Your Rights. Our Commitment. Your Information.

This notice describes how your health information may be used and shared, and how you can access it. Please review it carefully.

Your Rights

• Request a copy of your medical records (digital or printed)
• Ask for corrections to your health information
• Request confidential communication methods
• Request limits on what we share
• Receive a list of those we’ve shared your information with
• Get a physical copy of this notice
• Appoint someone to act on your behalf
• File a complaint without fear of retaliation

Your Choices

Let us know if you have preferences regarding:

• Sharing information with loved ones or caretakers
• Disaster relief disclosures
• Inclusion in directories
• Behavioral or substance use disorder treatment
• Marketing communications or sale of data
• Fundraising outreach

Our Uses and Disclosures

We may use your information to:

• Provide treatment and coordinate your care
• Manage operations and improve our services
• Bill and receive payment for services
• Address public health and safety concerns
• Comply with the law
• Respond to organ donation and funeral requests
• Support workers’ comp, law enforcement, or legal requests

Detailed Rights

Access and Correction

You can request access to your records and ask for corrections if anything is inaccurate. We’ll respond within 30 days.

Confidential Communication

Request how we contact you, such as at a specific number or address.

Limitations

Ask us not to share information—we’ll consider your request but may not be able to comply if it affects your care.

Disclosures Record

Request a list of disclosures we’ve made within the past 6 years, excluding treatment, billing, and operations.

Delegate Representation

Appoint someone like a legal guardian or POA to manage your rights.

Complaints

You may file a complaint with us or with the U.S. Department of Health and Human Services at 1-877-696-6775 or HHS website.

Additional Disclosures

• Prevent disease and report adverse events
• Research with approval and safeguards
• Organ donation and autopsy requests
• Government or legal requirements (e.g. subpoenas, oversight)
• Military, national security, and presidential security functions

Our Responsibilities

• Maintain the privacy and security of your health data
• Notify you of any breaches involving your data
• Comply with this notice
• Only use/share your data with your authorization unless otherwise allowed by law

Policy Updates

We may revise this policy at any time. Updated versions will be available on our website and at our facility.

Effective Date: July 01, 2024

GoodLand Recovery will never sell or market your personal health information.