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.
Continuum Clinical Care ("we," "us," or "our") is committed to protecting the privacy of your health information. This Notice describes our legal duties and privacy practices with respect to your Protected Health Information (PHI) and is provided to you as required by the Health Insurance Portability and Accountability Act (HIPAA).
We are required by law to maintain the privacy of your PHI, to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.
We reserve the right to change our privacy practices and the terms of this Notice at any time, as permitted by law. Changes will apply to health information we already have about you as well as information we receive in the future. The current Notice is available upon request, is posted at our practice location, and is posted on this website. If we make material changes, we will update the effective date above.
We do not use or disclose PHI for fundraising purposes.
We may use and disclose your PHI without your authorization for the following purposes:
We may use your PHI to provide and coordinate health care services. We may share your health information with other health care providers involved in your care, including specialists, home health agencies, pharmacies, and laboratories.
We may use and disclose your PHI to obtain payment for services we provide. For example, we may submit claims to your insurance company, which may include information about your diagnosis and treatment.
We may use and disclose your PHI for our internal operations, such as quality assessment, care coordination, training of staff, audits, and compliance activities.
We may contact you using the information you provide to remind you of scheduled appointments or follow-up care, including via telephone, text message, and email.
We may contact you to provide information about treatment options or health-related services that may be of interest to you.
We may also use or disclose your PHI without your authorization in the following circumstances:
The following uses and disclosures of your PHI will be made only with your written authorization, unless otherwise required or permitted by law:
You may revoke any authorization you provide to us in writing at any time, except to the extent that we have already taken action in reliance upon the authorization.
You have the right to inspect and obtain a copy of your PHI that we maintain, with limited exceptions, including the right to receive an electronic copy of your PHI if you request it and we maintain it electronically. Requests must be submitted in writing. We may charge a reasonable, cost-based fee for copies. We will respond within 30 days of your request.
If you believe that health information we have about you is incorrect or incomplete, you may request an amendment. Your request must be in writing and must include a reason for the amendment. We may deny the request under certain circumstances.
You have the right to request an accounting of certain disclosures we have made of your PHI during the six years prior to your request. This right does not apply to disclosures made for treatment, payment, or health care operations.
You have the right to request restrictions on certain uses and disclosures of your PHI. We are not required to agree to your request, except where you have paid for a service out of pocket in full and request we not disclose to your health plan. If we agree to a restriction, we are bound by our agreement except in certain emergencies.
You have the right to request that we communicate with you about health matters in a certain way or at a certain location. We will accommodate reasonable requests.
You have the right to receive a paper copy of this Notice upon request, even if you have agreed to receive it electronically.
You have the right to be notified in the event of a breach of your unsecured PHI, as required by federal and state law.
We are required by law to:
Where visits are conducted via telehealth, we use secure, HIPAA-compliant platforms for all virtual visits and communications. We take additional precautions to protect your PHI in the electronic environment, including:
To exercise any of your rights described in this Notice, or to request a copy of this Notice, please contact our designated Privacy Officer:
Continuum Clinical Care
Privacy Officer
534 Frost Road, Floor 2, Waterbury, CT 06705
Tel: (203) 299-2380
Fax: (203) 290-0123
Email:
If you believe your privacy rights have been violated, you have the right to file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights (OCR). You will not be penalized for filing a complaint.
To file a complaint with our practice, contact the Privacy Officer at the address above.
To file a complaint with the U.S. Department of Health and Human Services:
U.S. Department of Health and Human Services
Office for Civil Rights (OCR)
200 Independence Avenue, S.W., Washington, D.C. 20201
Telephone: 1-877-696-6775
Connecticut law may provide additional privacy protections for certain categories of health information, including mental health records, substance abuse treatment records, and HIV/AIDS-related information. Where Connecticut state law provides greater privacy protections than federal law, we will follow the more protective state law. Certain categories of your health information may require your specific written authorization before we can use or disclose them, even for treatment, payment, or health care operations.
We reserve the right to change the terms of this Notice and to make the new Notice provisions effective for all PHI that we maintain. When we make a material change to our privacy practices, we will post the revised Notice at our practice location, update this page, and make it available to you upon request. The effective date at the top of this Notice indicates when it was last revised.
Your signature on the Patient Intake Form constitutes acknowledgment that you have been provided with or offered access to this Notice of Privacy Practices. A signed acknowledgment is not required for treatment but is requested as part of our intake process. If you have questions, please contact us at the address above.