TERMS & PRIVACY POLICIES
State and Federal laws require that we keep your child’s medical records private. Such laws require that we provide you with this notice informing you our privacy information policies, your rights, and our duties. Therapy Solutions is required to abide these policies until replaced or revised. Therapy Solutions has the right to revise our privacy policies for all related services records. The contents of material disclosed to us in an evaluation, intake, or counseling session are covered by law as private information. Therapy Solutions respect the privacy of the information that you provide us and we abide by ethical and legal requirements of confidentiality and privacy of records.
Use of Information
Information about you may be used by the personnel associated with Therapy Solutions, for diagnosis, treatment planning, treatment and continuity of care. Both verbal and written records about a client cannot be shared with another party without the written consent of the client’s Parent, legal guardian or personal representative. It is the policy of Therapy Solutions not to release any information about a client’s without a signed release of information except in certain emergencies or exceptions in which a client’s information can be disclosed to others without consent. Some of those situations are noted below, and there may be other provisions by legal requirements.
Duty to Warn and Protect:
When a client discloses intentions or a plan to harm another person or persons, the health care professional is required to warn the intended victim and report this information to legal authorities. In cases in which the client discloses or implies a plan for suicide, the health care professional is required to notify legal authorities and make reasonable attempts to notify the family of the client.
If a client states or suggests that he or she is abusing a child or vulnerable adult, or has recently abused a child or vulnerable adult, or a child or vulnerable adult is in danger of abuse, the health care professional is required to report this information to the appropriate social service and/or legal authorities. If a client is a victim of abuse, neglect, violence, or a crime victim, and their safety appears to be at risk, we may share this information with law enforcement officials to help prevent future occurrences and capture the perpetrator.
Prenatal Exposure to Controlled Substances
Health care professionals by law are required to report admitted prenatal exposure to controlled substances that are potentially harmful.
In the Event of a Client’s Death
In this event, the spouse or parents of a deceased client have a right to access their child or spouse’s records.
Misconduct by a health care professional must be reported by an other health care professional. In cases in which a professional or legal disciplinary meeting is being held regarding the health care professional’s actions, related records may be released in order to substantiate disciplinary concerns.
Judicial or Administrative Proceeding
Health care professionals are required to release records of clients when a court order has been placed. In the event of a court order, only the minimally acceptable amount of information will be revealed. Additionally, if a client files a complaint or lawsuit against anyone affiliated with Therapy Solution, relevant information regarding the client may be disclosed for the purpose of formulating an appropriate defense.
Parents or legal guardians of non-emancipated minor clients have the right to access the client’s record unless it is determined that access would have a detrimental effect on the therapeutic relationship, or on the client’s physical safety or psychological well-being.
When payment for services is the responsibility of the client or a person who has agreed to provide payment, and payment has not been made in a timely manner, collection agencies may be utilized in collecting unpaid debts. The specific content of the services (e.g. diagnosis, treatment plan, progress notes, testing) is not disclosed. If a debt remains unpaid it may be reported to credit agencies, and the client’s credit report may state the amount owed, the time-frame, and the name of the clinic or collection source. Insurance companies, managed care, and other third party payers are given information that they request regarding services to the client. Information that may be requested includes type of services, dates/times of services, diagnosis, treatment plan, description of impairment, progress of therapy, summaries or copies of the entire clinical record. Only the minimally acceptable amount of information will be released to accommodate such requests. Information about clients may be disclosed in consultation with other professionals in order to provide the best possible treatment. In such cases the name of the client, or any identifying information is not disclosed. The clinical information about the client is discussed. Some progress notes and reports are dictated & typed within the practice or by our outside sources specializing in (and held accountable for) such procedures. Communications with the client, or client’s parents outside the clinic setting will occur as authorized by the client. When it is necessary to communicate with the client via telephone, messages will not be left on voicemails (or with persons other than the client’s legal guardian) unless Therapy Solutions has received written authorization to do so.
You have the right to request a review or receive your medical files. If you request is denied, you will receive a written explanation of the denial. Record for non-emancipated minors must be requested by their custodial parents or legal guardian. The charge for this service is $.25 per page, plus postage. You have the right to cancel a release of information by providing Therapy Solutions a written notice. You have the right to restrict which information might be disclosed to others. However, if we do not agree with this restriction, we are not bound to abide by them. You have the right to disagree with medical records in our files. You may request that this information be changed. Although we might deny changing the record, you have the right to make a statement of disagreement, which will be placed in your file. You have the right to request a copy of this notice.
If you have any complaints or questions regarding these procedures, please contact the Therapy Solutions Director. The Director will Contact you in a timely manner. If you believe your privacy rights have been violated, complaints should also be directed to Therapy Solutions. If you are not satisfied in the manner in which this office handles a complaint, you may submit a formal complaint to: The Department of Health of Puerto Rico.