HIPAA Privacy Notice

Your Privacy Rights

Notice of Privacy Practices

Effective Date: January 1, 2024

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.

Who We Are

The Bridge Recovery Center is a Joint Commission accredited day treatment facility located at 98 N 6680 W, Hurricane, UT 84737. We are required by law to maintain the privacy of your health information, to provide you with this notice of our legal duties and privacy practices, and to notify you if there is a breach of your unsecured health information.

How We May Use and Disclose Your Health Information

We use and disclose health information about you for treatment, payment, and health care operations. Examples include:

• Treatment: Sharing information with physicians, therapists, and other care providers involved in your treatment at The Bridge.
• Payment: Using your information to bill and collect payment from your insurance company or other third-party payers.
• Health Care Operations: Using your information for quality assessment, staff training, and other internal operations necessary to run our program.
• Required by Law: Disclosing your information when required by federal, state, or local law.
• Public Health Activities: Reporting certain health information to public health authorities as required by law.
• Serious Threats: Disclosing information to prevent a serious threat to health or safety.

Your Rights Regarding Your Health Information

You have the following rights with respect to your health information:

• Right to Access: You have the right to inspect and obtain a copy of your health information.
• Right to Amend: You may request an amendment to your health information if you believe it is incorrect or incomplete.
• Right to an Accounting of Disclosures: You have the right to request a list of certain disclosures we have made of your health information.
• Right to Request Restrictions: You may request restrictions on how we use or disclose your health information for treatment, payment, or operations.
• Right to Confidential Communications: You may request that we communicate with you in a specific way or at a specific location.
• Right to Notification of Breach: You have the right to receive notification if there is a breach of your unsecured health information.
• Right to a Paper Copy: You have the right to receive a paper copy of this notice at any time.

Uses and Disclosures Requiring Your Authorization

We will obtain your written authorization before using or disclosing your health information for purposes other than those described above, including:

• Most uses and disclosures of psychotherapy notes
• Uses and disclosures of your health information for marketing purposes
• Disclosures that constitute a sale of your health information

How to Exercise Your Rights or File a Complaint

To exercise any of your rights described above, or if you believe your privacy rights have been violated, please contact us:

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

Changes to This Notice

We reserve the right to change our privacy practices and this notice at any time, provided such changes are permitted by applicable law. We will post the revised notice in our facility and on our website. The new notice will be effective for all health information we maintain, even if created before the effective date.

If you have questions about this notice or our privacy practices, please contact our Privacy Officer at 435-357-9609.