Uses and Disclosures Requiring Your Written Authorization
Use or Disclosure with Your Authorization
For any purpose other than the ones described above, your PHI may be used or disclosed only when you provide your written authorization on an approved authorization form (Authorization to Disclose Information). For example, you will need to execute an authorization form before your PHI can be sent to your life insurance company or to the attorney representing the other party to litigation in which you are involved.
We will not use your medical information for marketing purposes without your authorization. If you have consented to receive marketing information but no longer wish to receive further information, please call (877) 367-5681 to make your opt-out request.
Special Privacy Protections for Alcohol and Drug Abuse Information
Alcohol and drug abuse information has special privacy protections. We will not disclose any information identifying an individual as being a patient or provide any health information relating to the patient’s substance abuse treatment unless the patient consents in writing; a court order requires disclosure of the information; medical personnel need the information to meet a medical emergency; qualified personnel use the information for the purpose of conducting scientific research, management audits, financial audits, or program evaluation; or it is necessary to report a crime or a threat to commit a crime, or to report abuse or neglect as required by law.