NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW SUBSTANCE ABUSE AND/OR MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
To appropriately treat you and receive payment for the services we provide, we need to obtain information from you including your full name and address, insurance company, family medical history, current medical history, and current medical condition. We are required by law to maintain the privacy of our patients' protected health information and to provide patients with notice of our legal duties and privacy practices with respect to your protected health information. Wyoming Recovery seeks to comply with all applicable confidentiality regulations including the confidentiality of Alcohol and Drug Abuse Patient records as established by the US Department of Health and Human Services.
Federal law and regulations protect the confidentiality of alcohol and drug abuse patient records maintained by this program. Generally, the program may not say to a person outside the program that the patient attends the program, or disclose any information identifying a patient as an alcohol or drug abuser. Unless: (1) The patient consents in writing, (2) The disclosure is allowed by a court order, or (3) The disclosure is made to medical personnel in a medical emergency or to qualified personnel for research, audit, or program evaluation. Violations may be reported to appropriate authorities in accordance with Federal regulations.
Federal law and regulations do not protect any information about a crime committed by a patient either at the program or against any person who works for the program or about any threat to commit such a crime. Federal law and regulations do not protect any information about suspected child abuse or neglect including the elderly from being reported under State law to appropriate State or local authorities (See 42 USC 290 dd-3 and 42 USC 290 ee-3for Federal laws and CFR Part 2 for Federal Regulations).
Wyoming Recovery also seeks to respect the spirit of anonymity as expressed in the concept of Tradition #12 of Alcoholics Anonymous. We expect our patients to honor the rights of fellow participants in treatment to remain anonymous. This includes not communicating in any way "patient and/or participants identifying information" to people outside of Wyoming Recovery without written consent of that other person.
The remainder of this notice is a detailed description of
USES AND DISCLOSURES OF YOUR PROTECTED HEALTH INFORMATION
We may use and disclose your protected health information for the following:
Treatment. We may use and disclose your information to provide you with medical treatment and services. An example of treatment would be when I consult with another health care provider, such as your family physician, call in prescriptions or lab tests. We may also disclose your information to individuals outside of Wyoming Recovery to other health care providers that may be involved in your care after you leave.
Payment. We will use and disclose your information to receive payment for the services and treatment provided to you. We use your information to create a bill and disclose your information when we send the bill to your insurance company, you, or a third party. The individual or entity paying the bill may request more information to determine whether the bill is covered by your insurance. Your health plan may request information about a treatment you are going to receive to get approval for payment or to determine whether your health plan will cover the treatment. We may also disclose information about you for payment activities of another health care facility.
Health Care Operations. We may use and disclose your information for health care operation purposes of our health care facility or to another health care facility that had or has a relationship with you. Health care operations includes review of the care you receive for quality assessment, educational, business planning, and compliance plan purposes.
Appointment Reminders. We may use and disclose health information about you to contact you as a reminder that you have an appointment at Wyoming Recovery.
Follow-up Questionnaires/Surveys. We may use and disclose health information about you to contact you for surveys regarding the quality of care you received and your disposition, to improve the quality of care.
DISCLOSURES REQUIRING NEITHER CONSENT OR AUTHORIZATION
Federal law and regulations do not protect information about a crime committed by a patient either at the program or against any person who works for the program or about any threat to commit such crime. Wyoming Recovery may disclose information about you when required to do so by federal, state or local law including the following circumstances:
USES AND DISCLOSURES REQUIRING AUTHORIZATION
To use or disclose your information for any other uses or disclosures, we will request an authorization from you. If we do obtain an authorization from you, you may revoke it at any time.
To exercise the rights outlined below, contact Wyoming Recovery's Privacy Officer, Carolyn Toews, at (307) 265-3791 ext 23.
If you believe your privacy rights have been violated you may notify Wyoming Recovery's Privacy Officer, Carolyn Toews at (307) 265-3791 ext 23. You may also send a written complaint to the Secretary of the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
231 S. Wilson St.
Casper, WY 82601
(307) 265-3791 phone
(888) 453-5220 toll-free
(307) 265-4480 fax