West Los Angeles Handbook 2023 - 30

Ensuring Your Rights
Privacy Practices
This notice describes how medical information about you
may be used and disclosed and how you can get access to
this information. Please review it carefully.
I. Who We Are
This notice describes the privacy practices of Hazelden
Betty Ford Foundation ( " Hazelden Betty Ford " ) and
Recovery Partners, P.C. " Hazelden Betty Ford " is
inclusive of inpatient, outpatient and virtual services
offered at these facilities, individually and collectively.
II. Our Privacy and Confidentiality Obligations
We are required by law to maintain the privacy and
confidentiality of information about your health,
health care, and payment for services related to your
health (referred to in this notice as " protected health
information " or " information " ) and to provide you with
this notice of our legal duties and privacy practices with
respect to your protected health information. When we
use or disclose this information, we are required to abide
by the terms of this notice (or other notice in effect at
the time of the use or disclosure).
* Protected Health Information in connection with
substance use disorder services:
o
42 CFR Part 2 protects your health information
if you are applying for or receiving services
(including diagnosis or treatment, or referral)
for substance use disorder. Generally, if you are
applying for or receiving services for substance
use disorder, we may not acknowledge to a
person outside the program that you attend the
program except under certain circumstances that
are listed in this notice.
* All Protected Health Information, including
substance use disorder services:
The Health Insurance Portability and
Accountability Act ( " HIPAA " ) Privacy
Regulations (45 CFR Parts 160 and 164), also
protect your health information whether or not
you are applying for or receiving services for
substance use disorder. Generally, if you are not
applying for or receiving services for substance
use disorder, the way we may use and disclose
information differs slightly. These differences are
listed in this notice.
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III. Uses and Disclosures WITH Your Authorization: All
Protected Health Information
* Generally, we may use or disclose your protected
health information when you give your authorization
to do so in writing on a form that specifically meets
the requirements of laws and regulations that apply.
* There are some exceptions and special rules
that allow for uses and disclosures without your
authorization or consent. They are listed in sections
IV and V.
* You may revoke your authorization except to the
extent that we have already taken action upon the
authorization. If you are currently receiving care
and wish to revoke your authorization, contact your
counselor. After you are discharged, you will need to
contact the Health Information Department.
* Please be aware of the fact that a court with
appropriate jurisdiction or other authorized third
party could request or compel you to sign an
authorization.
IV. Uses and Disclosures WITHOUT Your Authorization:
All Protected Health Information
Even when you have not given your written
authorization, we may use and disclose information
under the circumstances listed below. This list applies
to all protected health information, including the
information we get when you are applying for or
receiving services for substance use disorder.
A. Treatment. We may use or disclose your protected
health information for treatment purposes.
Treatment includes diagnosis, treatment and other
services, including discharge planning. For example,
counselors may disclose your health information
to each other to coordinate individual and group
therapy sessions for your treatment or information
about treatment alternatives or other health-related
benefits and services that are necessary or may be of
interest to you.
B. Health Care Operations. We may use or disclose
your protected health information for the purposes
of health care operations that include internal
administration and planning and various activities
that improve the quality and effectiveness of care.
For example, we may use information about your
care to evaluate the quality and competence of
our clinical staff. We may disclose information
to qualified personnel for outcome evaluation,
management audits, financial audits, or program
evaluation; however, such personnel may not
identify, directly or indirectly, any individual
patient in any report of such audit or evaluation, or
otherwise disclose patient identities in any manner.
We may disclose your information as needed
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West Los Angeles Handbook 2023

Table of Contents for the Digital Edition of West Los Angeles Handbook 2023
