THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
We are required by law to maintain the privacy of your health information and to give you notices of our legal duties and privacy practices with respect to your protected health information. This Notice summarizes our duties and your rights concerning your protected health information and substance abuse disorder records. Our duties and your rights are set forth more fully in the Health Insurance Portability and Accountability Act (45 C.F.R. part 164) (“HIPAA”) and the federal law and regulations governing the confidentiality of substance abuse disorder records (42 U.S.C. § 290dd-2, 42 C.F.R. Part 2). We are required to abide by the terms of our Notice that is currently in effect
Springboard Arizona is committed to protecting your privacy and developing technology that gives you the most powerful and safe online experience. This Statement of Privacy applies to the Springboard Arizona website and governs data collection and usage. By using the Springboard Arizona website, you consent to the data practices described in this statement.
Collection of your Personal Information
Springboard Arizona collects personally identifiable information, such as your e-mail address, name, home or work address or telephone number. Springboard Arizona also collects anonymous demographic information, which is not unique to you, such as your ZIP code, age, gender, preferences, interests and favorites.
There is also information about your computer hardware and software that is automatically collected by Springboard Arizona. This information can include: your IP address, browser type, domain names, access times and referring website addresses. This information is used by Springboard Arizona for the operation of the service, to maintain quality of the service, and to provide general statistics regarding use of the Springboard Arizona website.
Please keep in mind that if you directly disclose personally identifiable information or personally sensitive data through Springboard Arizona public message boards, this information may be collected and used by others. Note: Springboard Arizona does not read any of your private online communications.
Springboard Arizona encourages you to review the privacy statements of websites you choose to link to from Springboard Arizona so that you can understand how those websites collect, use and share your information. Springboard Arizona is not responsible for the privacy statements or other content on websites outside of the Springboard Arizona and Springboard Arizona family of websites.
Use of your Personal Information
Springboard Arizona collects and uses your personal information to operate the Springboard Arizona website and deliver the services you have requested. Springboard Arizona also uses your personally identifiable information to inform you of other products or services available from Springboard Arizona and its affiliates. Springboard Arizona may also contact you via surveys to conduct research about your opinion of current services or of potential new services that may be offered.
Springboard Arizona does not sell, rent or lease its customer lists to third parties. Springboard Arizona may, from time to time, contact you on behalf of external business partners about a particular offering that may be of interest to you. In those cases, your unique personally identifiable information (e-mail, name, address, telephone number) is not transferred to the third party. In addition, Springboard Arizona may share data with trusted partners to help us perform statistical analysis, send you email or postal mail, provide customer support, or arrange for deliveries. All such third parties are prohibited from using your personal information except to provide these services to Springboard Arizona, and they are required to maintain the confidentiality of your information.
Springboard Arizona does not use or disclose sensitive personal information, such as race, religion, or political affiliations, without your explicit consent.
Springboard Arizona keeps track of the websites and pages our customers visit within Springboard Arizona, in order to determine what Springboard Arizona services are the most popular. This data is used to deliver customized content and advertising within Springboard Arizona to customers whose behavior indicates that they are interested in a particular subject area.
Springboard Arizona websites will disclose your personal information, without notice, only if required to do so by law or in the good faith belief that such action is necessary to: (a) conform to the edicts of the law or comply with legal process served on Springboard Arizona or the site; (b) protect and defend the rights or property of Springboard Arizona; and, (c) act under exigent circumstances to protect the personal safety of users of Springboard Arizona, or the public.
What We Do Not Do With Your Information
Information about your financial situation and medical conditions and care that you provide to us in writing, via email, on the phone (including information left on voicemails), contained in or attached to applications, or directly or indirectly given to us, is held in strictest confidence.
We do not give out, exchange, barter, rent, sell, lend, or disseminate any information about applicants or clients who apply for or actually receive our services that are considered patient confidential, restricted by law, or specifically restricted by a patient/client in a signed HIPAA consent form.
Uses and Disclosures of Information That We May Make Without Your Written Authorization
Information is only used as is reasonably necessary to process your application or to provide you with health or counseling services which may require communication between SpringBoard and health care providers, medical product or service providers, pharmacies, insurance companies, and other providers necessary to verify your medical information is accurate and determine the type of medical supplies or health care services you need. This is including, but not limited to, or to obtain or purchase any type of medical supplies, devices, medications, or insurance.
If you apply or attempt to apply to receive assistance through us and provide information with the intent or purpose of fraud or that results in either an actual crime of fraud for any reason including willful or un-willful acts of negligence whether intended or not, or in any way demonstrates or indicates attempted fraud, your non-medical information can be given to legal authorities including police, investigators, courts, and/or attorneys or other legal professionals, as well
We may use or disclose your protected health information for the following purposes without your written authorization:
Internal Program Communications
Our personnel may disclose your health information between or among themselves if they have a need for the information in connection with their duties that arise out of the provision of diagnosis, treatment, or referral for treatment of patients with substance use disorders.
Crimes on Program Premises or Against Program Personnel
We may disclose your health information to law enforcement officers to the extent the disclosure is directly related to crimes and threats to commit crimes on our premises or against our personnel.
Child Abuse Reporting
We may disclose your health information as required by state law to report suspected child abuse and neglect to appropriate state or local governmental authorities.
We may disclose your health information to medical personnel to the extent necessary to meet a bona fide medical emergency in which your prior informed consent for the disclosure cannot be obtained.
We may disclose your health information in response to a valid court order.
Audit and Evaluation Activities
We may disclose your health information to qualified persons who are conducting an audit or evaluation of our program.
We may disclose your health information for medical research purposes, subject to your authorization or approval by an institutional review board.
Qualified Service Organizations and/or Business Associates
We may disclose your health information under contracts for services with qualified service organizations and/or business associates outside of our program, which assist our program in providing health care.
Appointments and Services
We may use or disclose your health information to send you appointment reminders, or to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. Please advise us if you do not wish to receive such communications, and we will not use or disclose your information for such purposes. If you wish not to receive this kind of communication, you must advise us in writing at our contact address given above.
Uses and Disclosures of Information That We May Make With Your Written Authorization
We may use and disclose protected health information in the following instances only with your written authorization:
With your written authorization, we may disclose your protected health information to healthcare providers outside our program so that they may help treat you.
With your written authorization, we may use or disclose your protected health information so that we, or other healthcare providers, may obtain payment for treatment provided to you. For example, we may disclose information from your medical records to your health insurance company to obtain pre-authorization for treatment or submit a claim for payment.
With your written authorization, we may use or disclose your protected health information for certain healthcare operations that are necessary to run our program and ensure that our patients receive quality care. For example, we may use information from your medical records to review the performance or qualifications of physicians and staff; train staff; or make business decisions affecting the program.
Notes recorded by your mental health professional documenting the contents of a counseling session with you, which are known as “psychotherapy notes,” will be used only by your provider and will not otherwise be used or disclosed without your written authorization unless otherwise required by law.
We will not use your health information for marketing communications without your written authorization.
Limited Right to Use Non-Identifying Personal Information From Biographies, Letters, Notes, and Other Sources:
Any pictures, stories, letters, biographies, correspondence, or thank you notes sent to us become the exclusive property of SpringBoard. We reserve the right to use non-identifying information about our clients (those who receive services or goods from or through us) for fundraising and promotional purposes that are directly related to our mission.
Clients will not be compensated for use of this information and no identifying information (photos, addresses, phone numbers, contact information, last names or uniquely identifiable names) will be used without the client’s express advance permission.
You may specifically request that NO information be used whatsoever for promotional purposes, but you must identify any requested restrictions in writing. We respect your right to privacy and assure you no identifying information or photos that you send to us will ever be publicly used without your direct or indirect consent.
The Springboard Arizona website use “cookies” to help you personalize your online experience. A cookie is a text file that is placed on your hard disk by a webpage server. Cookies cannot be used to run programs or deliver viruses to your computer. Cookies are uniquely assigned to you, and can only be read by a web server in the domain that issued the cookie to you.
One of the primary purposes of cookies is to provide a convenience feature to save you time. The purpose of a cookie is to tell the web server that you have returned to a specific page. For example, if you personalize Springboard Arizona pages, or register with Springboard Arizona site or services, a cookie helps Springboard Arizona to recall your specific information on subsequent visits. This simplifies the process of recording your personal information, such as billing addresses, shipping addresses, and so on. When you return to the same Springboard Arizona web site, the information you previously provided can be retrieved, so you can easily use the Springboard Arizona features that you customized.
You have the ability to accept or decline cookies. Most web browsers automatically accept cookies, but you can usually modify your browser setting to decline cookies if you prefer. If you choose to decline cookies, you may not be able to fully experience the interactive features of the Springboard Arizona services or websites you visit.
For questions, comments or complaints about use of personal information, please contact:
11624 E Shea Blvd, Scottsdale, AZ 85259, United States
Security of your Personal Information
Springboard Arizona secures your personal information from unauthorized access, use or disclosure. Springboard Arizona secures the personally identifiable information you provide on computer servers in a controlled, secure environment, protected from unauthorized access, use or disclosure. When personal information (such as a credit card number) is transmitted to other websites, it is protected through the use of encryption, such as the Secure Socket Layer (SSL) protocol.
Changes to this Statement
Springboard Arizona will occasionally update this Statement of Privacy to reflect company and customer feedback. Springboard Arizona encourages you to periodically review this Statement to be informed of how Springboard Arizona is protecting your information.