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.
HMRI is a research organization, and we generally do not provide direct treatment to individuals. We occasionally may provide treatment that relates to research, usually as indirect treatment to research subjects. Research subjects should read the research protocol for more information on their rights when participating in a research study. This notice of privacy practices (this Notice) applies to health information created or received by the physicians, employees, students, trainees, and volunteers at HMRI.
When it comes to your health information, you have the right to:
Get an electronic or paper copy of the medical record about you – When agreeing to participate in a research study, research subjects may be asked to wait to see information about them until after the research is over. Contact us or look at the information given to you when you consented to be in the research study if you have any questions. When you have this right:
Ask us to correct your medical record
Request confidential communications
You may ask us to contact you in a specific way (for example, to call you on your home or office phone) or to send mail to a different address. We will say “yes” to reasonable requests, but we may have some limits.
Ask us to limit what we use or share
Get a list of those with whom we’ve shared information
Get a copy of this Notice
You may request a copy of this this Notice when you visit our facilities, even if you agreed to receive the Notice electronically. A current copy of this Notice also is available on our website at www.hmri.org. We generally will not provide a copy of this Notice if we are not directly treating you, unless you ask for the Notice.
Choose someone to act for you
Another person may exercise your rights and make choices about health information about you, such as if you have given someone medical power of attorney to make health care decisions for you or if someone is your legal guardian or conservator. We will check that the person has authority to act for you before we take any action in response to that person’s instructions.
File a complaint or ask questions
For certain health information, you may tell us your choices about what we share. You have both the right and choice to tell us to:
If you do not tell us your preference, we may share information about you if we believe it is in your best interest.
We may use or share health information about you in the following ways.
We are allowed or required to share information in other ways – usually in ways that contribute to the public good. We have to meet many conditions in the law before we may use or share information for these purposes. Otherwise, we will get your permission to use or share information. Also, we generally will ask for your written permission to use or share information about you: for marketing purposes; when we will receive remuneration for, or “sell,” information; and that are psychotherapy notes.
We may change this Notice, and the changes will apply to all information we have about you. The new Notice will be available upon request, in our facilities, and on our website (www.hmri.org).
Originally effective April 14, 2003. Last updated December 17, 2014.