Chose someone to act for you.

  • If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your health information.
  • We will require a signed release of information request by you before releasing any of your information or before working with anyone on your behalf.
  • We will make sure the person has this authority and may contact you before we take any action.

File a complaint if your rights are violated.

  • You may make a complaint if you feel we have violated your rights by contacting us using the information on the back page.
  • You may file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696- 6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
  • You may also file a complaint with the Utah Department of Health and Human Service Office of Licening at https://dlbc.utah.gov/concerns-incidents
  • We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you may tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in your care.
  • Share information in a disaster relief situation.
  • Include your information in a White River Academy directory.

In these cases, we never share your information unless you give us written permission:

  • Marketing purposes
  • Sale of your information
  • Most sharing of psychotherapy notes

In these cases, for fundraising

  • We may contact you for fundraising efforts, but you may tell us not to contact you again.

Our Uses And Disclousures

How do we typically use or share your health information? We typically use or share your health information in the following ways.

Treat you.

  • We may use your health information and share it with other professionals who are treating you.

 

Example: A doctor treating you for an injury asks another doctor about your overall health condition.

Run our organization.

  • We may use and share your health information to run our practice, improve your care, and contact you when necessary.

Example: We use health information about you to manage your treatment and services.

Bill for your services.

  • We may use and share your health information to bill and get payment from health plans or other entities.

Example: We give information about you to your health insurance plan so it will pay for your services.

How else may we use or share your health information?
We are allowed or required to share your information in other ways – Usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we may share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html

Help with public health and safety issues.

  • We may share health information about you for certain situations:
    • Preventing disease
    • Helping with product recalls
    • Reporting adverse reactions to medications
    • Reporting suspected abuse, neglect, or domestic violence
    • Preventing or reducing a serious threat to anyone’s health or safety

 

Do research

  • We may use or share your information for health research.

Comply with the law.

  • We will share information about you if state or federal laws require it, including with the
  • Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

Respond to organ and tissue donation requests.

  • We may share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director.

  • We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address worker’s compensation, law enforcement, and other government requests.

  • We can use or share health information about you:
    • For workers’ compensation claims
    • For law enforcement officials.
    • With health oversight agencies for activities authorized by law.
    • For special government functions, such as military, national security, and presidential protective services.

Respond to lawsuits or legal actions.

  • We can share health information about you in response to a court or administrative order, or in response to a subpoena.
  • We will provide patients with access to their health information through our website parent portal.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we are able to in writing. If you tell us we are able to, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see: www.hhs.gov/ocr/privacy/hipaa/ understanding/consumers/noticepp.html

Changes to the Terms of This Notice

We may change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

This Notice of Privacy Practices applies to the following organizations.

This notice applies to Behavioral Pathway which operates the medical insurance billing for White River Academy in the Delta, Utah area.

White River Academy 275 W 100 S
Delta, Ut 84624
Contact Phone #435.659.2368 Ext. 101 Mr. Loren Pence

Work Cited:

US Department of Health & Human Services. “Notice of Privacy Practices for Protected Health Information.” HHS.gov, 26 July 2013,

https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/privacy-practices-for-protected-health-information/index.html. Accessed 27 April 2023.

Notice of Privacy Practices Effective Date 4.27.2023
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