Notice of Privacy Practices
Effective date: March 1, 2014
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY..
Texas Children’s, which includes Texas Children’s Hospital, Texas Children’s Pediatrics, Texas Children’s Physician Services Organization, Texas Children’s Women’s Specialists, Texas Children’s Health Plan, and Texas Children’s Health Plan—The Center for Children and Women, and its professional staff, employees, volunteers, and Medical Staff follow the privacy practices described in this Notice.
Notice of Privacy PracticesNotice of Privacy Practices in SpanishMedical Records RequestRequest for Amendment Restriction of Protected Health Information Revocation of Authorization Request for Confidential Communication of Protected Health Information
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you. Forms are available on this website (see above) or by contacting Texas Children’s Privacy Office at (832) 824-2091.
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.In the case of fundraising: We may use certain portions of your PHI, including your name, address, phone number, email address, age, gender, date of birth, the dates you received treatment or services at Texas Children’s, department(s) of service, treating physician(s), outcome information, and health insurance status to contact you for fundraising efforts to support hospital programs and operations. You can choose not to receive these communications. If you do not want Texas Children’s to contact you about a contribution or fundraising program, please contact the Development Office at email@example.com. In these cases we never share your information unless you give us written permission:
How do we typically use or share your health information? We typically use or share your health information in the following ways.
How else can we use or share your health information? We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
We are required by law to maintain the privacy and security of your protected health information. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. We will not sell your information. We must follow the duties and privacy practices described in this notice and give you a copy of it. We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind. An Authorization form and Revocation of Authorization form are available on our website or by contacting the Texas Children’s Privacy Office at (832) 824-2091.
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office and on our website at http://www.texaschildrens.org. This notice is effective March 1, 2014.
If you have any questions about this Notice or your privacy rights, or wish to obtain a form to exercise your rights as described above, you may contact Texas Children’s Privacy Office at 832-824-2091.