Effective date: April 15, 2022
You have the right to:
- Get a copy of your paper or electronic medical record
- Correct your paper or electronic medical record
- Request confidential communication
- Ask us to limit the information we share
- Get a list of those with whom we’ve shared your information
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint if you believe your privacy rights have been violated
You have some choices in the way that we use and share information as we:
- Tell family and friends about your condition
- Provide disaster relief
- Include you in a hospital directory
- Provide mental health care
- Market our services and sell your information
- Raise funds
Our Uses and Disclosures
We may use and share your information as we:
- Treat you
- Run our organization
- Bill for your services
- Help with public health and safety issues
- Do research
- Comply with the law
- Respond to organ and tissue donation requests
- Work with a medical examiner or funeral director
- Address workers’ compensation, law enforcement, and other government requests
- Respond to lawsuits and legal actions
What Information is Collected
Voluntarily submitted information
When you submit a form requesting our research papers, studies, newsletters, other resources and/or requesting some information or correspondence, we sometimes ask you for your name, company name, email address, postal address, phone and/or other information. Voluntarily submitted information may be subject to additional terms and restrictions agreed upon at the time the information was submitted. Destination Hope collects and stores all voluntarily submitted information.
Information from our web server logs
When you visit most any internet website, you automatically disclose certain limited information about yourself, such as your internet protocol (IP) address, the time of your visit and the referring location (e.g., the website or page that offered a link to a Destination Hope page). Information that can potentially be collected when you visit our website includes, but is not limited to: IP address, referring location and operating system information and various browser details. Destination Hope collects and stores all information automatically generated as you navigate our website.
How and When Information is Used
Personal information is data that can be used to uniquely identify or contact a single, specific person.
Destination Hope does not knowingly make your personal information available to any third parties without your permission. When you provide personal information to us, we may use that information in one or more of the following ways:
- For the purpose for which it was provided (e.g., to provide services to you, contact you regarding services, to respond to your problems and comments);
- For system administration and other internal purposes, such as to improve our website and content or for internal data analysis and research;
- To keep you updated on Destination Hope’s latest developments or to contact you for other informational, marketing or promotional purposes;
- When we believe in good faith that release is appropriate to comply with law, to enforce our terms and conditions or to protect the rights, property or safety of users of this website or the public.
While your personal information helps us keep in contact with you and stay in touch with our users, we respect your decision not to be contacted by us in the future. You may opt out at any time. If you wish to opt out of future communications, please let us know by emailing us at email@example.com (please include “Do Not Contact” in the subject line) or by writing to:
6460 NW 5th Way
Fort Lauderdale, FL 33309
How We Use Your Non-Personal Information
Non-personal data is data that does not permit direct association with any single, specific individual. Non-personal data includes, but is not limited to, language, location, occupation, zip code and area code. We may collect, use, transfer, and disclose non- personal information for any purpose, including providing aggregate non-personal information to third parties. Some examples of use include, but are not limited to, analyzing our website traffic and understanding which parts of our website or services are of most interest.
In the event that we combine non-personal information with personal information, the combined information is treated as personal information for as long as it remains combined.
How We Use “Cookies” and Other Technologies
We may use “cookies” (small data files that assign you a unique identifier) and other technologies, such as pixel tags and web beacons, to help us better understand user behavior, tell us which parts of our website people have visited and to measure the effectiveness of advertisements and web searches. This information is non-personal information; however, to the extent that Internet Protocol (IP) addresses or similar identifiers are considered personal information by local law, we also treat these identifiers as personal information. You may use your browser’s preferences to disable cookies, but understand that by doing so, you may cause certain aspects of the website to operate incorrectly or otherwise limit the functionality of the website.
How We Protect Your Information
We utilize appropriate security measures to safeguard your personal information against loss, theft, misuse and alteration. We make reasonable efforts to protect the security of your personally-identifiable information and periodically review and enhance these methods as necessary. However, we make no guarantee that unauthorized, inadvertent disclosures will never occur. All submissions of information by you on our website are made at your own risk.
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your medical record
- You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
- 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.
Ask us to correct your medical record
- You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
- 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, home or office phone) or to send mail to a different address.
- We will say “yes” to all reasonable requests.
Ask us to limit what we use or share
- You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
- If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
Get a list of those with whom we’ve shared information
- You can ask for a list (accounting) 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.
- 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 a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 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. We will provide you with a paper copy promptly.
Choose someone to act for you
- If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
- We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
- You can complain if you feel we have violated your rights by contacting us using the information on page 1.
- 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 https://hhs.gov/ocr/privacy/hipaa/complaints/.
- We will not retaliate against you for filing a complaint.
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:
- Share information with your family, close friends, or others involved in your care
- Share information in a disaster relief situation
- Include your information in a hospital directory
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 these cases we never share your information unless you give us written permission:
- Marketing purposes
- Sale of your information
- Most sharing of psychotherapy notes
In the case of fundraising:
- We may contact you for fundraising efforts, but you can tell us not to contact you again.
Our Uses and Disclosures
How do we typically use or share your health information?
We typically use or share your health information in the following ways.
Treat you: We can use your health information and share it with other professionals who are treating you. Example: A doctor treating you for an injury asks another doctor about your overall health condition.
Run our organization: We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: We use health information about you to manage your treatment and services.
Bill for your services: We can use and share your health information to bill and get payment from health plans or other entities. Example: We give information about you to your health insurance plan so it will pay for your services.
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.
Help with public health and safety issues
We can share health information about you for certain situations such as:
- Preventing disease
- Helping with product recalls
- Reporting adverse reactions to medications
- Reporting suspected abuse, neglect, or domestic violence
- Preventing or reducing a serious threat to anyone’s health or safety
We can use or share your information for health research.
Comply with the law
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
Respond to organ and tissue donation requests
We can share health information about you with organ procurement organizations.
Work with a medical examiner or funeral director
We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
Address workers’ compensation, law enforcement, and other government requests
We can use or share health information about you:
- For workers’ compensation claims
- For law enforcement purposes or with a law enforcement official
- With health oversight agencies for activities authorized by law
- For special government functions such as military, national security, and presidential protective services
Respond to lawsuits and legal actions
We can share health information about you in response to a court or administrative order, or in response to a subpoena.
- 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 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.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
How Can I Correct Inaccuracies In My Information?
You may request to correct inaccuracies in your contact information. To submit corrections to your contact information please email us at firstname.lastname@example.org. Please include “Contact Information Correction” in the subject line of your email message. You may also submit your corrections in writing to:
6460 NW 5th Way
Fort Lauderdale, FL 33309
What If I Have Questions?