HIPAA NOTICE OF PRIVACY PRACTICES
Southern Oklahoma Treatment Services dba Oklahoma Behavioral Health
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU GET ACCESS TO THIS INFORMATION. PLEASE READ CAREFULLY
Southern Oklahoma Treatment Services (SOTS) is required to maintain the privacy of Protected Health Information (PHI) and to provide individuals with notice of our legal duties and privacy practices with respect to PHI. PHI is information that may identify you and relates to our past, present, or future physical mental health condition and related healthcare services. This notice of Privacy Practices (Notice) describes how we may use and disclose PHI to carry out treatment, payment, or health care operations and for other specified purposes that are permitted or required by law. The Notice also described our rights with respect to PHI about you.
SOTS is required to follow the terms of this Notice. We will not sell your name and address or identifying information for any purpose. We will not disclose PHI about you without your written authorization, except as described in this Notice. We reserve the right to change our practices and this Notice and to make the Notice effective for all PHI er maintain, upon request, we will provide any revised Notice to you. The complete law which sets out how information that identifies a patient can be used and disclosed is the Health Insurance Portability and Accounting Act of 1996(HIPAA)(Title 45), Code of Federal Regulations (CFR), Parts 160 and 164 & title 42 (CFR)(Part 2).
Effective Date: This notice is effective as of April 14, 2023.
Your Health Information Rights: You have the rights with respect to PHI about you.
Obtain a paper copy of the notice upon request: You may request a copy of the Notice at any time. Even if you have agreed to receive the notice electronically, you are still entitled to a paper copy. You may obtain a paper copy at the office of SOTS, 5912 U.S. Highway 70 W., Mead, OK 73449, from your respective counselor or the Administrative Assistant. You will receive a paper copy of the notice at your first visit after April 14, 2003.
Request a restriction on certain uses and disclosures of PHI: You have the right to request additional restrictions on our use or disclosures of PHI about you for treatment, payment, health care operations, communication with individuals involved in your care or by business associates by submitting a written request for the restriction. You may submit your request in person to your respective counselor or mail the request to SOTS, 5912 U.S. Highway 70 W., Mead, OK 73449. We are not required to agree to those restrictions.
Inspect and obtain a copy of PHI: You have the right to access and copy PHI about you contained in a designated records set for as long as we maintain the PHI. To inspect your copy PHI about you, you must sign a written request. You may submit your request in person or by mail to the above address. We may charge you a fee for the cost of copying, mailing and supplies that are necessary to fulfill your request. We may deny your request and copy in certain limited circumstances. If you are denied access to PHI about you, you may request the denial be reviewed.
Request an amendment of PHI: If you believe that PHI, we maintain about you is incorrect or incomplete, you may request that we amend it. You may request an amendment for as long as we maintain the PHI. To request an amendment, you must send a written request to our office at the above address. You may include a reason that supports your request. In certain cases, we may deny your request for amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with the Clinical Director, and we may give you a rebuttal to your statement.
Receive an accounting of disclosure of PHI: You have the right to receive an accounting of disclosure we have made of PHI about you after April 14, 2023, for most purposes other than treatment, paying or healthcare operations. The accounting will exclude certain disclosures, such as disclosures made directly to you, disclosures you authorize, disclosures to friends or family members involved in your care, and disclosures for notification purposes. The right to receive an accounting is subject to certain other exceptions, restrictions, and limitations. To request an accounting, you must submit a request in writing. Your request must specify the time period free of charge, but you may be charged for the cost of providing additional accounting in the same 12-month period. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time.
Request communication of PHI: By alternative means or at alternative locations: For instance, you may request that we contact you about medical matters only in writing or at a different residence or post office box. To request confidential communication of PHI about you by alternative means or at an alternative location, you must submit a request in writing. You may submit your request in person or by mail to SOTS at the above address. Your request must state here or where you would like to be contacted. We will accommodate all reasonable requests.