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Notice of Privacy Practices

This notice describes how information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Understanding Your Health Record/Information
Each time you receive healthcare services at Good Neighbor Healthcare Center, a record of your visit is made. Depending on the services you receive, the records could contain information that identifies who you are, and information about your health, including things like your symptoms, examination or test results, diagnoses, treatment, and plans for future care. This information (your health or medical record) could be used:

  • In planning your care and treatment
  • To share important information among the health professionals who contribute to your care
  • As a legal document describing the care you received
  • As documentation by which you or a third party payer can verify that services billed were actually provided
  • As a tool in educating health professionals
  • As a source of data for medical research
  • As a source of information for public health officials to use in improving the health of the nation
  • As a source of data for Good Neighbor Healthcare Center planning and marketing, and improvements in the care we give

Understanding what is in your record and how your health information is used can help you ensure its accuracy, better understand who, what, when, where, and why others may access your health information, and make more informed decisions when authorizing disclosure to others

Your Health Information Rights:
Although your health record is the physical property of Good Neighbor Healthcare Center, the information belongs to you. You have the right to:

  • Request a restriction on certain uses and disclosures of your information (a written request form is available)
  • Obtain a paper copy of this notice upon request
  • Inspect and receive a copy of your health record. This may not include psychotherapy notes. You must submit your request in writing to our Chief Operating Officer at Good Neighbor Healthcare Center 190 Heights Blvd., Houston, TX 77007, 713-529-3597 (a written request form is available). There may be a fee for the costs of copying, mailing, labor, and supplies. Your request may be denied wholly or in part under certain limited circumstances; however, you may request a review of our denial. Another licensed health care professional chosen by us will conduct reviews.
  • Request an amendment to your health record (a written request form is available). In certain cases we may deny your request for an amendment, for example, if we think your records are complete and correct as they are, or if you request changes to records not created by Good Neighbor Healthcare Center. You have the right to file a written disagreement if your request is denied, and we may prepare a rebuttal to your disagreement and will provide you with a copy. To file an amendment, your request must be in writing and must be submitted to our Chief Operating Officer at Good Neighbor Healthcare Center 190 Heights Blvd., Houston, TX 77007, 713-529-3597
  • Obtain an accounting of certain disclosures of your health information (a written request form is available. A fee will apply if more than 1 request is made in a 12 month period.) Contact our Chief Operating Officer at Good Neighbor Healthcare Center 190 Heights Blvd., Houston, TX 77007, 713-529-3597 to proceed with obtaining an accounting of disclosures reportable to you.
  • Request communication of your health information by alternative means or at alternative locations (a written request form is available). This request may be made directly to staff providing services to you
  • Revoke any authorization you have given to use or disclose health information except to the extent that action has already been taken (the revocation must be in writing, and sent to our Risk Compliance Manager at Good Neighbor Healthcare Center PO. Box 66308, Houston, TX 77266-6308, 713-830-3000)

Our Responsibilities:
Good Neighbor Healthcare Center is required to:

  • Maintain the privacy of your health information in accordance with the applicable laws and regulations
  • Provide you with this notice of our legal duties and privacy practices regarding information we collect and maintain about you
  • Abide by the terms of this notice
  • Notify you if we are unable to agree to a requested restriction
  • Grant reasonable requests to communicate health information by alternative means or at alternative locations

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. If our information practices change, a revised notice will be issued for the agency, which will be available to you the next time you receive services at Good Neighbor. Our most current notice of privacy practices will always be prominently posted in the lobbies of Good Neighbor Healthcare Center facilities, and on our website (

We will not use or disclose your health information without your authorization, except as described on this notice.

For more information or to Report a Problem
If you have questions and would like additional information, you may contact the Chief Operating Officer at Good Neighbor Healthcare Center 190 Heights Blvd., Houston, TX 77007, 713-529-3597.

If you believe your privacy rights have been violated, you can file a complaint with the Privacy Office, or with the Secretary of Health and Human Services. There will be no retaliation for filing a complaint. Written forms are available.

Examples of Disclosures for Treatment, Payment, and Health Operations
We will use your health information for treatment. For example: Information obtained by a member of your healthcare team will be recorded in your record and used and shared with other members of your healthcare team to make treatment decisions for you. We may also give your doctor or another provided involved in your care who have been referred to outside of Good Neighbor Healthcare Center information from your records, or copies various reports, when that information is needed to assist them in giving you quality health care services.

We will use your health information to obtain payment for services. For example: A bill or record of services provided to you may be sent to a payer. The information sent may include information that identifies you, as well as your diagnosis, procedures performed, and supplies or medication used.

We will use your health information for regular health operations. For example: Members of the staff, or members of the quality improvement team may use information in your health record to assess the care and outcomes in your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the healthcare and services we provide.

Other Uses or Disclosures
Business Associates: There are some services provided in our organization through contracts with business associates. Examples include medical record storage and services for destruction of old records. When these services are contracted, these business associates will have access to your records to perform the job we’ve asked them to do. To protect your health information, we require the business associate to legally agree to do so.

Research: We may disclose information to researchers when their research has been approved by an Institutional Review Board that has reviewed the research proposal and established procedures to ensure the privacy of your health information.

Marketing: We may contact you with appointment reminders or information about services that may interest you.

Fund Raising: We may contact you as a part of a fund raising effort.

Food and Drug Administration (FDA): We may disclose to the FDA health information about adverse events (health problems, “side effects”) with respect to food,
supplements, product and product defects or post marketing surveillance information to enable product recalls, repairs, or replacements.

Workers Compensation: We may disclose health information to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law.

Public Health: As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.

Correctional Institution: Should you be an inmate of a correctional institution, we may disclose to the institution or agents thereof, health information necessary for your health, and the health and safety of others.

Law Enforcement: We may disclose health information for law enforcement purposes as required by law, or in response to a valid subpoena or court order. Federal law allows your health information to be released to an appropriate health oversight agency, public health authority or attorney, if a staff member or business associate believes in good faith that we have acted unlawfully or have violated professional or clinical standards and may be endangering one or more patients, workers, or the public.