Privacy Practices

​

1. PURPOSE OF THE NOTICE OF PRIVACY PRACTICES 

This Notice of Privacy Practices (the “Notice”) is meant to inform you of the ways that Fagan Behavioral Health, LLC (“Provider”) may use or disclose your protected health information (PHI). It also describes your rights to access and control your protected health information and certain obligations that Fagan Behavioral Health, LLC have regarding use and disclosure of your protected health information.

​

Fagan Behavioral Health, LLC are required by law to maintain the privacy of your protected health information and want you to know about our practices for protecting your health information.

​

Fagan Behavioral Health, LLC are required by law to provide you with this Notice of our legal duties and privacy practices with respect to your protected health information and to abide by the terms of the Notice that is currently in effect. The medical information that Fagan Behavioral Health, LLC maintain may come from any of the providers from whom you have received services. The information about you created and received by us, including demographic information, that may reasonably identify you and that relates to your past, present or future physical or mental health or condition or payment for the provision of your health care is known as Protected Health Information, or PHI. Fagan Behavioral Health, LLC will not use or disclose your PHI without your permission, except as described in this Notice.

​

Fagan Behavioral Health, LLC may revise our Notice at any time. The new revised Notice will apply to all of your protected health information maintained by us. You will not automatically receive a revised Notice. If you would like to receive a copy of any revised Notice, you should request a copy at your next appointment.

​

1. HOW Fagan Behavioral Health, LLC MAY USE OR DISCLOSE YOUR PROTECTED HEALTH INFORMATION 

Fagan Behavioral Health, LLC will ask you to sign a consent form that allows Fagan Behavioral Health, LLC to use and disclose your protected health information for treatment, payment and health care operations. You will also be asked to acknowledge receipt of the Notice.

​

The following categories describe some of the different ways that Fagan Behavioral Health, LLC may use or disclose your protected health information. Even if not specifically listed below, Fagan Behavioral Health, LLC may use and disclose your protected health information as permitted or as required by law or as authorized by you. Fagan Behavioral Health, LLC will make reasonable efforts to limit access to your protected health information to those persons or classes of persons, as appropriate, in our workforce who need access to carry out their duties.

​

FOR TREATMENT – Fagan Behavioral Health, LLC may use and disclose your protected health information to provide you with medical treatment, mental health and related services. For example, your protected health information may be used to refer you to other providers or to send your records to another treating health care professional.

​

FOR PAYMENT - Fagan Behavioral Health, LLC may use and disclose your protected health information so that Fagan Behavioral Health, LLC can bill and receive payment for the treatment and related services you receive. For example, Fagan Behavioral Health, LLC contact your health insurer to certify that you are eligible for services and Fagan Behavioral Health, LLC may provide your insurer with details regarding your treatment to determine if your insurer will cover or pay for your treatment. Fagan Behavioral Health, LLC also may use and disclose your identifiable health information to obtain payment from third parties who may be responsible for such costs.

​

FOR HEALTH CARE OPERATIONS - Fagan Behavioral Health, LLC may use and disclose your protected health information as necessary for the operations of Fagan Behavioral Health, LLC such as quality assurance and improvement activities. For example, Fagan Behavioral Health, LLC may disclose your information to internal staff for evaluation of the quality of services provided.

​

BUSINESS ASSOCIATES – Fagan Behavioral Health, LLC may disclose your protected health information to a Business Associate that provides services, such as billing or legal, to Fagan Behavioral Health, LLC. In order to protect your information, Fagan Behavioral Health, LLC require Business Associates to enter into a written contract that requires them to safeguard your information.

​

APPOINTMENT REMINDERS – Fagan Behavioral Health, LLC may use and disclose protected health information to contact you as a reminder that you have an appointment with Fagan Behavioral Health, LLC.

​

PUBLIC HEALTH ACTIVITIES – Fagan Behavioral Health, LLC may disclose your protected health information to a public health authority that is authorized by law to collect or receive such information, such as mandated reporting of disease, injury or vital statistics.

HEALTH OVERSIGHT ACTIVITIES – Fagan Behavioral Health, LLC may disclose your protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, inspections.

​

JUDICIAL PROCEEDINGS – If you are involved in a lawsuit or dispute, Fagan Behavioral Health, LLC may disclose your protected health information in response to a court order if permitted by law.

​

LAW ENFORCEMENT – Fagan Behavioral Health, LLC may disclose your protected health information for certain law enforcement purposes if permitted or required by law.

​

TO AVERT SERIOUS THREAT – Fagan Behavioral Health, LLC may use or disclose your protected health information when necessary to prevent a serious threat to the health or safety of you or others. Any disclosure would be to someone able to help prevent the threat.

MILITARY AND NATIONAL SECURITY – If required by law, if you are a member of the armed forces, Fagan Behavioral Health, LLC may use and disclose your protected health information as required by military command authorities, Department of Veterans Affairs, or other authorized federal officials.

​

WORKERS’ COMPENSATION – Fagan Behavioral Health, LLC may disclose your protected health information for workers’ compensation and similar programs to the extent necessary to comply with the law.

​

VICTIMS OF ABUSE OR NEGLECT – Fagan Behavioral Health, LLC may disclose your protected health information to a government authority if Fagan Behavioral Health, LLC reasonably believe that you are a victim of abuse or neglect, including, but not limited to child, elderly or domestic abuse. Fagan Behavioral Health, LLC will disclose this type of information only to the extent required by law.

​

CORONERS, MEDICAL EXAMINERS, FUNERAL DIRECTORS, ORGAN PROCUREMENT ORGANIZATIONS – If you are deceased, Fagan Behavioral Health, LLC may disclose limited information to a coroner, medical examiner, funeral director, or if you are an organ donor, to an organization involved in the donation of organs and tissues.

​

RESEARCH – Under certain circumstances, Fagan Behavioral Health, LLC may disclose protected health information for research purposes.

​

SPECIAL RULES REGARDING MENTAL HEALTH RECORDS, SUBSTANCE ABUSE TREATMENT INFORMATION AND HIV-RELATED INFORMATION – For disclosures concerning protected health information relating to care for psychiatric conditions, substance abuse or HIV-related testing and treatment, special restrictions generally apply. For example, Fagan Behavioral Health, LLC generally may not disclose this specially protected information in response to a subpoena, warrant or other legal process unless you sign an Authorization or, in certain circumstances, if the court orders disclosure.

MENTAL HEALTH INFORMATION – Certain mental health treatment information may be disclosed for treatment and payment purposes as permitted or as required by law. Otherwise, Fagan Behavioral Health, LLC will only disclose such information pursuant to an authorization, court order or as otherwise required by law. For example, all communications betFagan Behavioral Health, LLCen you and a psychologist, psychiatrist, social worker and certain therapists and counselors will be privileges and confidential in accordance with State and Federal law.

SUBSTANCE ABUSE TREATMENT INFORMATION – If you are receiving treatment or diagnosis for substance abuse, the confidentiality of alcohol and drug abuse patient records is protected by Federal law and regulations.

• Participation in the substance abuse program requires Fagan Behavioral Health, LLC to obtain your written consent before it can disclose information about you for payment. Generally, you must also sign a written authorization before Fagan Behavioral Health, LLC can share information for treatment purposes or for healthcare operations.

• Generally, Fagan Behavioral Health, LLC may not disclose to a person outside of the program that you attend the program or have received any sort of services from the facility., or disclose any information identifying you as an individual being treated for drug or alcohol abuse, unless:

• You consent in writing; or

• The disclosure is alloFagan Behavioral Health, LLCd by a court order; or

• The disclosure is made to medical personnel in a medical emergency or to qualified personnel for research, audit or program evaluation;

• In order to report a crime committed by a patient either at the facility or against an employee of the facility;

• In order to report suspected child abuse or neglect as required by law

• ​

HIV-RELATED INFORMATION – Fagan Behavioral Health, LLC may disclose HIV-related information as permitted or required by State law. For example, your HIV-related information, if any, may be disclosed without your authorization for treatment purposes, certain health oversight activities, pursuant to a court order, or in the event of certain exposures to HIV by personnel of Fagan Behavioral Health, LLC, another person or a known partner (if certain conditions are met).

​

1. YOUR RIGHTS REGARDING YOUR IDENTIFIABLE HEALTH INFORMATION

You have the following rights regarding your identifiable health information:

• Request, in writing, restrictions on certain uses and disclosures of your Protected Health Information (PHI).

• Receive reasonable confidential communication of PHI, e.g. contact you at a place of your choosing.

• Inspect and copy your medical record by written request, with some exceptions. You have the right to obtain an electronic copy of any of your protected health information that Fagan Behavioral Health, LLC maintain in electronic format. You have the right to request that Fagan Behavioral Health, LLC transmit a copy of your protected health information directly to another person or entity designated by you. Fagan Behavioral Health, LLC reserves the right to deny the request, to which you may make a further appeal.

• Request an amendment of your medical record for as long as the information is maintained by or for Fagan Behavioral Health, LLC. Fagan Behavioral Health, LLC reserves the right to deny the request, to which you may make a further appeal.

• Receive an accounting of Fagan Behavioral Health, LLC’s disclosures of your PHI during the six years prior to your request.

• Receive a paper copy of this Notice.

• Request transmission of your protected health information in electronic format.

• Receive notification following a breach of your unsecured PHI.

• Restrict the disclosure of PHI to health plans for the purposes of payment if you paid out-of-pocket in full for the health services or item to which the information relates.

• File a Complaint with us or with the Secretary of Health and Human Services.

​​

1. USES AND DISCLOSURES THAT REQUIRE YOUR AUTHORIZATION

The following uses and disclosures of your PHI will be made only with your written authorization:

• Uses and disclosures of psychotherapy notes

• Uses and disclosures of PHI for marketing purposes

• Disclosures that constitute a sale of your PHI

• You have the right to opt out of being contacted or receiving notices for fundraising

• Other uses and disclosures not described in the Notice of Privacy Practices

You may revoke an authorization at any time, except to the extent that Fagan Behavioral Health, LLC have already acted. 

​

1. COMPLAINTS AND QUESTIONS

If you feel that your privacy rights have been violated, you may file a complaint with our organization or with the Secretary of the Department of Health and Human Services. To file a complaint with Fagan Behavioral Health, LLC, please contact: Fagan Behavioral Health, LLC, 2389 Main Street, Glastonbury, CT 06033, phone (860) 968-6065.

There will be no retaliation for filing a complaint. 

If you have any questions or would like more information, you may contact Kaitlyn Fagan, at (860) 968-6065.