NOTICE OF PRIVACY PRACTICES

This Notice of Privacy Practices is provided to you as a requirement of the Health Insurance Portability and Accountability Act (HIPAA). It describes how we may use or disclose your protected health information, with whom that information may be shared, and the safeguards we have in place to protect it. This notice also describes your rights to access and amend your protected health information. You have the right to approve or refuse the release of specific information outside of our facility except when the release is required or authorized by law or regulation.

Protected Health Information is individually identifiable health information. It includes demographics, i.e., address, age, email address, and relates to your past, present, and future health condition and related health care services. We are required by law to:

 Make sure that your protected health information is kept private;

Give you this notice of our legal duties and privacy practices;

Follow the terms of the notice currently in effect;

Communicate any changes in the notice to you.

You will be given a copy of this notice upon becoming a patient and be asked to sign and acknowledgement of receipt.

We are permitted use and disclosure of your protected health information under the following circumstances:

Required uses and disclosures;

Treatment;

Payment;

Health Care Operations;

Required by law;

Public Health;

Communicable diseases;

Health Oversight;

Food and Drug Administration;

Legal proceedings;

Law enforcement;

Coroners, Funeral Directors, and Organ donors;

Research;

Criminal activity;

Military activity and National security;

Worker's Compensation;

Inmates;

Parental access.

Your permission is required to disclose information to members of your family, friends or other agencies such as Red Cross or disaster relief agencies. You may, upon written request to the Medical Director, HTC, inspect and copy your protected health information, request restrictions to the use of your protected health information, request confidential communications, request amendments to your protected health information, request an accounting of disclosures, and obtain a copy of this notice.

Complaints should be made in writing and addressed to the Medical Director, HTC at 347 N. Kuakini Street , Honolulu , Hi 96817