Your Rights Regarding Protected Health Information BCFR Maintains About You
Following is a statement of your rights and how you may exercise these rights.
You have the right to inspect and copy your protected health information
You may inspect and obtain a copy of health information about you that is contained in a designated record set for as long as we maintain the health information. A “designated record set” contains medical and billing records about you that we maintain and any other records that we use for making decisions about you. You may be charged a fee for the costs of copying, mailing or other such costs associated with your request. Under federal law, however, you may not inspect or copy the following records; psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and health information that is subject to law that prohibits access to health information. If your request for access is denied, you may request that the decision be reviewed. Requests for access should be directed in writing to the Privacy Officer listed in this notice.
If the protected health information that you are requesting to copy is maintained electronically, you may request an electronic copy of such information and we will provide you with access in the electronic form and format requested if it is readily producible in such form and format. If it is not, we will produce it in a readable electronic form and format as we mutually agree. We will act on your request within 30 days of receipt, unless it becomes necessary to request an additional 30-day extension. We will let you know the reason for the delay and the expected date of completion.
If you request transmittal of an electronic copy of your health information to another person, you must designate in a written document signed by you the person to receive such information and where to send the information.
BCFR may charge a reasonable cost-based fee for the supplies to create a paper copy or portable electronic media, the cost of postage in you want the portable media mailed to you. There are no fees for handling and retrieval.
You have the right to request a restriction of your health information
This means you may ask us not to use or disclose any part of your health information for the purposes of treatment, payment or healthcare operations. You may also request that any part of your health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested and to whom you want the restriction to apply. We are not required to agree to a restriction that you may request, except as stated below. If we believe it is in your best interest to permit use and disclosure of your health information, your health information will not be restricted. If we do agree to the requested restriction, we may not use or disclose your health information in violation of that restriction unless it is needed to provide emergency treatment. To request a restriction, you must make your request in writing. You must tell what information you want to restrict; whether you want to limit our use, disclosure or both; and to whom you want the restrictions to apply. We will not agree to restrictions on uses or disclosures that are legally required.
If you request a restriction on the disclosure of protected health information to a health plan, and the disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law, and the information pertains solely to a health care item or service for which you or a person on your behalf paid the covered entity out-of-pocket in full, we will restrict the disclosure of protected health information, but it is your responsibility to notify other providers with whom we may disclose your information of this restriction.
You have the right to request to receive confidential communications from BCFR by alternative means or at an alternative location
Communications involving personal health information may be provided to you at an alternative location or by an alternative means of communication. We will accommodate reasonable requests if you clearly state on the request that disclosure could endanger you. To request confidential communications, you must make your request in writing to our Privacy Officer and specify how or where you wish to be contacted.
You may have the right to request an amendment to your health information
If you believe your personal health information is incorrect or that an important part of it is missing, you may request an amendment of health information about you for as long as we maintain this information. You must request the amendment in writing and specify the reason for your request. We may deny your request if the information was not created by us, is not part of the information that you are permitted to inspect and copy, it is accurate and complete. In we deny your request, you have the right to file a statement of disagreement with us, and we may prepare a rebuttal to your statement and will provide you with a copy of such rebuttal. Requests should be directed to our Privacy Officer.
You have the right to receive an accounting of certain disclosures we have made, if any, of your protected medical/health information
This right applies to disclosures for purposes other than treatment, payment or healthcare operations as described in this Notice of Privacy Practices. It excludes disclosures we may have made to you, to family members or friends involved in your care, or for notification purposes. You have the right to receive specific information regarding these disclosures that occurred during the six years prior to the date of the request, or such shorter time period as you may request. The right to receive this information is subject to certain exceptions, restrictions and limitations.
You have the right to opt-out of receiving communications to raise funds for BCFR when your protected health information would be used for the purpose of raising funds
BCFR does not solicit funds from its clients and does not anticipate that it will do so. Should the agency decide to engage in fundraising, you will have the opportunity to let us know that you do not wish to receive communications for the purpose of raising funds for BCFR.
You have the right to be notified if there is a breach of unsecured protected health information about you
We are required by law to maintain the privacy of your protected health information. If we use or disclose your unsecured protected health information in a way that is considered to be a breach, as defined by law, you will receive a notification of the breach of your unsecured protected health information from us.
You have the right to obtain a paper copy of this notice from us
Upon request, even if you have agreed to accept this notice electronically.
If you wish to exercise any of these rights, please contact Jessica Porter, at 573-874-1995 BCFR, 2700 W Ash Street, Columbia, MO 65203.