Treatment: Every visit you make to Turner House Children's Clinic is recorded. Usually, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This is referred to as your medical record. We might use your identifiable health information to:

• Plan your medical care and treatment
  
  
• Communicate with other health professionals who may contribute to your care
  
  
• Provide to you or a third-party payer that services billed were actually provided

We may disclose your identifiable health information to a pharmacy, to physicians, nurses, and other healthcare personnel who may use or disclose this information in order to treat you or to assist others in your treatment. Additionally, we may disclose your identifiable health information to others who may assist in your care, such as your spouse, children, or parents.

Payment: Turner House Children's Clinic may use and disclose your identifiable health information in order to bill and collect payment. For example, we may contact Medicaid to certify that you are eligible for benefits and we may provide Medicaid with details regarding your treatment to decide if Medicaid will pay for your treatment.

Healthcare Operations: Turner House Children's Clinic may use and release your identifiable health information to operate its clinic. These uses and disclosures are necessary to make sure patients receive quality services. As examples, the clinic may use your health information to evaluate the quality of care you receive from us or to conduct cost-management and business planning activities for the clinic.

Appointment Reminders: Turner House Children's Clinic may use and disclose your identifiable health information to contact you and remind you of an appointment.

Treatment Options: Turner House Children's Clinic may use and disclose your identifiable health information to inform you of potential treatment options and alternatives.

Health-Related Benefits and Services: Turner House Children's Clinic may use and disclose your identifiable health information to inform you of benefits or services in which you may be interested.

Release of Information to Family/Friends: Turner House Children's Clinic may disclose the identifiable health information to a family member, relative, close personal friend of the patient, or other person identified by the patient.

Disclosures Required by Law: Turner House Children's Clinic will use and disclose your identifiable health information when we are required to do so by federal, state, or local law.

Public Health Risks: Turner House Children's Clinic may disclose your identifiable health information to public health authorities authorized by law to collect information to prevent or control disease, injury, or disability, report births and deaths, report child abuse or neglect, and notify a person who may be at risk for contacting or spreading a disease or condition.

Serious Threats to Health or Safety: Turner House Children's Clinic may use and disclose your identifiable health information when necessary to reduce or prevent serious threats to health and safety to you, another individual, or the public. Under these circumstances, we will only make disclosure to a person or organization able to help prevent the threat.

Military: Turner House Children's Clinic may disclose your identifiable health information if you are a member of United States or foreign military forces (including veterans) and if required by the appropriate military command authorities.

National Security: Turner House Children's Clinic may disclose your identifiable health information to federal officials for intelligence and national security activities authorized by law. We may also disclose your identifiable health information to federal officials in order to protect the President, other officials or foreign heads of state, or to conduct investigations.

Inmates: Turner House Children's Clinic may disclose your identifiable health information to correctional institutions or law enforcement officials if you are an inmate or under the custody of a law enforcement official. Disclosure for these purposes would be necessary (a) for the institution to provide healthcare services to you, (b) for the safety and security of the institution, and/or (c) to protect health and safety of you and other individuals.

Workers' Compensation: Turner House Children's Clinic may disclose your identifiable health information to comply with laws relating workers’ compensation or similar programs.

Confidential Communications: You have the right to request that your protected health information be provided by alternative means or at alternative locations. Requests should be submitted in writing to: Executive Director, 21 North 12th Street, Suite 300, Kansas City, KS, 66102-5161.

Requesting Restrictions: You have the right to request a restriction on the information we disclose for treatment, payment, or healthcare operations. You also have the right to request a limit on the information to someone who is involved in your care or the payment for your care, such as a family member. Your request must describe (a) the information you wish restricted, (b) whether you are requesting to limit the clinic’s use, disclosure, or both, and (c) to whom you want the limits to apply. This request must be submitted in writing to: Executive Director, 21 North 12th Street, Suite 300, Kansas City, KS, 66102-5161. We are not required to agree with your request. If we do agree, we are bound by our agreement except where prohibited by law, in emergencies, or when the information is necessary to treat you. We will notify you if we are unable to agree to a requested restriction.

Inspection and Copies: You have the right to inspect and obtain a copy of the identifiable health information that may be used to make decisions about you, including patient medical records and billing records, but not including psychotherapy notes. This request must be submitted in writing to: Executive Director, 21 North 12th Street, Suite 300, Kansas City, KS, 66102-5161. The clinic may deny your request in certain limited circumstances, such as when disclosure would reasonably endanger physical safety any person.

Amendment: You may ask to amend your health information if you believe it is incorrect or incomplete. This request must be submitted in writing to: Executive Director, 21 North 12th Street, Suite 300, Kansas City, KS, 66102-5161. You must provide a reason that supports your request for amendment. We may deny your request for an amendment if it is not submitted in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that is (a) accurate and complete, (b) not part of the identifiable health information kept by or for the clinic, (c) not part of the identifiable health information which you would be permitted to inspect, and copy (d) not created by us.

Accounting of Disclosures: You have the right to request an accounting of certain disclosures of information about your health that we have made, if any. This right applies to disclosures for purposed other than treatment, payment of healthcare operations, or as otherwise permitted or required by law. This request must be submitted in writing to: Executive Director, 21 North 12th Street, Suite 300, Kansas City, KS, 66102-5161.

Right to a Paper Copy of This Notice: You have the right to obtain a copy of this notice.

Right to Provide Authorization for Other Uses and Disclosures: Turner House Children's Clinic will obtain your written authorization for uses and disclosures not identified by this notice or permitted by applicable law. You may revoke such authorization as described in this notice in writing, at any time.