Notice of Privacy Practices

Your Rights

You have the right to:

• Access a copy of your medical records (paper or electronic)
• 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.
• Correct any inaccuracies in your medical record
• Request confidential communication
• Ask us to limit the information we share
• Receive a list of those with whom we’ve shared your information
• Get a copy of this privacy notice
• Designate someone to act on your behalf
• File a complaint if you feel your privacy rights have been violated
  
  
  

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Your Choices

You have some choices in the way we use and share your information, including:

• Sharing with family, friends, or others involved in your care
• Sharing information in a disaster relief situation
• Including you in a hospital directory

We’ll never share your information for marketing purposes or sell your data without written consent. 

In some cases, we’re required to provide more restrictive treatment to the following types of information: psychotherapy notes, genetic testing information, information on persons with developmental disabilities, information concerning HIV/AIDS testing, and alcohol and drug treatment. Your substance abuse treatment records will never be shared without your written permission or unless otherwise permitted or required by law.

If you aren’t able to tell us your preference, for example, if you are unconscious, we may go ahead and share your information if we believe it’s in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

 

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Our Uses & Disclosures

We may use and share your health information to:

• Treat you and coordinate your care
• Operate our organization and improve care
• Bill for services and get payment from health plans
• Address public health and safety issues
• Comply with the law
• Respond to organ and tissue donation requests
• Work with medical examiners or funeral directors
• Address workers’ compensation, law enforcement, and government requests
• Respond to lawsuits and legal actions

   

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Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will promptly let you know if a breach may have compromised your information’s privacy or security.
• We must follow the duties and privacy practices described in this notice and give you a copy.
• We will only use or share your information unless you provide written consent for other uses.
• You have the right to withdraw consent at any time.

   

For more information, view the US Department of Health and Human Services’s Health Information Privacy.

 

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Changes to this Privacy Notice

We may update this privacy notice, and any changes will apply to all information we have about you. The updated notice will be available upon request or on our website.

 

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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.

1. 1. Get an electronic or paper copy of your medical record
      • You can 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.
        
        
   2. Ask us to correct your medical record
      • You can 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.
        
        
   3. Request confidential communications
      • You can 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.
        
        
   4. Ask us to limit what we use or share
      
      • You can ask us not to use or share certain health information for treatment, payment, or our operations. 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 can 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.
        
        
   5. Get a list of those with whom we’ve shared information
      • You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you asked, who we shared it with, and why.
      • We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but charge a reasonable, cost-based fee if you ask for another one within 12 months.
        
        
   6. Get a copy of this privacy notice
      • You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will promptly provide you with a paper copy.
        
        
   7. Choose someone to act for you
      
      • If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
      • We will ensure the person has this authority and can act for you before we act.
        
        
   8. File a complaint if you feel your rights are violated
      • You can complain if you feel we have violated your rights by contacting us using this information:
        
        Odyssey Behavioral Health

        Attn: Privacy Officer
        105 Westpark Dr, Suite 410
        Brentwood, TN 37027
        615.864.8145

      • You can file a complaint with the US Department of Health and Human Services Office for Civil Rights by visiting their website, sending a letter to 200 Independence Ave SW, Washington, DC 20201, or by calling 877.696.677.
      • We will not retaliate against you for filing a complaint.
        

         

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Our Uses & Disclosures

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 can 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 can 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 can 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 might we use or share your health information in other ways?

In certain situations, we are permitted or required to share your information for purposes that benefit the public, such as public health initiatives or research. However, strict legal conditions must be met before your information can be shared for these reasons. For further details, click here.

HELP WITH PUBLIC HEALTH AND SAFETY ISSUES
We can share health information about you for certain situations, such as:

• 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 will never use or share your information for health research without your permission in writing.

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 & TISSUE DONATION REQUESTS
We can 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 WORKERS’ COMPENSATION, LAW ENFORCEMENT & OTHER GOVERNMENT REQUEST
We can use or share health information about you:

• For workers’ compensation claims
• For law enforcement purposes or with a law enforcement official
• 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 & LEGAL ACTIONS
We can share health information about you in response to a court or administrative order or in response to a subpoena.