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This notice is required by law (Federal regulation 45 CFR Parts
160 & 164) and describes how health information about you may be used and disclosed
and how you can get access to this information. This notice is in effect on and
after April 14, 2021 and applies to the following facilities. These facilities are
part of an Organized Health Care arrangement: Lost and Found Inc. dba The Family
Counseling Center, Residential Treatment Center, Independent Living Program, Child
Placement Agency.
Uses and Disclosures of Health Information
We use health information about you for treatment (diagnostic testing, medical
prescription, referral, etc.), to obtain payment (submit claims and/or encounters
to billing services and/or clearinghouses, and/or collection agencies, etc.), for
healthcare operations (reporting, utilization management, etc.) and to evaluate
the quality of care that you receive. We may use or disclose identifiable health
information about you without your authorization for other purposes such as auditing
and research studies when an institutional review board has approved the research.
As required by law, we may disclose your health information to public health or legal
authorities charged with prevention or controlling disease, injury, or disability.
Your Health Information Rights
You have the right to inspect and obtain a copy of your health record with a signed
authorization as provided in 45 CFR 164.524. You have the right to request in writing
that we restrict and/or not use or disclose your protected health information as
provided in 45 CFR 164.522 but we do not have to agree to accept your restrictions.
You have the right to request in writing that your physician amend your protected
health information as provided in 45 CFR 164.528. You have the right to request in
writing to receive confidential communications from us by alternative means or at
an alternative location as provided in 45 CFR 164.522. You have the right to obtain
a list of instances (accounting of disclosures) where we have disclosed your
protected health information for purposes other than treatment, payment or health
care operations as provided in 45 CFR 165.528. You have the right to revoke your
authorization to use or disclose health information except to the extent that action
has already been taken as provided in 45 CFR 164.508.
Our Responsibilities
We are required by law to maintain the privacy of your health information. We are
required by law to provide you with this notice about our privacy practices. We are
required by law to follow the privacy practices that are described in this notice;
however, we reserve the right to change or modify our practices and to make the new
provisions effective for all protected health information (PHI) we maintain. Should
our information practices change, we will post the revised privacy notice.
Questions and Complaints
If you have questions or if you are concerned that we have violated your privacy
rights, you may contact the privacy officer. You may also file a complaint with the
U.S. Secretary of Health and Human Services. There will be no retaliation against
you for filing a complaint.
Privacy Officer: Jim Griffin
Telephone: 303-420-8080 ext. 1133
Mailing Address: 6700 W. 44th Avenue, Wheat Ridge, CO 80033 |