Notice of Privacy Practices
CREATIVE LIVING ASSOCIATES
NOTICE OF PRIVACY PRACTICES
This notice describes how medical information about you may be used and disclosed and how
you can get access to this information.
Uses and Disclosures: We can use your health information and share it with other professionals
who are treating you. We can use and share your health information to run the practice,
improve your care, and contact you when necessary. We can use and share your health
information to bill and get payment from health plans or other entities. In certain
circumstances, we may be allowed or required to share your health information to report
suspected abuse, neglect or domestic violence, or reduce a serious threat to anyone’s health or
safety. We can share health information about you in response to a court or administrative
order, or in response to a subpoena. We will never share your information for marketing
purposes nor sell your health information.
Your Rights: You can ask to see or get an electronic or paper copy of the health information we
have about you. We will provide that information within 30 days of your request. You can ask
us to correct health information about you that you think is incorrect or incomplete. We may
say “no” to your request, but we will tell you why in writing within 60 days. You can ask us to
contact you in a specific way or send messages to a specific address. You can ask us not to use or share certain health information for treatment, payment, or our operations. We may say
“no” if it would affect your care. If you pay for a service out-of-pocket in full, you can ask us not
to share that information for the purpose of payment or our operations with your health
insurer. We will say “yes” unless the law requires us to share that information. You can ask for a
list of the times we’ve shared your health information (who we’ve shared it with and why) for
six years prior to the date you ask. We will report all those disclosures except those about
treatment, payment, our health care operations, and any you asked us to make.
Your Choices: If you have given someone medical power of attorney or if someone is your legal
guardian, that person can exercise your rights and make choices about your health information.
You have the right and choice to tell us to share information with your family, close friends, or
others involved in your care.
Practice Responsibilities: If a breach occurs that may have compromised the privacy or
security of your information, we will let you know promptly. The practice reserves the right to
© Glen Rediehs, Ph.D.
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