Shared Response is committed to protecting the privacy and confidentiality of patient information. We follow the Health Insurance Portability and Accountability Act (HIPAA), a federal law designed to protect individually identifiable health information.
Shared Response is permitted to use and disclose your protected health information without prior written authorization for purposes of obtaining payment for treatment you receive, such as sending billing information to your insurance company or Medicare, and to support health care operations. We may also contact you regarding outstanding account balances.
Shared Response is also permitted to use and disclose protected health information without your prior written authorization, subject to certain requirements, for public health purposes, abuse or neglect reporting, health oversight activities, such as audits or investigations, for workers’ compensation purposes, to funeral directors, coroners, or medical examiners, for purposes of organ donation, and when required to do so by law, such as in response to valid requests from law enforcement, judicial or administrative orders, or other legal process. We may also use or disclosure health information about you in a way that does not personally identify you or reveal who you are.
Otherwise, Shared Response will require your prior written authorization to use or disclose your protected health information. You have the right to revoke a written authorization by notifying us in writing, except to the extent that we have already used or disclosed information in reliance on your authorization.
You have the right to inspect or request copies of your protected health information. You may schedule a time to come to our offices to inspect your records. If copies of records are requested, we may charge a reasonable fee for the cost of copying, mailing, or other related supplies.
If you have any questions about our privacy policy or wish to report any potential privacy violations, please contact us. You also have the right to complain to the Secretary of the United States Department of Health and Human Services if you believe your privacy rights have been violated. You will not be penalized or retaliated against for reporting any potential violations or filing complaints.
Please note: Payment information for processing payments on an account will NOT be retained by us unless you specifically request this service.