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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.
Our Commitment to Your Privacy
Kiwi Recovery is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of Protected Health Information (PHI), provide you with notice of our legal duties and privacy practices, notify you in the event of a breach of your unsecured PHI, and follow the terms of the notice that is currently in effect.
What is Protected Health Information (PHI)?
Protected Health Information is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health condition and related health care services. This includes information in your medical record, billing information, and any other information about you in our possession.
How We May Use and Disclose Your PHI
The following categories describe different ways that we use and disclose health information:
For Treatment
We may use your health information to provide you with medical treatment or services. We may disclose your health information to doctors, nurses, technicians, or other personnel who are involved in taking care of you.
For Payment
We may use and disclose your health information so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company, or a third party.
For Health Care Operations
We may use and disclose your health information for operations. These uses and disclosures are necessary to make sure that all of our patients receive quality care and to operate and manage our office.
Special Protections for Substance Use Disorder Records
Because Kiwi Recovery provides substance use disorder treatment, your records receive special protection under federal law (42 CFR Part 2). Generally, we may not disclose to a person outside of Kiwi Recovery that you attend our program, or disclose any information identifying you as having or having had a substance use disorder unless:
- You consent in writing
- The disclosure is allowed by a court order
- The disclosure is made to medical personnel in a medical emergency
- The disclosure is made to qualified personnel for research, audit, or program evaluation
Your Rights Regarding Your PHI
- Right to Inspect and Copy: You have the right to inspect and obtain a copy of your health information.
- Right to Amend: You have the right to request that we amend your health information if you believe it is incorrect or incomplete.
- Right to an Accounting of Disclosures: You have the right to receive a list of instances in which we disclosed your health information.
- Right to Request Restrictions: You have the right to request restrictions on certain uses and disclosures of your health information.
- Right to Request Confidential Communications: You have the right to request that we communicate with you in a specific way or at a specific location.
- Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice at any time.
Changes to This Notice
We reserve the right to change this notice and to make the new notice provisions effective for all PHI that we maintain. We will post a copy of our current notice in our facility and on our website.
Effective Date: January 10, 2023
Questions or Complaints
If you have any questions about this notice or our privacy practices, or if you wish to file a complaint, please contact:
Privacy OfficerKiwi Recovery
77 Pond Ave, Suite 205C
Brookline MA, 02445
Phone: 617-798-9348
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.
