Notice of Privacy Practices of PHA Inc.

Notice of Privacy Practices of PHA Inc.

Notice of Privacy Practices of Professional Health Associates, Inc.

Professional Health Associates, Inc. is required by law to

maintain the privacy of client health information and to provide clients with a notice of its legal duties and privacy practices. Professional Health Associates, Inc. (PHA) is committed to complying with all practices

that are described in this notice. The client’s healthcare information will not be

used or disclosed except as indicated in this notice and/or without the express written authorization from the client.

The purpose of this notice is to explain how a client’s health information

may be used and/or disclosed and to inform the client of their rights as they pertain to the disclosure of their healthcare

client healthcare information shall from here forward be considered applicable to all information and records generated by

a PHA counselor, administrative staff, agent or representative of PHA. PHA also considers client healthcare information to

include any information applicable to a single, unique person who by utilizing the services provided by PHA discloses information

that relates to the client’s past, present or future health. The staff

of PHA invites any client who wishes to discuss this notice or it’s content to bring their questions or concerns to

the attention of any PHA staff member.

Standard protocol requires PHA to maintain an official

record of the client’s therapy process. Typical for an individual, the

official record might include a general description of the client’s emotional or psychological function, a diagnosis

if required for reimbursement purposes, an agreed upon treatment goal, a list of symptoms, a list of pertinent medications,

and some description of progress throughout the client’s treatment or assessment experience.

Client’s Rights Relating To Protecting Healthcare Information

PHA is required by law to maintain the privacy of the client’s healthcare information,

and to provide all clients with the Notice of Privacy Practices that describes PHA’s legal duties and privacy practices

with respect to the information maintained about a client.

The right to control disclosures of personal information and treatment records.

State laws require a signed authorization, which specifically limits the content, recipient(s),

and timeframe in which protected healthcare information can be disclosed.

The right to request restrictions on certain uses and disclosures.

A client may require PHA not to use or disclose any part of their personal information

for the purpose of treatment, payment or healthcare practices. Clients may also

request that personal information not be disclosed to any family member or friend who may be involved in the client’s

care, or for notification purposes described in this document. Clients wishing

to exercise this right must do so in writing and should state the specific restriction requested and to whom you want the

restriction to apply. All requests will be reviewed and those considered to be

in the best interest of the client will be honored.

The right to request an alternate confidential communication method.

will accommodate any reasonable request if a client prefers one method of communication to another. For example, a client may request that PHA only call their cellular phone and never their home phone. Clients wishing to exercise this right must do so in writing. The written request may be given to any PHA staff member. PHA

will never ask why the request is being made.

right to inspect and obtain a copy of your official treatment record.

All clients have the right to inspect and receive a copy of their official treatment record,

also known as a designated record set. The client may choose to view the

file at a PHA office or to have a copy of the file delivered to the client. PHA

maintains the right to exclude certain information that it deems outside the best interests of the client.

The right to amend healthcare information considered erroneous or

Each client has the right to request an amendment to their healthcare records

when they believe that the information it contains is erroneous or incomplete. Requests

to amendments a healthcare record must be made in writing and delivered to a PHA staff member.

The right to receive an accounting of disclosures that have been made of a client’s

personal healthcare information and/or official treatment record (or portions of that record).

The client has the right to request a list of the disclosures PHA has made of the client’s

healthcare information. PHA will provide such a list for free, subsequent lists

will be provided at a nominal charge. PHA will inform the client in advance of

what costs may be incurred. Clients who wish to receive such a list must request one in writing.

The right to obtain a copy of the Notice of Privacy Practices upon request.

All clients have the right to request a copy of the Notice of Privacy Practices of Professional

Health Associates, Inc. At any time. Additionally, PHA will accommodate any such

request even if it is known that the client was sent a copy or was given a copy in person at another time.

Uses and Disclosures of Official Therapy Record.

will share the contents of a client’s therapy record with the client upon their written request. PHA may, upon request share the client’s therapy records with the Secretary of Health and Human Services

it’s employees or their agents in order to investigate or determine if PHA is complying with federal privacy regulations.

Possible Uses and Disclosures of Personal

With a limited number of exceptions, WashingtonState

law requires PHA to obtain the client’s written permission prior to disclosing any of their personal healthcare information. In addition to the client’s permission, PHA may also ask the client to determine,

in detail what may be shared, for what purpose, and the date upon which their permission expires. Prior to the expiration date, the client has the right to withdraw their permission without question.

Incidental Disclosures - PHA may acknowledge

a client by a first name in a common area or waiting room, within written correspondence, or during telephone communication. Every effort will be made to be discrete in all situations. Should any concerns arise, please discuss them with your counselor.

Abuse, Neglect & Legal Issues - In order to comply with state and federal laws, PHA may break confidentiality by conveying specific

information to an appropriate party if a client mentions knowledge of the abuse or neglect of a child or vulnerable adult;

or if a client conveys information about an event which may result in the harming of the client or another person. PHA may disclose personal healthcare information if it is ordered to do so by a court, subpoena or a search

Agency Operations - PHA may use a client’s medical information in conjunction with a DASA audit, performing usual accounting functions

or when legal services are obtained to protect PHA and/or its clients. In doing

so, PHA will only disclose a minimum amount of information or what is deemed absolutely necessary.

Other Disclosures - State and Federal privacy regulations will allow PHA to use and disclose personal healthcare information in certain

types of uncharacteristic circumstance listed below. Clients will generally have

the opportunity to object or agree to disclosures, however, if you are not present or able to agree or object, PHA is permitted

to use their professional judgment to determine whether a disclosure is in the client’s best interest. Under such uncharacteristic circumstances, only information relevant to the situation will be disclosed.

Others Involved in your Healthcare - To family member, close friend, or anyone else you specify limited information relating to that

person’s involvement in your healthcare.

Disaster and Relief Efforts - To an authorized public or private entity.

Emergency Treatment Situations - To authorized public or private emergency treatment entity such as a hospital or fire department

Required by Law - To the extent that the use or disclosure is required by law, made in compliance with the law and limited to relevant

and required information. The client will be notified of any such use or disclosure.

Public Health – To a public health authority permitted by law to collect or receive such information (i.e., controlling disease,

Communicable Diseases – to a public health oversight agency authorized by law (investigations, inspections, etc.).

Legal Proceedings – in response to a court order and in some circumstances a subpoena, discovery request, or other lawful process.

Law Enforcement – in conjunction with a legitimate investigation PHA will only disclose what is relevant or required.

to authorized federal officials conducting national security and intelligence activities, including for the protective services

to the President or others legally authorized.

Workers Compensation – as authorized to comply with workers compensation laws and other similar legally established programs.

Changes to the Notice of Privacy Practices of Professional Health Associates, Inc.

From time to time as necessary or appropriate, PHA may change, modify or revise the Notice

of Privacy Practices. This may also involve changes to how client healthcare

information is disclosed or how PHA will implement a practice designed to protect a client’s rights. PHA reserves the right to change this notice and make the provisions in the new notice effective for all

healthcare information maintained by PHA. If we change these practices, we will

publish a revised Notice of Privacy Practices of Professional Health Associates, Inc.

The notice will be posted at each PHA office and at our website www.professionalhealthassociates.com. Clients may request a copy of the revised notice in person, in writing or by electronic