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NOTICE OF HIPAA PRIVACY PRACTICES

This Notice describes the privacy practices of Weisbrod Health (WH)

The privacy practices described in this Notice will be followed by:

  • Any member of our workforce authorized to access your medical record
  • Members of our medical staff
  • Allied health professionals who participate in your health care
  • Volunteers, trainees, students, and contracted personnel authorized to access protected health information

OUR RESPONSIBILITIES

We are required by law to:

  • Maintain the privacy and security of your protected health information (PHI)
  • Protect the confidentiality of records related to substance use disorder treatment that are subject to 42 CFR Part 2, when applicable
  • Provide you with notice of our legal duties and privacy practices
  • Notify you promptly if a breach occurs that may have compromised the privacy or security of your information
  • Follow the duties and privacy practices described in this Notice
  • Give you a copy of this Notice

We will not use or disclose your information other than as described in this Notice unless you authorize us to do so in writing. If you provide authorization, you may revoke it at any time in writing.

For more information, visit:
HHS HIPAA Privacy for Protected health info

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, HOW INFORMATION RELATED TO SUBSTANCE USE DISORDER TREATMENT MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Effective Date: February 16, 2026

SPECIAL PROTECTIONS FOR SUBSTANCE USE DISORDER (SUD) RECORDS

Some health information, including records relating to substance use disorder diagnosis, treatment, or referral, may be subject to additional federal confidentiality protections under 42 CFR Part 2.

When applicable:

  • These records may not be used or disclosed without your written consent, except as permitted by law
  • A single consent may permit use and disclosure for treatment, payment, and health care operations as allowed by law
  • Records subject to Part 2 may not be used in civil, criminal, administrative, or legislative proceedings against you unless:
    • You provide specific written authorization, or
    • A court order specifically permits such use or disclosure

 

Any use or disclosure made with your consent may be subject to redisclosure by the recipient only as permitted by applicable law.

This language is required under the February 2026 update.

YOUR RIGHTS

When it comes to your health information, you have certain rights. 
This section explains your rights and some of our responsibilities to help you.  You may get more information about exercising these rights by calling Renay Crain,
Compliance Officer at (719) 438-5401, extension 164.

Ask us to correct your medical record When it comes to your health information, you have certain rights. 
This section explains your rights and some of our responsibilities to help you. 

YOUR RIGHTS

Get an electronic or paper copy of your medical record

  • You may request an electronic or paper copy of your medical record and other health information we maintain
  • Requests must be submitted in writing
  • We generally respond within 10 business days
  • A reasonable cost-based fee may apply

Ask us to correct your medical record

  • You may request correction of information you believe is incorrect or incomplete
  • We may deny your request, but will provide a written explanation within 60 days

Request confidential communications

  • You may request that we contact you in a specific way or at a specific location
  • We will accommodate all reasonable requests

Ask us to limit what we use or share

  • You may request restrictions on uses and disclosures for treatment, payment, or operations
  • We are not required to agree unless required by law
  • If you pay in full out-of-pocket, you may request that information not be disclosed to your health insurer for payment or operations purposes
  • We will honor such request unless disclosure is legally required

Receive an accounting of disclosures

  • You may request a list of disclosures made in the prior six years
  • One list per 12-month period is free
  • Additional requests may incur a reasonable fee

Get a copy of this notice

  • You may request a paper copy at any time

Choose someone to act for you

  • A legal representative, guardian, or medical power of attorney may exercise your rights

File a complaint if you feel your rights are violated 

You can complain if you feel we have violated your rights by contacting Renay Crain, 

Weisbrod Health Compliance Officer, at (719) 438-5401, extension 164.

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

or calling 1-877-696-6775,

or visiting HHS HIPAA Complaints

We will not retaliate against you for filing a complaint.

YOUR CHOICES

You may tell us your preferences regarding sharing information with:

  • Family members
  • Friends involved in your care
  • Disaster relief organizations
  • Hospital directory
  • Fundraising communications

 

If you are unable to communicate your preference, we may use professional judgment to determine what is in your best interest.

USES AND DISCLOSURES REQUIRING WRITTEN AUTHORIZATION

We will never use or disclose your information for the following without your written authorization:

  • Marketing purposes
  • Sale of your information
  • Most uses of psychotherapy notes
  • Uses and disclosures of SUD treatment records beyond what is allowed by law

 

HOW WE MAY USE OR DISCLOSE YOUR INFORMATION

Treatment

We may use and share your information to provide treatment.

  • Example: A physician may consult another provider involved in your care.

 

Payment

We may use and share your information for billing and payment purposes.

 

Health Care Operations

We may use your information to operate and improve our organization.

 

OTHER PERMITTED OR REQUIRED DISCLOSURES

We may disclose information when required or permitted by law, including:

  • Public health reporting
  • Preventing serious threats to health or safety
  • Abuse or neglect reporting
  • Research
  • Workers’ compensation
  • Law enforcement
  • Health oversight agencies
  • Military and national security
  • Court orders and subpoenas
  • Organ donation
  • Medical examiner or funeral director

HEALTH INFORMATION EXCHANGE (HIE)

WH participates in electronic Health Information Exchange, including CORHIO, to improve coordination of care.

This allows participating providers secure access to your clinical information for treatment purposes and may reduce duplicate testing and delays in care.

You may opt out of CORHIO participation at any time.

CHANGES TO THIS NOTICE

We reserve the right to change the terms of this Notice.

Any revisions will apply to all protected health information we maintain and will be made available:

Upon request

In our facilities

On our website

ACKNOWLEDGEMENT

You may be asked to sign an acknowledgment confirming receipt of this Notice.

Your treatment and care are not conditioned on signing the acknowledgment.