We Care About Confidentiality: Our Pledge Regarding Your Health Information
We understand that information about you and your healthcare is personal. We are committed to protecting health information about you. We will create a record of the care and services you receive from us. We do so to provide you with quality care and to comply with any legal or regulatory requirements.
This Notice applies to all of the records generated or received by Upper Hudson Planned Parenthood, whether we documented the health information, or another doctor forwarded it to us. This Notice tells you the ways in which we may use or disclose health information about you. This Notice also describes your rights to the health information we keep about you, and describe certain obligations we have regarding the use and disclosure of your health information.
Our pledge regarding your health information is backed-up by Federal law. The privacy and security provisions of the Health Insurance Portability and Accountability Act ("HIPAA") require us to:
- Make sure that health information that identifies you is kept private;
- Make available this notice of our legal duties and privacy practices with respect to health information about you; and
- Follow the terms of the notice that is currently in effect.
NYS CONFIDENTIALITY LAWS
New York State law protects the privacy of all citizens, including teens, who receive reproductive health care services, including birth control, HIV testing, testing and treatment for sexually transmitted infections, prenatal care and abortion. Personal information will not be released without your permission.
Under New York State law, minors can give informed consent and receive confidential services without parental notification or consent, including all those services listed above.
Some results of positive tests for sexually transmitted infections and HIV/AIDs must be reported to the Department of Health. These results will not be released to parents or guardians without the patient's permission. UHPP encourages minors to include a parent or another responsible adult in decision making regarding their sexual health and choices surrounding unintended pregnancies. Please inform staff if you are concerned about confidentiality, so we can make necessary arrangements to notify you of test results or billing information.
CONFIDENTIALITY LAW FOR MINORS
Under New York State law, minors can give informed consent and receive confidential services without parental notification or consent.
UHPP encourages minors to include a parent or another responsible adult in decision making regarding their sexual health and choices surrounding unintended pregnancies. Please inform staff if you are concerned about confidentiality, so we can make necessary arrangements to notify you of test results or billing information.
NOTICE OF HEALTH INFORMATION PRIVACY PRACTICES
PLEASE REVIEW THIS NOTICE CAREFULLY
If you have any questions about this notice, please contact Upper Hudson Planned Parenthood Privacy Official at (518) 434-5678 extension 145.
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Region II Office For Civil Rights, U.S. Department of Health and Human Services, Jacob Javits Federal Building, 26 Federal Plaza, New York, NY 10278 Tel (212) 264-3313, Fax (212) 264-3039, TDD (212) 264-2355. To file a complaint with us, contact : "The Privacy Official at Upper Hudson Planned Parenthood." All complaints must be submitted in writing.You will not be penalized for filing a complaint.
REVOCATION OF CONSENT OR AUTHORIZATION
You may revoke your consent for disclosure of health information in writing at any time. In addition, if you provide us authorization to use or disclose health information about you as described in this Notice, you may revoke that authorization, in writing, at any time. If you revoke your consent or authorization, we will no longer use or disclose health information about you for the reasons covered by your consent or authorization. You understand that we are unable to take back any disclosures we have already made with your consent or authorization, and that we are required to retain the records of the care that we provided to you.
CHANGES TO THIS NOTICE
We reserve the right to change this Notice. We reserve the right to make the revised or changed 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 the current Notice in our facility and on our website (www.uhpp.org). The Notice contains the effective date on the first page.