Privacy Practices
NOTICE OF PRIVACY PRACTICES
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.
Entrust Health, LLC (“Entrust”) Responsibilities
We are required to:
Maintain the privacy of your health information;
Provide you with this notice of our legal duties and information practices with respect to information we collect and maintain about you;
Notify you if we learn there has been a breach of your unsecured information; and
Abide by the terms of this notice.
Entrust reserves the right to change its privacy practices and to make the new provisions effective for all protected health information (PHI) it maintains. Entrust will post any revised Notice of Privacy Practices at public places within its offices and on its web site at www.entrust.health. You may also request a copy of the Notice.
Entrust understands that health information about you is personal and is committed to protecting your health information. Entrust will not use or disclose your health information without your permission, except as described in this notice and as permitted by law.
Entities Covered Under This Notice: Entrust Health, LLC
Your Rights
You have several rights regarding your health information. Those include the right to:
Inspect and receive a copy of your information. This right covers your medical records or billing records or other written information that may be used to make decisions about your care, subject to some limited exceptions. Such records will be provided to you in the time frames established by law. We may charge a reasonable fee for our costs in copying and mailing your requested information. If you request records in electronic format, we must give you the record in that format if we maintain your original records electronically and they are readily producible in the requested format. Your request should be submitted in writing to the Privacy Officer. If you are denied access to personal health information, in some cases you will have the right to request a review of the denial.
Request a restriction on certain uses and disclosures of your health information. You may request that we not disclose your health information for treatment, payment or health care operations. Your request should be submitted in writing to the Data Protection Officer. We are not required to agree to your request unless your request is to not share your health information with your health insurer about a service which you (or someone other than your insurer) has paid us in full, where the disclosure is for the purpose of carrying out payment or health care operations, and where the disclosure is not otherwise required by law. If we do agree to accept your requested restriction, we will comply with your request except as needed to provide you emergency treatment.
Request an amendment to your health information. If you believe that any health information in your record is incorrect or important information is missing, you may request that we correct the existing information or add the missing information. Your request should be submitted in writing to the Data Protection Officer and should state the basis for your request. We may amend your record, or in some cases we may refuse, in which case you may send us a statement of disagreement to include in your record.
Request that we communicate with you using an alternate means (ie, phone, email etc.) or at an alternate location. Your request should be submitted in writing to the Data Protection Officer. We will accommodate your reasonable requests.
Receive an accounting of certain disclosures Entrust has made of your health information. This is the listing of certain disclosures of your health information made by us or by others on our behalf, but does not include disclosures made to you, those made for treatment, payment and health care operations or certain other exceptions. Your request should be submitted in writing to the Data Protection Officer. The first accounting provided within a 12-month period will be free; for further requests, we may charge you our costs.
Obtain a paper copy of the Entrust Notice of Privacy Practices. You may request a copy a paper copy of this Notice even if you have received or agreed to receive an electronic copy.
How Entrust may use and disclose your health information:
For Treatment. We may use and disclose your health information for your care and treatment. For example, we may disclose your health information to the clinics, doctors, counselors or pharmacies who provide you care.
For Payment Purposes. We may use and disclose your personal health information to bill and receive payment for your treatment and services. For example , we may disclose your health information to your representative, an insurance or managed care company, Medicare, Medicaid or another third-party payer to obtain payment, to confirm your coverage or to request prior approval for a proposed treatment or service.
For Health Care Operations. We may use and disclose your health information for our regular health care operations, for example, to evaluate your care and treatment outcomes with our quality improvement team.
Business Associates. We use outside people and entities to provide services to us. For example, we may disclose your health information to our medical record vendor or billing company so they can perform their jobs. We require our business associates to protect and safeguard your health information in accordance with applicable law.
Notification. We may use or disclose information to notify or assist in notifying a family member, personal representative or another person responsible for your care, of your location and general condition. This may include disclosures to a public or private entity assisting in disaster relief efforts.
Communication with Family, Close Friend. We may disclose to a family member, other relative, close personal friend, or any other person involved in your care health information that is relevant to that person’s involvement with your care or payment for such care. We may make such disclosures after your death, unless doing so is inconsistent with any expressed preference we know about.
Research. We may disclose information to researchers when certain conditions have been met.
Organ Procurement Organizations. We may disclose your health information to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of facilitating organ, eye, or tissue donation and transplant.
Funeral Directors and Medical Examiners. We may disclose your health information to funeral directors, coroners or medical examiners to identify a deceased person, determine cause of death, or to carry out their duties consistent with applicable law.
Food and Drug Administration (FDA). We may disclose to the FDA, or to someone subject to jurisdiction of the FDA, health information about adverse events involving food, supplements, product and product defects, to track FDA-regulated products, or to conduct post marketing surveillance information to enable product recall, repairs, replacement or lookback.
Appointment Reminders. We may contact you with reminder that you have an appointment with us or to advise you of a missed appointment.
Workers Compensation. We may disclose your health information for workers compensation purposes as authorized or required by law.
Public Health. We may disclose your health information to public health or other appropriate government authorities charged with preventing or controlling disease, injury or disability, or to receive reports of child abuse or neglect. We may also disclose information, as authorized by law, to a person who may have been exposed to a communicable disease or is at risk of contracting or spreading a disease or condition. We may also proof of immunization with a school about a student or prospective student if you, a parent or guardian has agreed, as applicable.
Correctional Institution. If you are an inmate of a correctional institution or in lawful custody of a law enforcement official, we may disclose to the official or the institution or its agents, health information necessary for your health care, or for your health, safety and security or that of other individuals, or for the administration and maintenance of the safety, security and good order of the correctional institution.
Law Enforcement. In some circumstances, we may need to disclose health information to law enforcement officials. For example, we may disclose your health information in response to a court order, court-ordered warrant, grand jury subpoena, or other administrative request we must answer, to assist law enforcement officials in identifying or locating an individual, to report a death that may have resulted from criminal conduct, and to report criminal conduct at one of our offices. We may also disclose health information necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public.
To Avert a Serious and Imminent Threat. We may disclose your health information consistent with applicable law as needed to prevent or lessen a serious and imminent threat to the health or safety or a person or public, or in limited circumstances, as is necessary for law enforcement to identify or apprehend an individual.
Health Oversight Authorities. We may disclose your health information to a government agency or its agents that oversee our operations or our personnel.
Military, Veterans, National Security and Other Government Purposes. We may use and disclose health information about members of the armed forces, as required by military command authorities or to the Department of Veterans Affairs. We may also use and disclose health information of foreign military personnel to their appropriate foreign military authority. If requested, we may also provide information to federal officials for intelligence and national security purposes or for presidential protective services.
Disclosure Required by Law. Federal, state, or local laws sometimes require us to disclose your health information, such as reports relating to child abuse or neglect.
Substance Use Disorder Records from Part 2 Programs. Substance use disorder (SUD) records and information that we receive from your other providers may be subject to protection under f42 USC 290gg and its regulations called the “Part 2 Regulations”. If we receive SUD records from a program subject to the Part 2 Regulations, we will not disclose those records or give testimony about the content of those records, in any civil, criminal, administrative or legislative proceeding unless you consent in writing or we get a court order that has been entered after you or the holder of the record has been given notice an opportunity to be heard. A court order authorizing us to disclose SUD records or information must be accompanied by a subpoena or other legal requirement requiring Entrust to disclose the records or information before we use or disclose it. We will comply with federal law when using and disclosing your SUD information.
Psychotherapy Notes. If we obtain psychotherapy notes we will not use or disclose them without your authorization, unless allowed by law.
Disclosure by Whistleblowers. An Entrust employee or contractor (business associate) who in good faith believes that we have engaged in conduct that is unlawful or otherwise violates clinical and professional standards, or that the care or services provided by us has the potential of endangering one or more patients or members of the workplace or the public, may disclose your information to an appropriate government agency and/or to an attorney to determine his or her legal options.
Disclosure by Workforce Member Crime Victim. Under certain circumstances, a Entrust workforce member who is a victim of a crime on or off a Entrust’s premises may disclose limited information about the suspect to law enforcement officials.
Crime Victims. We may disclose your health information to a government authority authorized to receive reports about abuse, neglect or domestic violence if required or authorized by law or if you agree.
Judicial and Administrative Proceedings. We may disclose your health information in response to an order from a court or other tribunal, or in response to a subpoena, discovery request or other process, as authorized by law.
Marketing and Fundraising. We will not share your health information for marketing purposes unless we first obtain your written authorization, except if we talk to you in person or give you a promotional gift of little value. We may contact you in the future to raise donations for us or our programs. You have the right to opt out of receiving such communications. If you do not want to be contacted for fundraising please call (719) 501-1286 or e-mail: privacy@entrust.heatlh. We will not sell your information without your written authorization.
Other Uses and Disclosures. Any other uses and disclosures not described in this Notice will be made only with your written authorization, which you may later revoke in writing at any time. Any revocation will not apply to disclosures made before your revocation.
How to Get More Information or File a Complaint:
If you believe your rights have been violated, you may file a complaint with us or the Office of Civil rights. To exercise your rights under this Notice, to ask for more information, to report a problem or submit a complaint if you believe your privacy rights have been violated, contact the Data Protection Officer at (719) 501-1286, or email: privacy@entrust.heatlh.
To file a complaint with the Office of Civil Rights you may submit a complaint online at: https://www.hhs.gov/hipaa/filing-a-complaint/index.html
We will not penalize you or retaliate against you in any way for filing a complaint with us or the federal government.
Effective Date: 05/01/2025
Language Assistance:
Attention: We provide language assistance services and appropriate auxiliary aids and services free of charge. Contact (719) 501-1286 for assistance.