Privacy Policy
Our Pledge Regarding Protected Mental Health Information
This notice describes how your personal mental health care information is protected at Discovery Institute, P.A.
We understand that your mental health information is personal and confidential,
and we pledge that we will protect any information we acquire about
you. We will create a record of the care and services you receive
at this facility, as well as tracking financial transactions.
Your records will be handled with care and will comply with certain
legal requirements. This notice applies to all records of your
care that are generated during your treatment here. All other
documentation that may be acquired about you from other sources is prohibited
from being shared and is not discussed in this notice.
We are required by law to:
- Make sure that mental health
information that identifies you is kept private;
- Give you this notice of
our legal duties and privacy practices with respect to your protected
health information, and
- Follow the terms of this
notice.
How We May Use & Disclose Mental Health Information About You
For treatment: Treatment information and records remain confidential
and are not shared outside of this facility without your express and
written consent. We may be required to request information about
you from other mental health care, or medical care providers.
You will be asked to grant written permission in order for us to do
so. We will not release information about your treatment here
without your express and written consent, except when to do so is subject
to federal, state or local law.
For payment: We may use and disclose information about you and
your treatment so that the services provided to you by the resident
therapists at Discovery Institute, P.A. may be billed. Payment
may be collected from you, an insurance company, or a third party.
We may need to give your health plan information about your treatment
in order for your health plan to pay us or to reimburse you. We
may also tell your health plan about treatment you are going to receive
to obtain prior approval or to determine if your plan will cover the
treatment.
To comply with legal reporting requirements: The following statements describe the legal exceptions to your
right of confidentiality. We will make every effort to inform
you of any time it is deemed necessary to exercise one of these options:
- If we have good reason to
believe that you will harm another person, we are required to attempt
to warm that person of your intentions. We must also contact an
appropriate law enforcement authority and ask them to offer protection
to your intended victim.
- If we have good reason to
believe that you are abusing or neglecting a child, a vulnerable adult,
or an elderly person, we must inform Child or Elder Protective Services.
- If we have good reason to
believe that you are in imminent danger of harming yourself we may legally
break confidentiality and call for assistance from a family member or
person with the authority to act on your behalf.
- If asked to do so by a law
enforcement official in response to a court order which has been signed
by a judge and in certain cases involving emergencies, criminal activities,
missing persons, and death.
- If you file a complaint
or are a plaintiff in a lawsuit where you bring up the question of your
mental health, you will have automatically waived your right to the
confidentiality of these records in the context of the complaint or
lawsuit.
Military:
- For members of the armed
forces (active duty and reservists), we may release mental health information
about you as required by military command authorities.
Changes to This Notice:
We reserve the right to change this notice. We reserve the right
to make the revised notice effective for mental health information we
already have about you as well as any information we receive in the
future.
You have the following rights regarding
the mental health information we maintain about you:
- The right to review your
records or receive at any time. You will be asked to complete
a written authorization in order to facilitate your request. We
do have the right to deny your request under certain circumstances.
- The right to make a written
request to amend the information contained within your medical record
if you feel the information is incorrect or incomplete. The request
must provide a reason that supports your request. We do have the
right to deny your request for any of the following:
- Failure to make the request
in writing;
- Failure to include a reason
to support the request;
- If the information was not
created by us.
Complaints:
If there is some aspect of your care at this facility with which you
are not happy and you wish to register a complaint:
- Please feel free to address
a complaint, in writing, to Connie Porter-Richard, PhD, LMHC, who is
the Chief Executive Officer of Discovery Institute, P.A.
- If you believe any of the
resident therapists at Discovery Institute, P.A. have behaved illegally
or unethically, you can complain directly to the State of Florida, Department
of Health, Division of Medical Quality Assurance: http://www.doh.state.fl.us/mqa/med-boards.html