Mental Health Partnerships Privacy Policy

Notice of Privacy Practices

Effective Date: March 20, 2025

This 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.

Contact Information

Mental Health Partnerships
833 Chestnut St., 11th Floor, Philadelphia, PA 19107
Phone: 215-751-1800
Email: compliance@mhphope.org

Your Rights

You have the right to:

• Get an electronic or paper copy of your medical record
• Ask us to correct your health record
• Request confidential communications
• Ask us to limit what we use or share
• Get a list of those with whom we’ve shared your information
• Get a copy of this privacy notice
• Choose someone to act for you
• File a complaint if you feel your rights are violated

Your Choices

You have the right and choice to tell us to:

• Share information with your family, close friends, or others involved in your care
• Share information in a disaster relief situation
• Include your information in a hospital directory
• Contact you for fundraising efforts

In these cases, we never share your information unless you give us written permission:

• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes

Our Uses and Disclosures

We typically use or share your health information in the following ways:

• Treat you: Share with other professionals who are treating you
• Run our organization: Improve care and contact you
• Bill for your services: Bill and collect payment from health plans or other entities

Additional ways we may use or share your information:

We are allowed or required to share your information in other ways that contribute to the public good, such as:

• Preventing disease
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect, or domestic violence
• Complying with public health and safety laws
• Health research
• Complying with laws, including with HHS
• Responding to organ and tissue donation requests
• Working with medical examiners or funeral directors
• Addressing workers’ compensation, law enforcement, and other government requests
• Responding to lawsuits and legal actions

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will notify you promptly if a breach occurs that may have compromised your information.
• We must follow the duties and privacy practices described in this notice and give you a copy.
• We will not use or share your information other than as described here unless you give us written permission. You may revoke permission at any time in writing.

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Mental Health Partnerships
833 Chestnut St., 11th Floor, Philadelphia, PA 19107
Phone: 215-751-1800
Email: compliance@mhphope.org

Or with the U.S. Department of Health and Human Services:
Office for Civil Rights
200 Independence Avenue, S.W., Washington, D.C. 20201
Phone: 1-877-696-6775
Website: www.hhs.gov/ocr/privacy/hipaa/complaints/

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We will not retaliate against you for filing a complaint.

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This Notice of Privacy Practices applies to:

Mental Health Partnerships (MHP), 833 Chestnut St., 11th Floor, Philadelphia, PA 19107.