PATIENT RIGHTS AND PRIVACY PRACTICES
Policy on Non-Discriminatory Practices
This policy ensures services are accessible to all individuals by providing accommodations for disabilities and language needs, educating staff and patients on civil rights protections, and establishing clear grievance and compliance procedures to uphold accountability and foster respect and fairness.
It applies to all employees, contractors, volunteers, stakeholders, and representatives of the organization, governing all aspects of service delivery, patient interactions, and internal operations in compliance with civil rights laws.
Under federal civil rights law, discrimination is strictly prohibited. Services must be provided equitably to all eligible individuals regardless of background or circumstances. This includes:
Physical and programmatic accessibility for individuals with disabilities, including auxiliary aids (e.g., sign language interpreters, Braille materials) and necessary policy modifications.
Free interpretation and translation services.
Regular staff training is essential to maintain a respectful and inclusive environment. Grievance procedures allow individuals to report discrimination or service concerns without fear of retaliation. Patients will receive written and verbal information about their rights, including confidentiality and non-discrimination policies, along with the grievance process.
Grievance Procedure: Grievances can be filed using the website listed below. All grievances and complaints will be investigated promptly, with corrective actions taken as needed.
https://www.friendsforall.org/contactus-1
The organization conducts regular internal audits to assess compliance with civil rights policies and submits required reports to HRSA and other oversight bodies. The Compliance Department coordinates with Human Resources and management to review complaints. Violations may result in disciplinary action, including termination or legal actions.
By adhering to these principles, the organization ensures fair and respectful treatment for all patients, fostering a supportive and welcoming environment.
Notice of Privacy Practices
This notice describes how your health information may be used and disclosed and how you can access this information. Please review it carefully.
Protected Health Information (PHI) includes demographic and health information that identifies you and relates to your physical or mental health. We create and maintain records of services you receive, as required by law, to provide care and maintain privacy.
Permitted Uses and Disclosures:
Treatment: To provide you with medical services.
Payment: To obtain payment for services provided.
Operations: For quality assessments, business management, and administrative activities.
Other authorized disclosures include:
Public health activities (e.g., reporting disease outbreaks).
Health oversight activities (e.g., audits, inspections).
Legal requirements (e.g., court orders, subpoenas, law enforcement purposes).
Research (with appropriate approvals and consent when applicable).
Emergencies, including suicide or homicide threats with identified victims.
Workers' compensation or similar programs.
Your Rights:
Request restrictions on certain uses and disclosures (though we are not required to agree).
Request confidential communications.
Inspect and copy your health information.
Request amendments to your health information.
Receive an accounting of disclosures.
Obtain a paper copy of this notice.
Complaints: If you believe your privacy rights have been violated, contact our Privacy Officer at compliance@friendsforall.org or file a complaint with the Department of Health and Human Services. We will not retaliate against you for filing a complaint.
Acknowledgment and Authorization: We will ask you to sign a form acknowledging receipt of this Notice. Written authorization is required before sharing your health information outside our agency, except in specific circumstances outlined here.
Business Operations: We may share your health information with companies providing business services under contracts requiring privacy protection.
Communication and Education: We may contact you about services, treatment alternatives, and health-related benefits or provide educational materials.
Disclosures to Family and Emergency Contacts: With your authorization, we may share health information with family members or emergency contacts. In emergencies or when substantial communication barriers exist, disclosures may occur without consent if necessary for care.
Legal and Safety Requirements: Disclosures may occur:
To prevent or lessen serious threats to health or safety.
To comply with workers' compensation laws.
To report abuse, neglect, or domestic violence consistent with federal and state laws.
For law enforcement and judicial proceedings as required by law.
Compliance with Federal Requirements: Disclosures may be made to the Department of Health and Human Services to investigate compliance with federal law. Research disclosures will occur only after appropriate approvals and, when required, consent.