Geauga County Board of Mental Health & Recovery Services
Phone 440-285-2282 •
GEAUGA COUNTY BOARD OF MENTAL HEALTH AND RECOVERY SERIVES NOTICE OF PRIVACY PRACTICES
EFFECTIVE APRIL 14, 2003
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.
If you have any questions about this Notice, please contact Bethany Matthews at (440)285-2282.
OUR PLEDGE REGARDING YOUR HEALTH INFORMATION
We may also receive personal information about you from others, such as:
The information we collect from others may include, for example, eligibility, claims and payment information. We create and maintain a record of your enrollment in the public mental health and or drug addiction and substance abuse system of the State of Ohio, and maintain records of payment for treatment you receive in the public system. From time to time, we also receive information from your treatment provider related to your diagnosis, treatment and progress in recovery, and any major unexpected emergencies or crises you may experience that help the Board to plan for and improve the quality of services for the region's citizens.
When you receive services paid for in part or in full by the ADAMH
Board, we may use your personal information for such activities
as conducting our normal board business known as health care operations.
If the services we paid for were mental health services, we may
also use your personal information for billing for such services.
If you have a guardian or a power of attorney we will provide the
information to your guardian or attorney in fact. Examples of how
we use your information include:
Sharing Your Personal Information
All other uses and disclosures, not described in this notice, require your signed authorization. You may revoke your authorization at any time with a written statement.
We maintain physical, electronic and procedural safeguards that comply with applicable federal and state laws and regulations to guard your personal information against unauthorized use or disclosure. Any third party processor or consultant used by the Board has signed an agreement with us requiring such entity to maintain the confidentiality of your personal information. We also restrict access to your personal information to those employees who need to know the information in order to perform their job duties. The Board maintains policies and procedures that prohibit employees and agents of the Board from using, disclosing, transferring, providing access to or otherwise divulging client health information to any person or entity other than to the individual who is the subject of the information.
You have the following rights regarding the health information we maintain about you: