Dallas Reading and Language Services

HIPAA Notice of Privacy Practices
Dallas Reading and Language Services

At Dallas Reading and Language Services we are required by law to keep health information confidential. When your child is initially assessed, we keep a copy of the evaluation in a locked file which is considered part of your child's health information. When your child begins treatment, our records will include a plan of treatment, subjective, objective and assessment information for individual therapy sessions (S.O.A.P. notes) and re-evaluation or discharge reports. This information is maintained in a chart and is an part of the services we provide for your child. State and federal laws to protect the privacy of this information, which is referred to as PHI, or Protected Health Information.

Uses and Disclosures of Protected Health Information

Treatment

Our Speech-Language Pathologists will document in your record assessment results and regular therapy notes. Related reports from other providers which we have obtained through your permission will be a part of your child's file.
We will provide your physicians or other related healthcare providers with copies of various reports that should assist him or her in treating you.

Payment of Services

We will use your health information to receive payment for services from Medicaid or insurance.

Other Disclosures
To others involved with your care

We may disclose to a family member, or other relative, close personal friend or any other person you identity, health information directly relevant to that person’s involvement in your care or payment related to your care.
The disclosure will only be done if you agree, or do not express an objection to sharing the information with a specific party when given the opportunity.

You have the right to request a restriction on the above uses and disclosures of your protected health information (PHI) for treatment, payment and health care operations; however, we are not required to agree to your request.

As required by Law

We may also disclose health information without your consent or authorization required by law to the following entities or types of entities that include, but not limited to:
• Food and Drug Administration
• Public Health or legal authorities charged with disease prevention
• Correctional institutions
• Law enforcement as required by law or in accordance with a valid subpoena

Other uses and disclosures from your medical record will be made only with your written authorization or approval.

Dallas Reading and Language Services reserves the right to change this Notice of Privacy Practices and its policies and procedures at any time. Families will receive updated copies of our privacy policy in the event that changes are made.

Effective date: May 27, 2005

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