Call us at

770.924.0864

Text us at

678.341.0864

Notice Of Privacy Practices

The Hope Center

Effective 9/1/2014

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.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get a copy of your medical record

  • You can ask to see or get a copy of your medical record and other health information we have about you. Ask us how to do this.
  • We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

  • You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
  • We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

  • You can ask us to contact you in a specific way (for example, phone, text, email, mail) or to send mail to a different address.
  • We will say “yes” to all reasonable requests unless required to contact by law.

Ask us to limit what we use or share

  • You can ask us not to use or share certain health information for treatment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.

Get a list of those with whom we’ve shared information

  • You can ask for a list of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
  • We will include all the disclosures except for those about treatment and health care operations, and certain other disclosures (such as any you asked us to make, and any disclosures with confidentiality protected by law). We’ll provide one accounting a year without charge.

Get a copy of this privacy notice

  • You can ask for a paper copy of this notice. We will provide you with a paper copy promptly.

Choose someone to act for you

  • If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
  • We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

  • You can complain if you feel we have violated your rights by contacting The HOPE Center’s Privacy Officer at (770)-924-0864
  • You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, or calling 1-877-696-6775.
  • We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in your care
  • Share information in a disaster relief situation

In these cases, we never share your information unless you give us written permission:

  • Marketing purposes
  • Sale of your information

In the case of fundraising:

  • We may contact you for fundraising efforts, but you can tell us not to contact you again.

Our Uses and Disclosures

How do we typically use or share your health information? We use or share your health information in the following ways:

Serving you

We use your health information and share it with other professionals who are diagnosing or treating you. Example: Release of Testing to laboratory responsible for testing.

Running our organization

We use and share your health information to run our practice, improve your care, and contact you when necessary.

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.

Help with public health and safety issues

We can share health information about you for certain situations such as:

  • Preventing disease
  • Helping with product recalls
  • Reporting suspected abuse, neglect, or domestic violence
  • Preventing or reducing a serious threat to anyone’s health or safety

Do research

  • We can use or share your information for health research, if the research study meets privacy law requirements.

Comply with the law

  • We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law

Address law enforcement, and other government requests

We can use or share health information about you:

  • For law enforcement purposes or with a law enforcement official
  • With health oversight agencies for activities authorized by law
  • For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions

  • We may release health information about you if required by search warrant, court order, or subpoena of any government authority
  • We may also comply with requests for documents or information received through the civil legal process

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information
  • We will let you know promptly if we receive any subpoena or request for your information through a government authority or civil legal process. We will cooperate with you and your counsel, if any, in all appropriate motions to quash or modify the subpoena or request. However, if such motions fail or are not appropriate, we must comply with the governmental authority
  • We must follow the duties and privacy practices described in this notice and give you a copy of it
  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

This Notice of Privacy Practices does not constitute a contract between The HOPE Center and the client, nor is it part of any such contract. The client acknowledges that exigent, unforeseen circumstances may arise which may require a deviation from these privacy practices. The HOPE Center reserves the right to make any such deviation as may be necessary in any such case.

The HOPE Center’s Privacy Officer can help you with any questions you may have about the privacy of your health information. The Privacy Officer can also address any concerns you may have about your health information and can help you complete any forms you need to exercise your privacy rights. Please contact The HOPE Center’s Privacy Officer at: (770)-924-0864.