The main purpose of the privacy rules is to allow those who receive services at Children’s Therapy Corner to control the manner in which sensitive, personal information is used and disclosed.
Our Notice to Families
We care about your privacy. The information that we collect about you and your child is private and is protected by the Federal Health Insurance Portability and Accountability Act (HIPAA).
We are required to give you a notice of our privacy practices. Only the people who have both the need and the legal right may see your records. Unless you give us permission in writing, we will only disclose your records for purpose of treatment, business operations, payment, or when we are required by law to do so.
If you give us permission in writing, we may use and disclose you or your child’s records. You do have the right to revoke that permission. The request must in writing and dated.
We may disclose records to coordinate therapy services. For example:
- Primary care physician for prescription for treatment.
- Case managers or other service providers working on behalf of the child’s therapy.
We may need to use and disclose information for our business operations. For example:
- Quality of care review.
- Appointment reminders and confirmations.
- Informational correspondence about business, programs, events and other special mailings.
We may use and disclose records so that the care the child receives can be properly billed and payment obtained. We inform the insurance company of the child’s diagnosis and send required reports in order to obtain payment or preauthorization of treatment.
As Required by Law
We will release records when we are required by law to do so. For example:
- Court orders or subpoenas.
- Communicable disease reporting.
- Threat to safety or other kinds of emergencies.
Legal guardians have the following rights regarding the personal information and health records that we have about the child. There may be a fee charged for copying.
- Right to Inspect and Copy
You have the right to review or get copies of records.
- Right to Amend
If they think there is a mistake in the records, the client has the right to add a statement. We can deny your request, but we must give you a written reason for our denial.
- Right to a List of Disclosures
You have the right to ask for a list of disclosures made after April 14, 2003. This list will include those disclosures not pertaining to treatment, business operations, payment, or as required by law.
- Right to Request Restrictions on Our Use or Disclosure of Records
You have the right to ask for limits on how the records are used and disclosed. We are not required to agree with such requests.
- Right to Request Confidential Communication
You may request and provide written permission that we share information in a certain way or certain location. For example:
- Send records to work versus home.
- Private areas for discussions.
How to Use Your Rights Under HIPAA
If you want to exercise your rights under this notice, wish to communicate with us about privacy issues, or if you wish to file a complaint, you may write to or contact us.
It is understood that you will not be penalized for filing a complaint.
You can report a violation by doing the following:
- A statement regarding the specific violation can be written and provided to the Office Manager at location of service.
- A statement regarding the specific violation may be submitted in writing and mailed to:
- Privacy Officer
Children’s Therapy Corner
1525 Ridgewood Drive
Midland, MI 48642
Phone: (989) 835-6333
- Privacy Officer
- If you believe that your privacy rights have been violated, you have the right to file a complaint with the federal government.
- Office of Civil Rights
Dept. of Health and Human Services
200 Independence Ave S.W.
Washington, D.C. 20201
Phone: (866) 627-7748
TTY: (886) 788-4989
- Office of Civil Rights
Children’s Therapy Corner provides therapeutic intervention for children. CTC was founded on the belief that there should be a place where families can come and learn about their child’s needs, in a supportive team atmosphere. We will work with you to provide direction and support for your family and your child. The goal is for your child to live their life to its fullest capacity.