Privacy Policy
We understand that privacy is a very important matter. Our work requires us to gather your personal health information (PHI) in order to provide services. We create a record of the services that you receive and you can trust us to keep your records confidential and secure.
Collecting Information: We collect personal health and insurance information about you in order to provide you with services. Under State and Federal Law we are required to protect the privacy of your personal health information (PHI).
Confidentiality and Security: We restrict access to your PHI only to employees who need the information to provide you with services. We maintain physical, electronic and procedural safeguards to comply with all laws and regulations to protect the privacy of your PHI.
Information Use: We do not sell your PHI to outside mailing lists or telemarketing companies. We will add your name to Alpha One’s mailing list in order to provide you with information on disability related services and products. We will contact you to schedule appointments or discuss services via the telephone, e-mail, or postal mail. You can specify the way you want us to communicate if it is necessary to protect your interests.
Information Disclosure: We use and disclose your PHI so that our staff can provide you with Services and/or Treatment, to obtain Payment and to perform service delivery Operations (TPO). We review your PHI so that we can determine your program eligibility and sources of funding. The PHI that is disclosed may include: your name, address, social security number, phone number, diagnosis and disability, the name of your insurance provider, the insurance policy and coverage, reports/contact notes and copayments. Any other use or disclosure of your information (for Non-TPO purposes as described above) will require your written authorization. If you end your business with us, we will continue to restrict use of you personal health information as if you were still a consumer.
Your Rights: You have the right to restrict our use of your personal health information, to review and copy your record information, to request changes to your information, to find out who we have disclosed your information to, and to file a complaint about our Privacy practices. If you file a complaint, we will take no action against you or change your services in any way.
To file a written Privacy complaint contact Dennis Fitzgibbons at; 127 Main St. South Portland ME 04106 1-800-640-7200 (v/tty)
We reserve the right to amend this notice at any time.
