THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION; PLEASE REVIEW CAREFULLY.
The law requires that we protect the privacy of health information that may reveal your identity. The law requires that you are provided with a copy of this notice which describes the health information privacy practices of BCS. The law also requires that you must be notified of any breach should occur regarding your health information. A copy of our Notice of Privacy Practices is posted on our website: www.sgu.bcs-talk.com. You or your personal representative may also obtain a copy of this notice by requesting a copy from BCS staff and/or from the BCS HIPAA Privacy Officer.
If you have any questions about this notice, please contact BCS Administration at firstname.lastname@example.org
WHO WILL FOLLOW THIS NOTICE
BCS provides health care services to individuals and their family members that participate in agency services and collaborates with other health care professionals and organizations. The privacy practices described in this notice will be followed by:
- Any health care professional that provides you with treatment at BCS.
- All BCS employees, health care professionals, trainees, students or volunteers
- Any business associate of BCS (details discussed below)
PERMISSIONS DESCRIBED IN THIS NOTICE
This notice will the explain the different types of permission we will obtain from you before we use or disclose your health information for a variety of purposes. The 3 types of permissions are addressed in this notice are:
- A general written consent which we must obtain from you in order to use and disclose your health information for the purpose of providing you with care and treatment and to conduct our business operations. We must obtain this general written consent the first time we provide you with care and treatment. This general written consent is a broad permission that does not have to be repeated each time we provide you with care and treatment.
- An opportunity to object which we must provide to you before we may use or disclose your health information for certain purposes. In these situations, you have an opportunity to object to the use and disclosure of your health information in person, over the phone or in writing.
- A written authorization which will provide you with detailed information about the person(s) who may receive your health information and the specific purposes for which this information may be used. We are only permitted to use and disclose your health information described on the written authorization in ways that are explained on the form that you have signed. A written authorization must have an expiration date.