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  1. Our Commitment to You: We at Jewish Family Services (JFS) understand that the information we collect about you and your health is personal. Keeping your health information confidential and secure is one of our most important responsibilities. We keep a record of the care and services you receive at this agency. We need this record to provide you with quality care and to comply with certain legal requirements. We are committed to protecting your health information and to following all state and federal laws regarding the protection of your health information. This notice tells you how we may use or release your health information. It also tells you about your rights and JFS’ requirements concerning the use and disclosure of your health information. We are required by law to:
  1. Who will follow this notice: This notice describes the practices of JFS and that of:
    • Any other program directly operated by JFS
    • Any student or member of a volunteer group we allow to help you while you are in our care
    • All employees, staff, and other personnel of JFS
  2. Your Health Information Rights: You have the following rights regarding health information we have about you:
  1. How we may use and disclose health information about you: Your health information, which includes any information that relates to your past, present, or future health/mental health condition (which might include your photograph), may be used and released by JFS for the purposes of providing treatment to you, obtaining payment for services, for administrative and operational purposes, and to evaluate the quality of the services you receive.  We have listed some common examples of permitted uses and disclosures below.
  1. What is NOT Covered Under this Notice?
  1. Jewish Family Services:
    Jewish Family Services is required by state and federal law to maintain the privacy of your health information. We are required to give you this notice of our legal duties and privacy practices with respect to the health information that JFS collects and maintains about you. We are required to follow the terms of this notice.This notice describes and gives some examples of the permitted ways that your health information may be used or released. Release of your information outside of the boundaries of JFS related treatment, payment, or operations, or as otherwise permitted by state or federal law, will be made only with your written authorization. You may revoke specific authorizations to release your health information, in writing, at any time. If you revoke an authorization, we will no longer release your health information to the authorized person, except to the extent that we have already used or released that information in reliance on your original authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care we have provided to you.We reserve the right to revise this notice. We reserve the right to make the revised notice effective for health information we already have about you as well as any information we create or receive in the future. We will post a copy of the current notice in the agency and will provide a copy of our revised notice to you upon request. In addition, each time you are admitted to the agency for treatment, we will offer you a copy of the current notice in effect. The notice will contain on the first page, in the top right-hand corner, the effective date.
  2. For More Information or to Report a Problem:
    If you believe your privacy rights have been violated, you may file a complaint with any or all of the agencies listed below. There will be no penalty or retaliation for filing a complaint:Jewish Family Services
    255 East Ave, Suite 201, Rochester, NY 14604Office for Civil Rights
    Phone: 866-OCR-PRIV (866-627-7748) or TDD 877-521-2172 886-788-4989 TTY.Secretary of Health and Human Services
    200 Independence Avenue, SW, Federal Center for Deaf and Hearing Impaired: 1-800-877-8339
    Washington, D.C. 20201
    Toll Free Phone: 877-696-6775To obtain more information about Jewish Family Services privacy practices, to receive additional copies of this notice, or to receive request forms to access or amend your health information, please contact:Jewish Family Services
    Barbara Connor – (585) 506-3056
    255 East Ave, Suite 201, Rochester, NY 14604