Privacy Policy

OUR PRIVACY RESPONSIBILITIES UNDER HIPAA

Illinois law requires that all Health Care Providers (Medical Pregnancy Centers) protect health records in our possession.  If you receive services through Hope Pregnancy Center, federal law, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), also protects your health information.  In addition, HIPAA requires that we provide you this Notice of Privacy Rights.  It lets you know how we may use and disclose your health information and your rights regarding the health information we have in our possession.

 

HEALTH INFORMATION THAT WE MAINTAIN ABOUT YOU

We maintain records of:

       Your name and (if different) the name and relationship of the person receiving treatment

       Your billing address

       Your telephone number

       Your (or the patient's, if different) condition that brings you to the Hope Pregnancy Center

       The date the Doctor reviewed your chart

       Clinical findings related to the condition such as results of pregnancy tests and any other diagnostic    

          or monitoring test to ensure your safety

 

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the right to:

       Request restrictions on certain uses and disclosures

       Receive communications of protected health information by alternative means or at alternative

          locations

       Inspect, copy, and amend your protected health information held at Hope Pregnancy Center and

         receive and accounting of certain disclosures of your protected health information

       Receive a paper copy of this notice even if you have received it electronically

 

HOW WE USE AND DISCLOSE YOUR HEALTH INFORMATION

We only use or disclose your health information as state and federal laws require or permit.  In some cases, the law requires that you authorize the disclosure.  In other cases, the law allows us to disclose your health information without your authorization.

USE AND DISCLOSURE NOT REQUIRING YOUR AUTHORIZATION

Treatment:  We may use your health information for our treatment activities, such as disclosing it to other healthcare providers as helpful to treat you.

Payment:  We may use and disclose your health information for our payment and collection activities, such as sending claims to insurance companies for the payment of certain covered medical services that Hope Pregnancy Center may provide.

Healthcare Operations:  We may use and disclose your health information to manage our program operations, such as reviewing the quality of services your receive.

Business Associates:   We may use and disclose your health information to organizations that help us with our work, such as the billing service we use to process claims to your health insurance company.  We have a written agreement that requires these organizations to use your health information for only the reasons necessary to do the work, and protect it from other uses or disclosures, just like we do.

To Contact You:  We may use the information in your health records to contact you if we have information about treatment or other health-related benefits and services that may be of interest to you.

 

OTHER PERMITTED USES AND DISCLOSURES

HIPAA specifically permits us to use ore disclose your health information for other purposes without your consent or authorization.  In our experience such disclosures are rare, and the limited information we maintain is generally not applicable.  However, when authorized by law, and to the extent we may have the information, HIPAA permits us to disclose it to:

     

       Comply with the requirements of federal, state, or local laws, court orders or other lawful process

          and for administrative or court proceedings

       Report to a public health authority for the purpose of preventing or controlling disease, injury, or

          disability

       Report to the FDA for the quality, safety or effectiveness of FDA-regulated products or activities

       Notify a person who may have been exposed to a communicable disease or may otherwise be at

          risk of contracting or spreading a disease or condition

       Report abuse, neglect, or domestic violence to a government authority

       Provide necessary information to a health oversight agency for activities such as audits, programs,

          and regulated entities

       A law enforcement official for specified law enforcement purposes

       Coroners or medical examiners for identification or determining cause of death

       Funeral directors to carry our their duties with respect to the decedent

       Organ procurement organizations for facilitating donation and transplantation

       Researchers conducting studies approved by an Institutional Review Board

       Prevent or lessen a serious and imminent threat to the health or safety of a person or the public

       Authorized federal officials for specialized government functions such as military and veteran's

         activities; national security and intelligence activities; protective services for the president;

         medical suitability determinations; correctional institutions; government entities providing

         public benefits and comply with workers' compensation laws

 

USES AND DISCLOSURES WITH YOUR AUTHORIZATION

Other uses and disclosures of your personal information require your written authorization.  You may revoke your authorization at any time by doing so in writing.

HOW YOU CAN REACH US

If you want additional information about our privacy practices or if you believe that Hope Pregnancy Center has violated your privacy rights, you may file a complaint by contacting the Hope Pregnancy Center's HIPAA Privacy/Compliance Officer at:  202 N Main St PO Box 417 Pontiac, IL 61764

 

Hope Pregnancy Center does not retaliate against people who file a complaint.

 

ADDITIONAL PROTECTIONS FOR CERTAIN INFORMATION

 

       Confidential HIV related information for which additional protections are provided by state law

       Alcohol or Substance Abuse Treatment information for which additional protections are provided     

          by state law

       Mental Health Treatment information for which additional protections are provided by state law

 

Talk To Us

Don't hesitate to send us a message.

Address

202 N Main St #2, Pontiac, IL 61764

Phone

(815) 842-2484

Email

office@pontiachopepc.com

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