Your Rights

When it comes to your health information, you have certain rights.

Get an electronic or paper copy of your medical record

  • You, or your designee, can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Your request must be in writing to the program office or service provider that maintains your records.
  • We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
  • We are not required to allow you to see or copy psychotherapy notes, information prepared for use in legal actions or proceedings, or where access is prohibited by law.

Ask us to correct your medical record

  • You can ask us to correct health information about you that you think is incorrect or incomplete. Your request must be in writing to the program office or service provider that maintains your records.
  • We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

  • You can ask us to contact you in a specific way (for example, if you are an outpatient client, you could request we contact you at your workplace or via email) or send mail to a different address. Your request must be in writing to the program office or service provider that maintains your records.
  • We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Ask us to limit what we use or share

  • You can ask us not to use or share certain health information. We are not required to agree to your request, and we may say “no” if it would affect your care.
  • You can ask us not to share certain health information with family members. We are not required to agree to your request, and we may say “no” if it would affect your care.
  • These requests must be in writing to the program office or service provider that maintains your records.

Choose someone to act for you

  • If you have given someone medical power of attorney or if someone is you legal guardian, that person can exercise your rights and make choices about your health information. Your request must be in writing to the program office or service provider that maintains your records.
  • We will make sure the person has this authority and can act for you before we take any action.

Receive breach notifications

  • You will receive notification if there is a breach of your unsecured protected health information (PHI).

Get a list of those with whom we’ve shared Information

  • You can ask for a list (Accounting of Disclosures) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why. (Note: the list will not include any uses or disclosures made before April 14, 2003.) Your request must be in writing to the program office or service provider that maintains your records.
  • We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one Accounting of Disclosures a year for free but may a reasonable, cost-based fee if you ask for another one within twelve months.

Get a copy of this Privacy Notice

  • You can ask for a paper copy of this Notice at any time, even if you have agreed to receive the Notice electronically. Please contact the office, facility or program where you receive services and we will provide you with a paper copy promptly.
  • You may also view and download a copy of this Notice at: http://www.myflfamilies.com/hipaa.

File a complaint if you feel your rights are violated

  • You can complain if you feel we have violated your rights by sending a letter to the Department of Children and Families, Office of Civil Rights, HIPAA Privacy Officer, 1317 Wine-wood Boulevard, Building 1, Room 110, Tallahassee, Florida 32399-0700, calling 850-487-1901, or faxing to 850-921-8470.
  • You can file a complaint with the U. S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S. W., Washington, D. C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
  • We will not retaliate against you for filing a complaint.