1. You have the right to request access to your medical record in order to inspect, copy, amend or correct it. This right is not absolute. In certain situations- such as if access would cause harm- CS can deny access. You must make this request in writing to your therapist/case manager or to the CS Consumer Coordinator.
2. You have the right to receive at any time an accounting of CS disclosures of your medical record.
3. You have the right to request a restriction with regard to the use or disclosure of your medical record. This request will be given serious consideration and you will be informed promptly whether CS will be able to use the restriction and still offer effective services, receive payment and maintain health care operations. Legally CS is not required to abide by any restrictions you request.
4. You have the right to receive information from CS at the location you specify and through the means you prefer; for example via telephone or through the mail.
5. You have the right to a paper copy of this notice. This document is also available here. www.pwcgov.org/csb.

1. In order  to provide treatment effectively your therapist/case manager may consult with various service providers within CS (e.g. psychiatrist Emergency Services staff). During those consultations, health information about you may be shared.
2. In order to receive payment for services provided, your health information may be sent to those companies or groups responsible for payment. In addition,  CS sends a monthly bill to the responsible party identified by you and noted on your financial form.
3. In day-to-day business practices, trained staff may handle your physical medical record in order to have the record assembled and available for review by your therapist/case manager and to file documentation. Certain data elements are entered into CS’s computer system that processes most billing and provides statistical reporting to the Department of Mental Health, Mental Retardation and Substance Abuse Services (DMHMRSAS). As a part of CS’s quality improvement efforts, your record may be reviewed by professional staff to assure accuracy and completeness.

1. Appointment reminders by telephone or letter
2. Description or recommendation of treatment service alternatives
3. Provision of information about health-related benefits and services that may be of interest to you.

1. As required by law and limited to the relevant requirements of the law.
2. For public health activities – to the Health Department to prevent or control disease.
3. On behalf of children or incapacitated adults who are victims of abuse, neglect or exploitation – to report as required by law any suspicion of abuse, neglect or exploitation.
4. For health oversight activities – review by the Department of Medical Assistance (Medicaid).
5. Judicial and administrative proceedings – in response to a court order.
6. Law enforcement purposes –  to report criminal conduct that occurs on CS property.
7. Dead persons – to assist coroners and medical examiners to identify a deceased person or to determine cause of death.
8. For research in conformity with relevant state laws.
9. To avert a serious threat to health and safety – to yourself or someone else.
10. Specialized government functions – for protection of the President of the United States.
11. Workers’ Compensation – to comply with laws related to Worker’s Compensation.

Privacy Notice en Espanol