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Our company respects your right to privacy under the law and our legal obligation to protect your health and any personal information that identifies you. The law requires that we provide you with a written notice of policy and practices as it relates to protecting your right to privacy. The notice outlines these for you. We reserve the right to change this notice at any time as allowed by law. If the notice should change, the new privacy practices would apply to health and personal information we already had in place as well as additional information we might generate in the future. Any change in notice would be posted at our offices and a full copy available to you at your request. Any questions or special requests you may have regarding your privacy rights should be provided in writing to Lisa Sansouci, Administrator.

How we use your health and personal information

  • Disclosure for treatment and care: This includes communicating with your physician, pharmacist or other health care providers, such as a visiting nurse association.
  • Disclosure for payment purposes: We may ask you for information about your health care coverage, including any long term care insurances and will use personal information in the preparation of invoices and, if needed, in the collection of any unpaid invoices.
  • Disclosure during routine agency operations: Your health and personal information will be used internally by our staff in daily operations and during the course of care planning and coordination, financial, billing or quality assurance audits, when making personnel decisions, in defense of legal matters and in business planning, we will also contact you by telephone, mail or e-mail, using personal information you provide.
  • Disclosure to family or friends who are helping with your care: Unless you object, we will share relevant information about your care with others who are assisting you.

Ways All About You might share your information without your permission

  • For public health purposes such as contagious disease reporting, investigation or surveillance and in notices to and from the federal Food and Drug Administration regarding medications and assistive medical devices.
  • Disclosures to government authorities in conditions of suspected abuse, neglect or domestic violence.
  • In the course of health oversight activities such as the licensing of doctors, Medicare or Mass Health audits or investigations of possible violations of health care laws.
  • For judicial or administrative proceedings, such as in response to subpoenas or orders of courts or administrative agencies.
  • Disclosures for law enforcement purposes, such as to provide information about someone who is suspected to be a victim of a crime, to provide information about a crime at our office or to report a crime that happened somewhere else.
  • To provide information to a medical examiner to assist in identification of a deceased person or to assist the medical examiner to determine the cause of death; to provide information to a funeral director to assist in burial arrangements or to an organization designated to handle tissue or organ donations.
  • Disclosure of a “limited data set” for research, public health or health care operations.
  • To prevent a serious threat to health or safety.
  • Incidental disclosure that are unavoidable by-product or permitted use or disclosures.
  • Disclosures to business associates who perform health care operations for us and who commit to respect the privacy of your health and personal information.

YOUR RIGHTS REGARDING YOUR HEALTH AND PERSONAL INFORMATION

The law gives you rights regarding the management of your health and personal information. All requests for special consideration and your reason for the request under these rights must be in writing and forwarded to the individual listed above in this notice.

  • Ask us to restrict our use or disclosure of your health and personal information for purposes of payment, health care operations or treatment, except for emergency treatment.
  • Ask us to communicate with you in a confidential way, such as by phoning you at work rather than home, by mailing health information to a different address or by using e-mail to your personal address. We will accommodate these requests if they are reasonable.
  • Request to review or obtain copies of your health and personal information. We will accommodate your request within thirty days. The law does specify, however, certain circumstances under which we can refuse to have you review or receive a copy of your information. If we refuse, we will provide you with a written denial of your request and an explanation for the denial as well as information about how to get an impartial review of our decision. If you request copies, a modest fee will apply to cover the cost of copies and administrative time to make the copies.
  • Ask us to amend any health or personal information you believe to be incorrect or incomplete. If we agree, we will amend your information within sixty days of your written request. If we do not agree, you have the right to prepare a written statement of your position and we will include it with your health information with any rebuttal statement that we may write. Once your statement is received it, and a copy of our rebuttal if made, will be included with any further permitted disclosures of your health or personal information. By law, we are allowed a thirty-day extension of time to consider any request for amendment, if we notify you in writing of the extension. Requests for amendment should be made in writing to the individual listed at the top of this notice.
  • Provide us with a written request for a list of the disclosures that we have made of your health and personal information for a period of up to six years. By law, the list will not include disclosures for the purposes of treatment, payment of health care operations, disclosures made with your authorization, disclosures required by law and other limited disclosures. We will respond to your request within sixty days.
  • File a complaint with the U.S. Department of Health and Human Services, Office of Civil Rights. If you file such a complaint, we cannot retaliate against you. If you wish to file a complaint directly with us, please address your complaint to the individual list above in this notice.
  • Request additional copies of this notice.

Springfield

198 Belmont Avenue
Springfield, MA 01108

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Phone: (413) 439-0883
Toll Free: (866) 242-0229
Fax: (413) 667-4292
Email: aay@aayllc.net

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Amherst

150 Fearing Street
Amherst, MA 01002

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Phone: (413) 439-0883
Toll Free: (866) 242-0229
Fax: (413) 667-4292
Email: aay@aayllc.net

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Westfield

59 Arnold Street
Westfield, MA 01085

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Phone: (413) 439-0883
Toll Free: (866) 242-0229
Fax: (413) 667-4292
Email: aay@aayllc.net

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Easthampton

2 Mechanic Street
Suite 7
Easthampton, MA 01027

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Phone: (413) 439-0883
Toll Free: (866) 242-0229
Fax: (413) 667-4292
Email: aay@aayllc.net

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