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Notice of Privacy Practices - 3

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When We Must Get Your Authorization to Disclose Your Health Information

Psychotherapy Notes: Regardless of other parts of this notice, psychotherapy notes that are kept by your therapist separate from the medical record will not be disclosed outside of ARHS except as authorized by you in writing, by a court order, or as required by law. Psychotherapy notes about you will not be disclosed to personnel working within ARHS, except for training purposes or to defend a legal action brought against ARHS, unless you authorize such disclosure in writing.

How We May Disclose Your Health Information Outside of ARHS Without Your Authorization

When Required or Permitted by Law: We may disclose health information about you when required or permitted to do so by federal, state or local laws. For example, we may disclose your health information to respond to a court order, a court ordered subpoena or other subpoenas in limited circumstances in accordance with applicable law. We also may disclose information about you to law enforcement in certain circumstances, such as to report violent injuries, to provide certain information about persons involved in motor vehicle accidents, to report suspected criminal conduct committed at ARI IS, to locate a suspect, fugitive, victim or missing person, or concerning an incapacitated victim of a crime.

For Public Health Activities: We may disclose your information for the following public health activities:

  • To prevent or control disease, injury or disability.
  • To report births, deaths, and certain injuries or illnesses.
  • To report child or elderly abuse or neglect as required by law.
  • To report reactions to medications or recalls of products.
  • To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition.

For Health Oversight Activities: We may disclose health information to federal and state agencies for oversight activities authorized by law such as investigations, inspections, audits, surveys and licensing. Examples of such agencies include organizations that ensure the quality or safety of the care we provide and agencies that accredit our hospitals.

To Avert a Serious Threat to Health and Safety: We may disclose health information about you to avert a serious threat to your health or safety or that of any other person or the public.

To Coroners, Medical Examiners, and Funeral Directors: We may disclose health information to funeral directors, medical examiners or coroners to enable them to carry out their lawful duties.

For Organ and Tissue Donation: If you are an organ or tissue donor, after your death we are required by law to provide health information about you to organ procurement organizations, tissue banks and eye banks and upon request to the person or entity that you designated to be the recipient.

For Research: We may use and disclose your health information for research purposes when an institutional review board has reviewed and approved the research proposal. We also may disclose health information about you to people preparing to conduct a research project (for example, to help them look for patients with specific medical needs), so long as the health information they review does not leave ART IS. Mental health information that identifies you will only be disclosed to researchers when you have given permission for us to do so.

For National Security and Intelligence Activities: We may disclose your health information to federal officials for intelligence, counterintelligence, and national security activities authorized by law.