West Los Angeles Handbook 2023 - 32

13. Marketing Communications. We may contact
you with information about Hazelden Betty
Ford health-related services and products that
may be beneficial to you. Such communications
are a part of Health care operations, and
examples of these communications are
invitations to continuing care programs, alumni
events and catalogs of recovery and self-help
materials such as books, videotapes and other
items.
6. Expanded allowable disclosure to your legally
authorized representative. We may disclose your
health information to a person appointed by a court
to represent or administer your interests.
7. Expanded allowable disclosure in judicial and
administrative proceedings. We may disclose your
health information pursuant to a valid court or
administrative order, or in some cases, in response to
a valid subpoena or discovery request.
V. Uses and Disclosures WITHOUT Your Authorization-
Protected Health Information NOT in Connection
with Substance Use Disorder Diagnosis, Treatment, or
Referral.
If you are not applying for or receiving services for
substance use disorder, the rules governing the use
and disclosure of protected health information are
different from and less restrictive than the rules
governing information involving substance use disorder
diagnosis, treatment and referral. The next section lists
the additional allowable disclosures that may be made
without your authorization if you are not applying for
or receiving services for substance use disorder. (This
list does NOT apply to those persons applying for or
receiving services for substance use disorder):
1. Allowable disclosure when required by law. We
may disclose your protected health information as
required by state or federal law.
2. Allowable disclosure for health or safety. We may
disclose your protected health information to avert
or lessen a serious threat of harm to you, to others, or
to the public.
3. Expanded allowable abuse reporting/investigation of
abuse. We may disclose protected health information
to a person legally authorized to investigate a report
of abuse or neglect.
4. Expanded allowable public health and health
oversight activities. We may disclose your protected
health information for public health purposes and
health oversight purposes including licensing,
auditing or accrediting agencies authorized
or allowed by law to collect such information,
including, for example, when we are required to
collect, report or disclose information about disease,
injury, vital statistics for public health purposes or
other information for investigation, audit or other
health oversight purposes.
5. Expanded allowable disclosure for law enforcement
activities. We may disclose protected health
information to law enforcement officials in response
to a valid court order or warrant or as otherwise
required or permitted by law.
8. Allowable disclosure to the Secretary of Health and
Human Services. We must disclose your health
information to the United States Department of
Health and Human Services when requested in order
to enforce the privacy laws.
VI. Your Individual Rights
A. Right to Receive Confidential Communications.
Normally we will communicate with you through
the phone number and /or address you provide.
You may request, and we will accommodate, any
reasonable, written request for you to receive your
protected health information by alternative means of
communication or at alternative locations.
B. Right to Request Restrictions. At your request, we
will not disclose health information to your health
plan if the disclosure is for payment of a health care
item or service for which you have paid Hazelden
Betty Ford out of pocket in full. You may request
additional restrictions on our use and disclosure of
protected health information for treatment, payment
and health care operations. While we will consider
requests for additional restrictions carefully, we are
not required to agree to a requested restriction. If
you wish to request additional restrictions and you
are currently receiving services, please contact your
counselor.
Once you are no longer receiving services, contact
the Health Information Department in writing. We
will send you a written response.
C. Right to Inspect and Copy Your Health Information.
You may request access to your medical record
maintained by us in order to inspect and request
copies of the records. Under limited circumstances,
we may deny you access to a portion of your
records. If you desire access to your records and
you are currently receiving services, please ask your
counselor for the records. Once you are no longer
receiving services, contact the Health Information
Department.
D. Right to Amend Your Records. You have the right to
request that we amend protected health information
maintained in your clinical file or billing records.
If you desire to amend your records and you are
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West Los Angeles Handbook 2023

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