This notice describes how health information about you may be used and disclosed and how you can obtain access to that information. Please review it carefully.
If you have questions about this notice or our privacy practices, please contact:
Do It Right By You
80 Laurel Avenue
Trenton, NJ 08618
Phone: (609) 947-9520
Email: [email protected]
Privacy Contact: Abigail Trenfield
When it comes to your health information, you have certain rights.
Get a copy of your health information
You can ask to see or receive an electronic or paper copy of your health information and other information we maintain about you.
We will provide a copy or summary of your health information as required by law. We may charge a reasonable, cost-based fee where permitted by law.
Ask us to correct your health information
You can ask us to correct health information about you that you believe is incorrect or incomplete
We may deny your request in certain circumstances, but we will provide you with a written explanation if we do so.
Request confidential communications
You can ask us to contact you in a specific way or at a specific location.
For example, you may request that we contact you by telephone rather than mail or send information to an alternative address.
We will consider reasonable requests as required by law.
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 health care operations.
We are not required to agree to every request.
If we agree to a request, we will follow the agreed restriction except when disclosure is necessary for emergency treatment or otherwise permitted or required by law.
Get a list of people or organizations with whom we have shared information
You can request an accounting of certain disclosures of your health information made during the six years before your request, subject to applicable legal limitations.
Get a copy of this notice
You can request a paper copy of this notice at any time, even if you have agreed to receive it electronically.
Choose someone to act for you
If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices regarding your health information.
We will verify that the person has appropriate authority before taking action.
File a complaint
If you believe your privacy rights have been violated, you can file a complain with Do It Right By You or with the U.S. Department of Health and Human Services Office for Civil Rights.
You will not be retaliated against for filing a complaint.
For certain health information, you may tell us your preferences regarding how we share your information.
You may ask us to:
Share information with family members, close friends, or others involved in your care or payment for your care.
Share information in a disaster-relief situation.
Communicate with you in a particular way or at a particular location
If you are unable to communicate your preference, we may share information when we believe doing so is in your best interest or when necessary to lessen a serious and imminent threat to health or safety, as permitted by law
Uses requiring your written authorization
Generally, we will obtain your written authorization before using or disclosing your health information for purposes that require authorization under applicable law, including certain uses related to:
Marketing
Sale of protected health information
Psychotherapy notes, where applicable
You may revoke an authorization in writing at any time, except to the extent we have already relied upon the authorization.
We may use and disclose your health information in the following ways, as permitted or required by law.
Provide services and coordinate your care
We may use and share your health information with professionals and organizations involved in providing or coordinating your services.
For example, we may communicate with members of your care team or other individuals involved in coordinating services when permitted by law.
Run our organization
We may use and share health information as necessary to operate our organization, improve services, maintain records, and manage our business activities.
Bill and receive payment
We may use and disclose health information to bill for services and obtain payment from Medicaid, health plans, or other entities responsible for payment.
Public health and safety
We may disclose health information for certain public health and safety purpose as permitted or required by law, including reporting certain conditions, suspected abuse or neglect, or situations involving serious threats to health or safety.
Comply with law
We may use or disclose health information when required by federal, state, or local law.
Health oversight
We may disclose health information to government agencies authorized to conduct health oversight activities.
Law enforcement and government requests
We may disclose health information to law enforcement or other government authorities when permitted or required by applicable law.
Lawsuits and legal actions
We may disclose health information in response to a court or administrative order, subpoena, or other lawful process when permitted by law.
Workers' compensation
We may disclose health information as authorized by or necessary to comply with laws relating to workers' compensation and similar programs.
Medical examiners and funeral directors
We may disclose health information to coroners, medical examiners, and funeral directors when permitted or required by law.
Do It Right By You is required by law to :
Maintain the privacy and security of your protected health information.
Provide you with this notice describing our legal duties and privacy practices.
Follow the privacy practices described in this notice while it is in effect.
Notify affected individuals as required by law if a breach occurs that compromises the privacy or security of protected health information
Provide you with a copy of this notice upon request.
We will not use or disclose your health information other than as described in this notice or as otherwise permitted or required by law unless you provide written authorization.
If you provide written authorization, you may revoke that authorization in writing at any time, subject to actions already taken based on the authorization.
We may change the terms of this notice.
If we make a material change to our privacy practices, we may revise this notice. The revised notice will apply to all health information we maintain that is subject to the revised practices.
The current version of this notice will be available upon request and will be posted on our website.
If you believe your privacy rights have been violated, you may file a complaint with Do It Right By You.
Do It Right By You
80 Laurel Avenue
Trenton, NJ 08618
Phone: (609) 947-9520
Email: [email protected]
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W. Washington, D.C. 20201
Phone: 1-877-696-6775
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/
You will not be retaliated against for filing a complaint.