This statement describes what you can expect from us regarding personal
data on thehaventucson.org, and your associated rights and responsibilities.
This statement is a part of the thehaventucson.org user agreement but trumps
any conflicts with the agreement. This statement does not address anyone
else's practices or our practices beyond the thehaventucson.org site.
Cookies, IP Addresses and URLs. Cookies are data snippets that
use, store your preferences/passwords (if you've registered) and personalize
your experience. You can configure most web browsers to reject cookies or
notify you when cookies are placed. If you're not registered, rejecting
cookies won't noticeably affect your experience on thehaventucson.org. You
must accept cookies to access thehaventucson.org as a registered user.
Your access provider assigns an IP address to your computer when you use
the Internet. We log each IP address that accesses the site, along with
referring/destination URLs. We use this data, as well as other data in our
databases, to analyze site and user behavior, troubleshoot technical
problems, resolve disputes, address complaints and prepare aggregated
Email Tools. If you send emails through our site, your email will
include your email address and any personal message you include. However,
these emails aren't private communications. You may not use these tools to
send spam or content that violates the user agreement.
Feedback. We may ask for your feedback through a survey, which we
treat like other business records.
Data Changes. If you terminate your account or delete/change your
data or content, we usually update our live databases immediately. However,
some data may update more slowly, and some old data may remain in our
archives and records. If your account is being terminated or suspended, we
may maintain some data to prevent re-registration.
Government Relations and Lawsuits. We may disclose data about you
to the government if we are required to do so or if we think the disclosure
is appropriate; and you authorize these disclosures. We may also disclose
data about you in connection with actual or potential lawsuits (a) if we are
required to do so, (b) if such disclosures may potentially mitigate our
liability, or (c) to enforce our rights.
Communicating with Other Users. You may not harvest personal data
(including email addresses) from the site, and specifically you may not use
email addresses displayed on the site to ask users to join or contribute to
Security. We use industry-standard security protocols.
THIS NOTICE DESCRIBES HOW TREATMENT INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE READ IT CAREFULLY.
The Haven understands that your treatment information and your health are
personal. We are committed to protecting your treatment information. We create
a record about the care and services
you receive during your stay here. We need this treatment information to
provide you with quality care and to comply with certain legal requirements.
This Notice of Privacy Practices applies to your treatment information
generated and/or maintained by The Haven.
This Notice will tell you about the ways in which we may use and disclose
your treatment information. We also describe your rights and certain
obligations we have regarding the use and disclosure of your treatment
Law requires the Haven, to:
- Make certain that treatment information that identifies you is kept
- Make certain that you are given notice of our legal duties and
privacy practices with respect to your treatment information.
- Make certain that The Haven follows the terms of the Notice of
Privacy Practices that is currently in effect.
HOW WE MAY USE OR DISCLOSE TREATMENT INFORMATION ABOUT YOU
Substance Abuse Health Information. All treatment information regarding
substance abuse is kept strictly confidential and released only in
conformance with the requirements of federal law (42 U.S.C. 290dd-3 and 42
U.S.C. 290ee-3) and regulation (42 C.F.R. part 2). Disclosure of any
treatment information referencing alcohol or substance abuse may only be
made with your written authorization. A general authorization for the
release of treatment or other information is not sufficient for this
The following describes different ways we use and disclose your treatment
information. (Because you are receiving services for the evaluation and
treatment of substance abuse, the specific rules above apply to the use and
disclosure of information related to these services.)
- For Treatment. The Haven may use your treatment information
to provide you with behavioral health treatment or services. We may
disclose your treatment information to psychiatrists, your primary care
practitioner, physicians, nurses, therapists, case managers or other
behavioral health professionals who are involved in your care. For
example, a psychiatrist treating you may need to know if you have
allergies to certain psychotropic medications. The psychiatrist may need
to contact your primary care physician to obtain that information.
Different staff at The Haven may also share your treatment information
to arrange services you may need. Different departments of your provider
network (Cope, CODAC, and La Frontera) may also share your treatment or
medical information in order to coordinate the services you need, such
as medications, therapy, or case management.
- For Payment. We may use and disclose your treatment
information so that the treatment and services you receive may be billed
and payment may be collected from appropriate payors, such as CPSA, an
insurance company or a third party. For example, we may need to give
your network provider information about the treatment you received here
so we can receive payment. Your network provider may share your
treatment or medical information with your insurance company or a third
party payor to check that you qualify for services, or to obtain
approval for the services requested.
- For Health Care Operations. We may use and disclose your
treatment information for the business activities of The Haven and CPSA
and its network providers. These uses and disclosures are necessary for
administrative functioning and to ensure our clients receive quality
care. For example, CPSA may use your treatment information to review The
Haven’s provider's services, and to evaluate our performance in caring
for you. We may combine treatment information about many members to
decide what additional services The Haven and CPSA and its provider
network should offer, what services are needed, and whether certain new
treatments are effective. We may use and disclose your treatment
information to assess The Haven's compliance with the Arizona Department
of Health Services, CPSA, or the Joint Commission on Accreditation of
Healthcare standards. For example, this disclosure may be required to
evaluate the quality of services we provide or to resolve a specific
treatment issue you have raised.
- Individuals Involved in Your Care. We may release your
treatment information to a family member actively involved in your care
and treatment as allowed under Arizona state law and in accordance with
Haven policies and procedures. This information is limited and will not
be disclosed without first obtaining your written authorization.
HIV Information. All medical information regarding HIV is kept strictly
confidential and released only in conformance with the requirements of state
law (A.R.S. 36-664). Disclosure of any medical information referencing HIV
status may only be made with your written authorization. A general
authorization for the release of medical, treatment, or other information is
not sufficient for this purpose.
Special Circumstances. Federal and state laws allow or require The Haven,
CPSA and its contracted provider network to disclose your treatment or
medical information in certain special circumstances that include, but are
not limited to, the situations described below.
- Public Health (Health and Safety for you and/or others). We
may disclose your medical information for public health activities. We
may use and disclose your medical information to a public health
authority, when necessary, to prevent a serious threat to your health
and safety or the health and safety of the public or another person.
These generally include activities which:
- Prevent or control disease, injury or disability
- Report births or deaths
- Report child abuse or neglect
- Report reactions to medications
- Notify people of recalls regarding medications they may be using
- Notify a person who may have been exposed to a disease or may be
at risk for contracting a disease
- Avert a serious threat to the health or safety of a person or
- Notify the appropriate government authority if we believe a
client has been the victim of abuse, neglect or domestic violence.
We will make this disclosure when required or authorized by law
- Research. Under certain limited circumstances, we
may use and disclose your treatment information for research
purposes. For example, a research project may involve the care
and recovery of all members who receive one medication for the
same condition. All research projects are subject to a special
approval process. We will obtain your written authorization if
the researcher will use or disclose your treatment information.
- Health Oversight Activities. We may disclose your
treatment information to a health oversight agency for
activities authorized by law. These oversight activities may
include audits, investigations, inspections, and licensure.
These activities are necessary for the government to monitor the
behavioral health care system, government programs, and
compliance with civil rights laws.
- Lawsuits and Disputes. If you are involved in a
lawsuit or legal action, we may disclose your treatment
information in response to a valid court or administrative
order, a valid subpoena, a discovery request, or other lawful
process that complies with state law and Haven policies and
- Law Enforcement. We may release your treatment
information if asked to do so by a law enforcement official:
- In response to a valid court order, subpoena, warrant, summons,
or similar lawful process that complies with state law and Haven
polices and procedures
- To identify or locate a suspect, fugitive, material witness, or
- About the victim of a crime if, under certain limited
circumstances, we are unable to obtain the person's authorization
- About a death we believe may have been the result of criminal
- About criminal conduct that occurs at The Haven
- In emergency circumstances to report a crime, the location of
the crime or victims, or the identity, description or location of
the person who committed the crime
- Coroners, Medical Examiners and Funeral Directors. We may
release your treatment or medical information to a coroner or medical
examiner. This may be necessary for identification or to determine a
cause of death. We may also release your medical information to funeral
directors as necessary to carry out their duties.
- National Security and Intelligence Activities. We may release
your treatment information to authorized federal officials for
intelligence, counterintelligence, and other national security
activities authorized by law.
- Protective Services for the President and Others. We may
disclose your treatment information to authorized federal officials so
they may provide protection to the President or other authorized
- As Required By Law. We may disclose your treatment
information when required to do so by federal, state, or local law.
YOUR RIGHTS REGARDING TREATMENT INFORMATION ABOUT YOU
Right to Access. You have the right to inspect and receive a copy of
treatment information that may be used to make decisions about your care.
To inspect and copy your treatment information, contact The Haven’s Privacy
Officer. If you request a copy of the information, you may receive one copy
each year at no cost. For any additional copies during the same year, you
may be charged a fee for the costs of copying, mailing, or other supplies
associated with your request. Your request to inspect and copy your
treatment information may be denied in certain limited circumstances. If you
are denied access to all, or any part, of your treatment information, you
may request that the denial be reviewed. Information regarding how to
initiate the review process will be provided in writing at the time of any
denial of access to your treatment information.
Right to Amend. If you feel that your treatment information is incorrect
or incomplete, you may ask us to amend the information. You have the right
to request an amendment, for as long as your treatment information is kept
by The Haven. To request an amendment, your request must be made in writing
and submitted to The Haven’s Privacy Officer. You must provide a reason that
supports your request. We may deny your request if you ask us to amend
- Was not created by us, unless the person or entity that created the
information is no longer available to make the amendment.
- Is not part of the treatment information kept by or for The Haven.
- Is not part of the treatment information which you would be
permitted to inspect or copy.
- Is accurate and complete.
Right to an Accounting of Disclosures. You have the right to request an
accounting of disclosures of your treatment information. This is a list of
disclosures we made of your treatment information to others outside of The
Haven. The accounting does not include information disclosed as a part of
payment or to other health care operations for your treatment or health. To
request this accounting, you must submit your request in writing to the The
Haven’s Privacy Officer. Your request must state a period of time for the
accounting that may not be longer than six years and may not include dates
before April 14, 2003.
Right to Request Restrictions. You have the right to request a
restriction on the treatment information we use or disclose about you. We
are not required to agree to your request. If we do agree, we will comply
with your request, unless the information is needed to provide you emergency
treatment. To request a restriction, you must make your request in writing
to the The Haven’s Privacy Officer. In your request, you must tell us what
information you want to restrict, and to whom you want the restriction to
Right to Request Confidential Communications. You have the right to
request that we communicate with you about treatment matters in a certain
way or at a certain location if you believe that you will be otherwise
endangered. For example, you can ask that we only contact you at a certain
telephone number or address. To request confidential communications, you
must make your request in writing to The Haven’s Privacy Officer. We will
accommodate all reasonable requests. Your request must specify how or where
you wish to be contacted.
Right to Paper Copy of this Notice. All women are given a copy of this
notice when they enter The Haven. It is in their Resident Manual.
The Haven reserves the right to change this notice. The Haven reserves
the right to make the revised notice effective for your treatment
information that The Haven already has about you, as well as any information
we will receive following the revision. The Haven will post a copy of the
current notice at its main office. The notice will contain the effective
date at the bottom of each page. The Haven will make you aware of any
revisions by posting the revised notice in the main office.
If you believe your privacy rights have been violated, you may submit
your complaint in writing to The Haven’s Privacy Officer, 1107 E. Adelaide,
Tucson, Arizona 85719. For questions, you may contact the The Haven’s
Privacy Officer at (520) 623-4590. If we cannot resolve your concern, you
also have the right to file a written complaint with CPSA and the United
States Secretary of the Department of Health and Human Services. The quality
of your care will not be jeopardized nor will you be penalized for filing a
OTHER USES AND DISCLOSURES
Other uses and disclosures of your treatment information not covered by
this notice will be made only with your written authorization. If you
provide us with written authorization to use or disclose your treatment
information, you may revoke that authorization, in writing, at any time. If
you revoke your authorization, The Haven will no longer use or disclose your
treatment information for the reasons covered by the authorization. The
Haven is unable to take back any disclosures already made, based on your