Notice of Privacy Practices
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.
Effective Date: September 1, 2024
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.
Raise Up Recovery LLC is committed to protecting your Protected Health Information (PHI). We are required by law to maintain the privacy of your PHI and to provide you with this Notice of our legal duties and privacy practices.
Your privacy is protected by both the federal Health Insurance Portability and Accountability Act (HIPAA) and the more stringent federal regulations for the confidentiality of substance use disorder patient records, known as 42 CFR Part 2. We will comply with both sets of regulations, following the stricter rule when there is a conflict.
Enhanced Protection
Due to the strict confidentiality regulations under 42 CFR Part 2, we will not disclose your PHI to a family member, law enforcement, or for legal proceedings without your specific written authorization, unless a specific exception under 42 CFR Part 2 applies.
We may use and disclose your PHI for the following purposes, without your specific written authorization:
For Treatment
We may use and disclose your PHI to coordinate, manage, and provide your care. This includes sharing information with our staff, sober living managers, or other healthcare professionals involved in your treatment.
For Payment
We may use and disclose your PHI to obtain payment for the services we provide. This may include disclosing information to a health insurer, your sponsor, or other third-party payers for billing and claims processing.
For Healthcare Operations
We may use and disclose your PHI for our internal operations, such as quality assessment, staff training, business planning, and to review the competence of our healthcare professionals.
We may use or disclose your PHI without your authorization under very limited circumstances, as permitted by federal and state law:
- Medical Emergencies: To medical personnel for the purpose of treating a medical emergency.
- Audit and Evaluation: To qualified personnel for the purpose of conducting research, audits, or program evaluations.
- Crimes on Premises: To report a crime committed on the premises of the program or against our personnel.
- Court Order: If a valid court order is issued specifically authorizing the disclosure of the information.
- Child Abuse or Neglect: As required by law, we may disclose information to report child abuse or neglect.
You have the following rights regarding your PHI. To exercise any of these rights, please contact our Privacy Officer at the contact information provided below.
Right to Inspect and Copy
You have the right to inspect and receive a copy of your PHI that we maintain.
Right to Amend
If you feel that the PHI we have about you is incorrect or incomplete, you may ask us to amend the information.
Right to Accounting
You have the right to request a list of certain disclosures we have made of your PHI.
Right to Request Restrictions
You have the right to request a restriction or limitation on the PHI we use or disclose.
Right to Confidential Communications
You have the right to request that we communicate with you about health matters in a certain way.
Right to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or HHS.
Electronic Signatures (ESIGN Act)
By using our services, you consent to the use of electronic records and signatures in accordance with the Electronic Signatures in Global and National Commerce Act (ESIGN Act).
- • Electronic signatures have the same legal validity as handwritten signatures
- • You may request paper copies of any electronic documents
- • You may withdraw consent at any time
Text Messaging & Email Consent
By providing your contact information, you consent to receive communications including:
- • Appointment reminders and confirmations
- • Program updates and notifications
- • Administrative messages related to your care
- • Emergency communications
Opt-Out: Reply STOP to text messages or use unsubscribe links in emails. Administrative and treatment-related communications may continue as necessary for your care.
- • We are required by law to protect the privacy of your PHI
- • We will provide you with a copy of this Notice upon your first service date
- • We must abide by the terms of the Notice currently in effect
- • We reserve the right to change our privacy practices and update this Notice
- • We are required to notify you in writing if there is a breach of your unsecured PHI
Privacy Officer Contact Information
If you have questions about this notice or believe your privacy rights have been violated, please contact our Privacy Officer:
Raise Up Recovery LLC
2108 12th St S
Saint Petersburg, FL 33705
Phone: (727) 335-2444
Email: info@raise-up-recovery.com
Last Updated: September 1, 2024