HIPAA Privacy Notice

CLIENT RIGHTS & RESPONSIBILITIES

Autism Care Partners takes the privacy of persons served and other stakeholders seriously. This Notice of Privacy Practices is intended to give you a broad understanding of how information pertaining to you and/or your child is shared and protected and what your rights and responsibilities are as a person served by our agency.

Information compiled at Autism Care Partners regarding persons served and family members will be shared as appropriate with the person served, family, legal guardian and the entity purchasing the services. This information may also be shared with other professionals clinically involved in the case upon written permission of the person served or legal guardian and/or in a manner consistent with court orders or state and federal statutory requirements.

We can use your information, without your signed consent, for:

Treatment

We can share health information with other professionals who are treating you/your child

Operations

We can share information that will help improve your/your child’s care, including quality improvement activities and audits.

Payment

We can use your personal information to bill and get payment from your funding source We may legally share your health information with others without your specific permission:

  • When there is a public health safety issue
  • When state or federal law requires
  • In response to a court order or subpoena

YOU HAVE THE RIGHT:

  • To personal privacy. No audio recordings or photographs will be used without the person served and his/her family/legal guardian being advised as to their use and giving permission in writing.
  • To request and obtain from the program, the name of the clinician, and other persons responsible for your child’s care or the coordination of your child’s care.
  • To confidentiality of all records and communications to the extent provided by law.
  • To request that we limit the information we share.
  • Upon written request, to obtain a list of those with whom we have shared your child’s information.
  • Upon request, to receive from a person designated by the agency any information which the agency has available relative to financial assistance.
  • Upon written request, to inspect specifically identified areas of your records and to receive a copy. The fee for the copy shall be determined by the rate of copying expenses.
  • To receive notification of any breach in the privacy and security of your child’s personal information.
  • To privacy during treatment or other rendering of care.
  • To file a complaint if you believe your privacy rights have been violated.

YOU HAVE THE RESPONSIBILITY:

  • To share information with us pertinent to your /your child’s treatment and education.
  • To understand your role in your/your child’s treatment plan.
  • If you refuse treatment, to accept full responsibility for your decision and the consequences to your/your child’s care.
  • To follow Autism Care Partners’ rules and regulations.
  • To respect the privacy of persons served by Autism Care Partners.
  • To express your concerns to Autism Care Partners’ employees in a respectful manner.

If you feel your privacy rights have been violated in any way, you may file a complaint with Autism Care Partners’ privacy/compliance officer (535 8th Avenue, 9th Floor, New York, New York, 10018: acpcompliance@autismcarepartners.com) or the New York State Department of Health: (800) 206-8125.

Autism Care Partners takes the privacy of persons served and other stakeholders seriously. This Notice of Privacy Practices is intended to give you a broad understanding of how information pertaining to you and/or your child is shared and protected and what your rights and responsibilities are as a person served by our agency.