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Your Information. Your Rights. Our Responsibilities.

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.

 

You have the right to:

  • Get a copy of your paper or electronic medical record
  • Correct your paper or electronic medical record
  • Request confidential communications
  • Ask us to limit the information we share
  • Get a list of those with whom we’ve shared your information
  • Get a copy of this privacy notice
  • Choose someone to act for you
  • File a complaint if you believe your privacy rights have been violated

 

Your Right to Get a Copy of Your Record

You can ask to see or get a 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 summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

 

Your Right to Correct Your Record

You can ask us to correct health information about you that you think is incorrect or incomplete. We may deny your request, but we will tell you why in writing within 60 days.

 

Your Right to 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 say yes to all reasonable requests.

 

Your Right to 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 item in full out-of-pocket, you can ask us not to share that information with your health plan for payment or health care operations purposes. We will agree to your request unless a law requires us to share that information.

 

Your Right to Get a List of Disclosures

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 will include all disclosures except those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make).

We will provide one accounting a year for free but may charge a reasonable fee if you ask for another within 12 months.

 

Your Right to Get a Copy of This Notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive it electronically.

 

Your Right to 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.

 

Your Right to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services.

 

You may file a complaint with:

Privacy Officer
Key Works
10344 14th Ave S, Seattle WA 98168
(206)-767-0244

You may also file a complaint with:

U.S. Department of Health & Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
1-877-696-6775
www.hhs.gov/ocr/privacy/hipaa/complaints/

We will not retaliate against you for filing a complaint.

 

Your Choices

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

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 share your information if we believe it is in your best interest or necessary to prevent 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

 

Special Protection for Substance Use Disorder Records

Key Works provides substance use disorder treatment services. The confidentiality of substance use disorder patient records maintained by this program is protected by federal law and regulations (42 CFR Part 2).

Generally, we may not disclose information identifying you as having or having had a substance use disorder unless:

  • You provide written consent
  • The disclosure is allowed by a court order
  • The disclosure is made to medical personnel in a medical emergency
  • The disclosure is otherwise permitted by federal law

Federal law prohibits recipients of substance use disorder information from redisclosing it unless expressly permitted by your written consent or as otherwise permitted by law.

A violation of 42 CFR Part 2 is a federal offense.

 

How do we typically use or share your health information?

Treatment

We can use your health information and share it with other professionals who are treating you to provide, coordinate, or manage your care. This includes residential substance use disorder treatment and co-occurring mental health services.

Operations & Compliance

We can use and share your health information to operate our residential treatment program, improve your care, comply with federal and Washington State licensing requirements, conduct quality improvement activities, and contact you when necessary.

Bill for Your Services

We can use and share your health information to bill and obtain payment from Medicaid, or other third-party payers.

 

How Else Can We Use or Share Your Health Information?

We may also share your health information:

  • To comply with federal or Washington State laws
  • To report suspected abuse, neglect, or exploitation
  • For public health and safety purposes
  • To prevent or lessen a serious threat to health or safety
  • For health oversight activities, including audits, investigations, inspections, and licensing
  • In response to court orders, subpoenas, or other lawful processes
  • For workers’ compensation claims

Washington State Law

Washington law (RCW 70.02) may provide additional protection for certain health information, including mental health treatment information, substance use disorder treatment information, HIV/AIDS information, sexually transmitted disease testing and treatment, and genetic testing information.

When Washington law provides greater privacy protection than federal law, we follow Washington law.

 

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information, protect substance use disorder treatment records under 42 CFR Part 2, provide you with this notice of our legal duties and privacy practices, follow the terms of this notice, and notify you if a breach occurs that may have compromised the privacy or security of your information.

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 by notifying us in writing.

 

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 facility, and on our website.

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html. 

 

Updated March 2026