This notice describes how medical and alcohol or drug related information about you may be used and / or disclosed and how you can obtain access to this information.

Laws Covering this Information:

Information regarding health care records, including payment for health care, is protected by two Federal laws:

  1. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) 42 USC 1320d et seq., 45 CFR parts 160 & 164; and
  2. The Confidentiality Law, 42 USC 290dd-2, 42CFR Part 2.

Your Information…Your Rights

When it comes to your health information, you have the right to the following:

Obtain an electronic or paper copy of your medical record

  • You can ask to see or obtain an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
  • We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

  • You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
  • We may decline your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

  • You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
  • We will comply with all reasonable requests.

Ask us to limit what we use or share

  • You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
  • If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

Get a list of those with whom we’ve shared information

  • You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why we shared it.
  • We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting at no cost to you, but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

  • If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
  • We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

  • You can complain if you feel we have violated your rights by contacting us at 201 North Federal Hwy, Second Floor, Deerfield Beach, FL 33441 – ATTN: HIPAA Compliance Department or by calling 954-422-1949.
  • You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting
  • We will not retaliate against you for filing a complaint.


Your Information…Your Choices

For certain health information, you can tell us your choices about what we share.

If you have a clear preference for how we share your information in the situations described below, talk to us.

Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both 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

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

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

In the case of Almuni / Monthly calls or fundraising:

  • We may contact you for alumni calls or possibly for fundraising efforts, but you can tell us not to contact you again and we will honor your request


Our Uses and Disclosures

How do we typically use or share your health information?

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


When treating you:

We can use your health information and share it with other professionals who are treating you.

Example: A therapist treating you for trauma asks another therapist about your initial assessment.


When running our organization:

We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Example: We use health information about you to manage your treatment and services.


When billing for your services:

We can use and share your health information to bill and obtain payment from health plans or other entities.

Example: We give information about you to your health insurance plan so it will pay for your services.


How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions of the law before we can share your information for these purposes. For more information see:

Helping with public health and safety issues

We can share health information about you for certain situations such as:

  • Preventing disease
  • Helping with product recalls
  • Reporting adverse reactions to medications
  • Reporting suspected abuse, neglect, or domestic violence
  • Preventing or reducing a serious threat to anyone’s health or safety
  • Crimes on program premises or against program personnel or other clients; and
  • Client is in danger or threat to themselves or others.
  • Suspected Child or Elderly abuse or neglect.

Conducting research

We can use or share your information for health research.

Compliance with the law

We will share information about you if state or federal laws require it, including the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

  • Regarding Federal Laws:
    Violation of the federal laws and regulations by a program is a crime.
    Suspected violations may be reported to appropriate authorities in accordance with federal regulations.

    Federal laws and regulations do not protect any information about a crime committed by a
    client either at the program or against any person who works for the program or about any
    threat to commit such a crime. Federal laws and regulations do not protect any information
    about suspected child abuse or neglect from being reported under state law to appropriate
    state and local authorities.

Responding to organ and tissue donation requests

We can share health information about you with organ procurement organizations.

Working with a medical examiner or funeral director

We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Addressing workers’ compensation, law enforcement, and other government requests

We can use or share health information about you:

  • For workers’ compensation claims
  • For law enforcement purposes or with a law enforcement official
  • With health oversight agencies for activities authorized by law
  • For special government functions such as military, national security, and presidential protective services

Responding to lawsuits and legal actions

We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Your Information…Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see:

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 web site.

Other Information

  • The effective date of this notice is 09/27/2013
  • If you have any questions, the privacy representative at our facility is Marisa Way. She can be contacted at or 954-422-1949.
  • For more information regarding privacy, including information obtained via our website contact form, please see
  • Before GCRS can disclose information about medical record and status in treatment that is
    not otherwise mentioned, the facility must first obtain specific written consent allowing the
    disclosure. Any such written consent may be revoked by the individual in writing at any time.
    Also: GCRS is not permitted to prevent law enforcement from completing their duties.
    That is, while a client at GCRS, the individual is not protected from being taken into custody by
    law enforcement due to open warrants for arrest or outstanding crimes that may have been