HIPPA Privacy Notice
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOUR CHILD MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Who will follow this notice?
This notice describes the practices of LEARNING TREE PPEC, LLC and the practices that will be followed by LEARNING TREE PPEC, LLCworkforce members who handle your medical information.
Our pledge regarding your protected health information
LEARNING TREE PPEC, LLC understands that medical information about your child’s health is personal. We are committed to protecting medical information about them. We maintain our records and conduct our treatment environment with a goal of providing the highest level of protection for your medical information while still providing you with the highest level of medical care. This notice applies to all records of your medical care received or created by LEARNING TREE PPEC, LLC. The term “your child,” is defined as a child in your care whereby you are the legal parent or guardian of the child.
Your child’s other medical treatment providers (e.g. doctors, hospitals, home health agencies, etc.) may have different policies or notices regarding the use and disclosure of your medical information.
This notice will tell you about the ways in which LEARNING TREE PPEC, LLC may use and disclose medical information about your child. Your child’s medical information, also referred to as “protected health information” is that information about your child, including demographic information, that may identify you and that relates to your past, present or future physical or mental health information and related health care services.
In this notice, we also describe your rights and certain obligations LEARNING TREE PPEC, LLC has regarding the use and disclosure of your protected health information. We are required by name to:
• Make sure that medical and other information that identifies you (protected health information) is kept private.
• Give you this notice of our legal duties and privacy practices with respect to protected health information about you.
• Follow the terms of the notice that is currently in effect.
Uses and disclosures for treatment, payment and health care operations
By becoming a patient at LEARNING TREE PPEC, LLC, you are giving consent for LEARNING TREE PPEC, LLC to use your protected health information for certain activities, including treatment, payment, and other healthcare operations. Sometimes, you may hear these three activities referred to as “TPO” Treatment, Payment and Healthcare Operations.
First of all, we may use and disclose protected health information about your child so that LEARNING TREE PPEC, LLC and its medical professionals can treat your child. For example, we may use your child’s past medical information as released by your doctor, to better serve the needs of your child, understand the diagnosis of your child’s present condition or we may provide or seek information regarding your child’s medical condition to a doctor which referred your child to LEARNING TREE PPEC, LLC for daycare. We may also use and disclose protected health information about your child so that we may be paid for the medical treatment we provide them. For example, we will submit protected health information about your child as required for reimbursement and within the scope of the reimbursement regulations. We may also use and disclose protected health information about your child for LEARNING TREE PPEC, LLC health care operations, in other words, those other tasks that we need to perform to make sure that you are provided the highest quality of medical care. For example, we may use your protected health information to evaluate how we can better meet their needs or we may provide protected health information about your child to an auditor who reviews our books and or procedures so that we can maintain our license to provide medical care services in Florida.
Other uses and disclosures of your protected health information
The following uses of your child’s protected health information may be made without any additional authorization from you. (Not every use or disclosure is listed but be assured that all uses, and disclosures made by LEARNING TREE PPEC, LLC are only those that are permitted under the law).
Uses and disclosures for reminders
We may use and disclose your medical information including but not limited to: contacting you to discuss patient needs, appointments, for transportation, payment or services. If you request that such communications be made confidentially, please contact our office in writing at: Learning Tree PPEC, LLC
345 W Michigan St Ste 100 Orlando FL 32806
Uses and disclosures to others involved in your healthcare
We may disclose to a member of your family, a relative, a close friend, or any other person you identify to receive your child’s protected health information that directly relates to the child’s medical care. If you are unable to agree or object to this disclosure, we may disclose such information as necessary if we determine that it is in your child’s best interests based on our professional judgment. We may also use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is considered responsible for your child’s care, general condition, or death. Finally, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your child’s health care.
Uses and disclosures in emergency situations
We may use or disclose your child’s protected health information in an emergency treatment situation. If this happens, your physician will attempt to obtain your acknowledgment of this Notice as soon as reasonably practicable after the delivery of treatment.
Uses and disclosures for health-related benefits or services
From time to time, LEARNING TREE PPEC, LLCmay use and disclose protected health information to tell you about certain health related benefits or services that may be of interest to you.
Uses and disclosures required by law
We will use or disclose protected health information about your child when required to do so by federal, state, or local law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, if the law requires us to do so, of any such uses or disclosures. We must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the law.
Uses and disclosures related to communicable diseases
We may disclose your child’s protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.
Disclosures for health oversight activities
We may disclose protected health information to a health oversight agency for activities authorized by law. These activities include, for example, audits, investigations, and inspections. These activities are necessary for the government to monitor the health care system, the delivery of healthcare, government benefit programs, other government regulatory programs and civil rights laws.
Disclosures of abuse or neglect
We may disclose your child’s protected health information to a public health authority authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your child’s protected health information if we believe they have been a victim of abuse, neglect or domestic violence to a governmental entity or agency authorized to receive such information. In such cases, the disclosure will only be made by Texas law.
Disclosures to the food and drug administration
We may disclose your child’s protected health information to a person or company required by the Food and Drug Administration (FDA) to report adverse events, product defects or other problems, biologic product deviations, track products; to enable product recalls; to make repairs or replacements; or to conduct post-market surveillance, as required.
Disclosures for lawsuits and disputes
If you are involved in a lawsuit or a dispute, we may disclose protected health information about your child in response to a court order or administrative order. We may also disclose protected health information about your child in response to a subpoena, discovery request, or another lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
Disclosures to law enforcement
We may release protected health information if asked to do so by a law enforcement official, in response to a court order, subpoena, warrant, summons, or similar process. Other related disclosures may include disclosures relating to individuals who are parents and or guardians who are Armed Forces personnel, to national security and intelligence agencies, as well as disclosures to authorized federal officials for the protection of the President of the United States or other authorized persons or foreign heads of state.
Disclosures to coroners, funeral directors, and organ donation
We may disclose protected health information about your child to a coroner or medical examiner for identification purposes, ,determining the cause of death, or for the coroner or medical examiner to perform other duties required by law. We may also disclose protected health information about your child to a funeral director to permit the funeral director to carry out legal duties and may do so if death is reasonably anticipated. Your child’s protected health information may also be disclosed for certain organ donations to which you may have agreed.
Disclosures for research
We may disclose your child’s protected health information to researchers when their research has been approved and protocols have been established to ensure the privacy of your information. We may also disclose a limited set of your child’s information, as allowed under the law, for research purposes.
Disclosures related to criminal activity
We may disclose your child’s protected health information, consistent with federal and Texas laws, if we believe that the use or disclosure is necessary to prevent or lessen a serious or imminent threat to the health or safety of a person or the public, or if it is necessary for law enforcement authorities to identify or apprehend an individual.
Disclosures for Workers’ Compensation
We may release protected health information about your child for Workers’ Compensation or similar programs. These programs provide benefits for work-related injuries or illnesses.
Your rights regarding protected health information about your child
Right to inspect and copy
You have the right to inspect and copy protected health information that may be used to make decisions about your child’s medical care. Usually, this right includes both medical and billing records. You must submit your request in writing. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other supplies associated with your request. Your request to inspect and copy your child’s information may only be denied in very limited circumstances, and you have a right to request that any such denial be reviewed.
Right to request restrictions
You have the right to request that we restrict the use and disclosure of your child’s protected health information for treatment, payment, and health care operations. We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide your child emergency treatment.
To request restrictions, you must make your request in writing to Learning Tree PPEC, LLC 345 W Michigan St Ste 100 Orlando FL 32806.
In your request, you must tell us:
• What information you want to limit
• Whether you want to limit our use, disclosure, or both.
• To whom you want the limits to apply.
Right to confidential communications
You also have the right to request to receive private health information communications by alternative means or at alternative locations. For example, you can ask that we only contact you at work or by mail. To request confidential communications, you must make your request in writing to Learning Tree PPEC, LLC 345 W Michigan St Ste 100 Orlando FL 32806.
We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.
Right to amend
If you feel that the protected health information we have about your child is incorrect or incomplete; you have the right to request that your child’s protected health information be amended. Only the health care entity (e.g., doctor, hospital, clinic, etc.) that created your protected health information is responsible for amending it. For more information regarding the procedures for submitting such a request, contact Learning Tree PPEC, LLC 345 W Michigan St Ste 100 Orlando FL 32806.
Right to an accounting of disclosures
You have a right to an accounting of disclosures of your child’s protected health information, for purposes other than treatment, payment or healthcare operations by Learning Tree or any of the people or companies who perform treatment, payment or healthcare operations on our behalf. To request this list of disclosures we made of protected health information about you, you must submit a request in writing to: Learning Tree PPEC, LLC 345 W Michigan St Ste 100 Orlando FL 32806.
Your request must state a time period, which may not be longer than six (6) years prior to the date of your request and may not include dates before April 18, 2018. Your request should indicate the form in which you want the list (for example, on paper or electronically). You will be charged for photocopying.
Changes to this notice
Learning Tree PPEC, LLC reserves the right to change this notice. We reserve the right to make the revised or changed Notice effective for protected health information we already have about your child, as well as any information we create or receive in the future. We will post a copy of the current Notice on Learning Tree PPEC, LLC The Notice will contain, in the top right-hand corner, the effective date.
If you believe your child’s privacy rights have been violated and/or that Learning Tree PPEC, LLC has not followed this policy. To file a complaint Learning Tree PPEC, LLC 345 W Michigan St Ste 100 Orlando FL 32806.
All complaints must be submitted in writing. You will not be penalized for filing a complaint.
Other uses of protected health information
Other uses and disclosures of your child’s protected health information not covered by this notice or the laws that apply to Learning Tree PPEC, LLC will be made only with your written permission (“authorization”). If you provide us permission to use or disclose protected health information about your child, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose protected health information about your child for the reasons covered by your authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the medical treatment or other services that we have provided to your child.