Privacy Policy

Notice of Privacy Practices

Effective Date: 04/10/2023

This notice describes how medical and health information about you may be used and disclosed, and how you can get access to this information. Please review this notice carefully.

YOUR RIGHTS

You have the right to:

Get an electronic or paper copy of your medical record

You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

Get a list of our disclosures of your health information

You can ask for a list (accounting) of the times we’ve shared your health information for up to six (6) years prior to the date you ask, who we shared it with, and why.
We will include all disclosures we are required by law to include in an accounting, except in certain circumstances, such as treatment, payment, or health care operations. We’ll provide one free accounting a year and may charge a fee for additional requests.

Get a copy of this Notice of Privacy Practices

You can ask for a paper copy of this notice at any time, even if you agreed to receive it electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
We will ensure the person has this authority before taking any action.

File a complaint if you feel your rights are violated

If you believe we have violated your privacy rights, you have the right to:

Complain to us: teri@konnectwellness.org
File a complaint with the U.S. Department of Health and Human Services Office for Civil Rights:
- Mail: 200 Independence Avenue, S.W., Washington, D.C. 20201
- Phone: 1-877-696-6775
- Website: hhs.gov/ocr/privacy/hipaa/complaints
Report a Part 2 violation to:
- United States Attorney’s Office, District of Arizona
- Two Renaissance Square, 40 N. Central Avenue, Suite 1800, Phoenix, AZ 85004-4449
- Phone: (602) 514-7500
If the violation involves an opioid treatment program, report to:
- SAMHSA Center for Substance Abuse Treatment
- 5600 Fishers Lane, Rockville, MD 20857
- Phone: 240-276-1660 | Fax: 301-480-6596

We will not retaliate against you for filing a complaint.

YOUR CHOICES REGARDING YOUR HEALTH INFORMATION

Information about health care you receive from Steps to Recovery Homes DBA Konnect Wellness Center is protected by:

HIPAA (Health Insurance Portability and Accountability Act of 1996)
Part 2 (Confidentiality of Substance Use Disorder Patient Records)

You can tell us your preferences for how we share your health information, except in certain legally permitted cases. We will ask for written permission in most circumstances.

HOW WE USE YOUR HEALTH INFORMATION

We typically use your health information for:

Treatment: Sharing with your Primary Care Physician.
Operations: Managing our business and improving services.

HOW WE DISCLOSE YOUR HEALTH INFORMATION

We will not disclose information identifying you as a patient of Konnect Wellness Center unless:

You consent in writing.
A court order requires it.
In medical emergencies or to the FDA for product recalls.
For research, audits, or program evaluations.

Exceptions include:

Crimes on premises, child abuse/neglect reporting, and certain public health or legal situations.

ADDITIONAL RESPONSIBILITIES

We will protect your health information, notify you of any breaches, and follow this privacy notice.
We reserve the right to update this notice, with changes available upon request, on our website, or in our office.

CONTACT INFORMATION

For questions or more information, contact:
📧 teri@konnectwellness.org
📞 928-649-0077

For more information, visit www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html

Healthcare Privacy Policy