Page 50 - HarborLight CU 2014-15 SPD
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 Reporting Abuse, Neglect or Domestic Violence: Notifying the appropriate government agency if
we believe a resident has been the victim of abuse, neglect or domestic violence.
 Law Enforcement. We may disclose health information when requested by a law
enforcement official:
 In response to a court order, subpoena, warrant, summons or similar process;
 To identify or locate a suspect, fugitive, material witness, or missing person;
 About you, the victim of a crime if, under certain limited circumstances, we are unable to
obtain your agreement;
 About a death we believe may be the result of criminal conduct;
 About criminal conduct at the Facility; and
 In emergency circumstances to report a crime; the location of the crime or victims; or the
identity, description or location of the person who committed the crime.
 Coroners, Medical Examiners and Funeral Directors. We may disclose medical
information to a coroner or medical examiner. This may be necessary to identify a deceased
person or determine the cause of death. We may also disclose medical information to funeral
directors as necessary to carry out their duties.

 National Security and Intelligence Activities. We may disclose health information about you to

authorized federal officials for intelligence, counterintelligence, and other national security
activities authorized by law.

OTHER USES OF HEALTH INFORMATION

Other uses and disclosures of health information not covered by this Notice or the laws that apply to us
will be made only with your written permission. If you provide us permission to use or disclose health
information about you, you may revoke that permission, in writing, at any time. If you revoke your
permission, we will no longer use or disclose health information about you for the reasons covered by
your written authorization. You understand that we are unable to take back any disclosures we have
already made with your permission, and that we are required to retain our records of the care that we
provided to you.

Use and Disclosure of Psychotherapy Notes Without Written Permission. It is not the Plan’s
standard practice to access an psychotherapy notes kept be behavioral health providers, etc. However,
in the event the Plan needs access to these notes, such notes cannot be used or disclosed without your
written permission (except in certain situations permitted by HIPAA as addressed above).

If you elect not to provide written permission, the notes will not be used or disclose; provided the Plan
may use or disclose psychotherapy notes as required by applicable law or as permitted by applicable law.
For example, the Plan may use or disclose psychotherapy as necessary to defend itself in a legal action
or other proceeding brought by your or on behalf or as necessary to prevent or lessen a serious and
imminent threat to the health and/or safety of a person or the public, and the Plan may disclose
psychotherapy notices to public health oversight agencies and coroners and medical examiners as
permitted by HIPAA.

Disclosure of PHI for Marketing Purposes and Sale of PHI Without Written Permission. Except in
the limited circumstances permitted by HIPAA or other applicable law, the Plan may not (a) use or
disclose your PHI to market products or services to you; (b) provide your PHI to anyone else for
marketing purposes; or (c) sell your PHI without your written permission. Your permission is not required
for marketing communications in the form of a face-to-face communication made by the Plan to you; or a
promotional gift of nominal value provide by the Plan.

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