The policy of Clermont County Mental Health & Recovery Board (CCMHRB) and its contract agencies is to help Clermont County residents recover from a severe mental disorder or a substance use disorder.
CCMHRB and its contract provider agencies believe in providing high-quality services that are client-centered and respect the privacy and wishes of the client. You are guaranteed to be treated as a partner in your treatment.
Each agency has a Client Rights Officer (CRO) who has the job of supporting you and not the agency if you have questions about your rights.
The CRO of the agency you receive services from is your best resource in addressing a complaint or concern. Each agency has a grievance procedure for addressing your concerns.
If you believe your concern has not been resolved, you can contact the CRO at the Clermont County Mental Health & Recovery Board. Just click on “The Grievance Process” for more information.
Effective Date: September 23, 2013
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.
At the Clermont County Mental Health and Recovery Board, we are committed to protecting your health information and safeguarding that information against unauthorized use or disclosure. This Notice will tell you how we may use and disclose your health information. It also describes your rights and the obligations we have regarding the use and disclosure of your health information.
We are required by law to: 1) maintain the privacy of your health information; 2) provide you Notice of our legal duties and privacy practices with respect to your health information; 3) abide by the terms of the Notice that is currently in effect; and 4) notify you if there is a breach of your unsecured health information.
HOW WE MAY USE AND DISCLOSE YOUR PERSONAL HEALTH INFORMATION
When you receive services paid for in full or part by the Board, we receive health information about you. We may receive, use or share that health information for such activities as payment for services provided to you, conducting our internal health care operations, communicating with your healthcare providers about your treatment and for other purposes permitted or required by law. The following are examples of the types of uses and disclosures of your personal information that we are permitted to make:
Uses and Disclosures That Require Your Permission
We are prohibited from selling your personal information, such as to a company that wants your information in order to contact you about their services, without your written permission.
We are prohibited from using or disclosing your personal information for marketing purposes, such as to promote our services, without your written permission.
All other uses and disclosures of your health information not described in this Notice will be made only with your written permission. If you provide us permission to use or disclose health information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose your health information for the purposes stated in your written permission except for those that we have already made prior to your revoking that permission.
Prohibited Uses and Disclosures
If we use or disclose your health information for underwriting purposes, we are prohibited from using and disclosing the genetic information in your health information for such purposes.
POTENTIAL IMPACT OF OTHER APPLICABLE LAWS
If any state or federal privacy laws require us to provide you with more privacy protections than those explained here, then we must also follow that law. For example, drug and alcohol treatment records generally receive greater protections under federal law.
YOUR RIGHTS REGARDING YOUR PERSONAL HEALTH INFORMATION
You have the following rights regarding your health information:
To exercise any of the rights described in this paragraph, please contact the Board Privacy Officer/Associate Director Denny Moell at the following address or phone number: 2337 Clermont Center Drive, Batavia, Ohio 45103 or (513) 732-5400.
* To exercise rights marked with a star (*), your request must be made in writing.
Please contact us if you need assistance.
CHANGES TO THIS NOTICE
We reserve the right to change this Notice at any time. We reserve the right to make the revised Notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of our current Notice at our office and on our website at: www.ccmhrb.com. In addition, each time there is a change to our Notice, you will receive information about the revised Notice and how you can obtain a copy of it. Information will be posted on our website and provided through the agency to which you receive services. The effective date of each Notice is listed on the first page in the top center.
TO FILE A COMPLAINT
If you believe your privacy rights have been violated, you may file a complaint with the Board or with the Secretary of the Department of Health and Human Services. To file a complaint with the Board, contact the Privacy Officer at the address above. You will not be retaliated against for filing a complaint. If you wish to file a complaint with the Secretary you may send the complaint to:
Office for Civil Rights
U.S. Department of Health and Human Services
Attn: Regional Manager
233 N. Michigan Ave., Suite 240
Chicago, IL 60601
If you have any questions about this Notice, please contact:
Denny Moell, MSW, LISW-S, Associate Director
Phone: (513) 732-5400
Address: 2337 Clermont Center Drive, Batavia, Ohio, 45103.
Clermont and Brown Crisis Hotline: (513) 528-SAVE (7283)
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