MHAGC/Bridge2Help Personal Information
When you visit BRIDGE2HELP.ORG, we do not collect any personal information about you unless you choose to provide that information to us. You do not have to give any personal information to visit this website OR to book an appointment with a therapist.
If you choose to give information about yourself in an email message, form, or survey, we will keep the information private. The bridge2help.org site is a secure site and is HIPPA compliant.
Information Automatically Collected and Stored in Web Server Logs
When you browse through any website, some information about you can be collected. Our web server software automatically collects and temporarily stores the following information about each visit:
- The IP address of your computer is accessible through the Zoom software we use
- The domain you use to access the Internet
- The date and time of the visit
- The pages you visit
- The website you came from, if any
We use this information for statistical purposes and to help us make our site more useful to visitors. We do not require your email address. We don’t collect any other information without your knowledge.
The Mental Health Association of Greater Chicago – and its Bridge2Help Service do not disclose, give, sell, or transfer any personal information about website visitors, unless required for law enforcement or by law or if someone indicates they are going to harm themselves or others and then it will be to provide the ip address – if available to us – to the proper authorities. To Avert a Serious Threat to Health or Safety. We may use and disclose Health Information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Disclosures, however, will be made only to someone who may be able to help prevent the threat.
For Health Care Operations. We may use and disclose Health Information for health care operations purposes. These uses and disclosures are necessary to make sure that all of our patients receive quality care and to operate and manage our office. For example, we may use and disclose information to make sure the obstetrical or gynecological care you receive is of the highest quality. We also may share information with other entities that have a relationship with you (for example, your health plan) for their health care operation activities
We may use and disclose Health Information for your treatment and to provide you with treatment-related health care services. If you approve for us to share we may disclose Health Information to doctors, nurses, technicians, or other personnel, and others outside our office, who are involved in your medical care and need the information to provide you with medical/mental health care.
For site security purposes and to ensure that this service remains available to all users, we use software programs to monitor traffic to identify unauthorized attempts to upload or change information, or otherwise cause damage. In the event of authorized law enforcement investigations, and pursuant to any required legal process, information from these sources may be used to help identify an individual.
You have the following rights regarding Health Information we have about you:
Right to Receive a copy of your records and therapist notes. You have a right to Health Information that may be used to make decisions about your care. This includes medical and billing records, other than psychotherapy notes. To inspect and copy this Health Information, you must make your request, in writing, to the Mental Health Association of Greater Chicago. We have up to 30 days to make your Protected Health Information available to you and we may charge you a reasonable fee for the costs of copying, mailing or other supplies associated with your request.
Right to an Electronic Copy of Electronic Medical Records. If your Protected Health
Information is maintained in an electronic format (known as an electronic medical record or an electronic health record), you have the right to request that an electronic copy of your record be given to you or transmitted to another individual or entity. We will make every effort to provide access to your Protected Health Information in the form or format you request, if it is readily producible in such form or format. If the Protected Health Information is not readily producible in the form or format you request your record will be provided in either our standard electronic format or if you do not want this form or format, a readable hard copy form. We may charge you a reasonable, cost-based fee for the labor associated with transmitting the electronic medical record.
Right to Get Notice of a Breach: You have the right to be notified upon a breach of any of your unsecured Protected Health Information.
Right to Amend. If you feel that the health Information we have is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our office. To request an amendment, you must make your request, in writing, to Mental Health Association of Greater Chicago, Inc.
Right to an Accounting of Disclosures. You have the right to request a list of certain
disclosures we made of Health Information for purposes other than treatment, payment and health care operations or for which you provided written authorization. To request an accounting of disclosures, you must make your request, in writing, to Mental Health Association of Greater Chicago, Inc.
Right to Request Restrictions. You have the right to request a restriction or limitation on the Health Information we use or disclose for treatment, payment, or health care operations. You also have the right to request a limit on the Health Information we disclose to someone involved in your care or the payment for your care, like a family member or friend. For example, you could ask that we not share information about a particular diagnosis or treatment with your spouse. To request a restriction, you must make your request, in writing, to Mental Health Association of Greater Chicago, Inc. We are not required to agree to your request unless you are asking us to restrict
the use and disclosure of your Protected Health Information to a health plan for payment or health care operation purposes and such information you wish to restrict pertains solely to a health care item or service for which you have paid us “out-of-pocket” in full. If we agree, we will comply with your request unless the information is needed to provide you with emergency treatment.
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you by mail or at work. To request confidential communications, you must make your request, in writing, to the Mental Health Association of Greater Chicago, Inc. Your request must specify how or where you wish to be contacted. We will accommodate reasonable requests.
Right to a Paper Copy of This Notice.
You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice. You may obtain a copy of this notice at our web site, www.mhagcusa.org. To obtain a paper copy of this notice.
CHANGES TO THIS NOTICE:
We reserve the right to change this notice and make the new notice apply to Health Information we already have as well as any information we receive in the future.
If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. To file a complaint with our office, contact Mental Health Association of Greater Chicago, Inc. All complaints must be made in writing. You will not be penalized for filing a complaint.
You may contact our office at:
Mental Health Association of Greater Chicago
6323 N. Avondale Avenue, Suite 252
Chicago, IL 60631
Systems of Records
We are required by law to:
§ Maintain the privacy of protected health information
§ Give you this notice of our legal duties and privacy practices regarding health information about you
§ Follow the terms of our notice that is currently in effect