THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.PLEASE REVIEW IT CAREFULLY.
This Notice describes how we will use and disclose your health information. The terms of this Notice apply to all health information generated or received by Stellher Human Services, whether recorded in your medical record, billing invoices, paper forms, video, or in other ways.
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Stellher Human Services
P.O. Box 430
Bemidji, MN 56619
Office of Civil Rights
U.S. Department of Health and Human Services
200 Independence Ave, S.W.
Washington, D.C. 20201
Toll Free: 1-877-696-6775
For certain health information, you can tell us your choices about what we share. If you have a clear preference of 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. 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.
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/consumer/index.html.
For more information see:
Changes to the Terms of This Notice
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.
Stellher Human Services works in partnership with school districts, counties and collaboratives to provide an array of services to children, families and adults.Some of the services include:
Children’s Therapeutic Services and Supports
Outpatient mental health services
Home-based mental health services
Truancy prevention and intervention
School-based intervention services
This notice is effective 12/20/03
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