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Client #: ACKNOWLEDGEMENT OF POLICYNotice of Privacy Practices Notice of Privacy Practices tells you how Options Counseling & Family Services may use or share information about you. Not all situations
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Who needs notice of privacy practices?

01
Various entities and organizations need a notice of privacy practices, including but not limited to:
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- Healthcare providers, such as doctors, hospitals, and clinics
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- Health insurance companies
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- Pharmaceutical companies
05
- Healthcare clearinghouses
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- Health information exchanges
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- Personal care providers
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- Long-term care facilities
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- Mental health practitioners
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- Substance abuse treatment centers
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- Research institutions conducting human subject research
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- Any entity that handles protected health information (PHI) and is required to comply with the Health Insurance Portability and Accountability Act (HIPAA)
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The notice of privacy practices is a document that outlines how a healthcare provider or organization will use and disclose protected health information.
Healthcare providers, health plans, and healthcare clearinghouses are required to file a notice of privacy practices.
The notice of privacy practices can be filled out by providing information about how the organization will use and disclose protected health information, as well as detailing patient rights and how to file a complaint.
The purpose of the notice of privacy practices is to inform patients of their rights regarding their protected health information and how it will be used and disclosed by the healthcare provider or organization.
The notice of privacy practices must include information about how protected health information will be used and disclosed, patient rights, and how to file a complaint.
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