Our Commitment To Privacy
Your privacy is important to us. To better protect your privacy we provide this notice explaining our online information practices and the choices you can make about the way your information is collected and used. To make this notice easy to find, we make it available on every page of our website.
The Information We Collect:
This notice applies to all information collected or submitted on the Clovernook Center for the Blind and Visually Impaired website. On some pages, you can make requests, and register to receive materials or make secure donations. The types of personal information collected at these pages are:
On some pages, you can submit information about other people. For example, if you order a gift online and want it sent directly to the recipient, you will need to submit the recipient's address. In this circumstance, the types of personal information collected are:
Credit/Debit Card Information
The Way We Use Information:
We use the information you provide about yourself when making a donation online to complete that donation and send an acknowledgement. Your name and address is also added to our organizational mailing list and you may receive information via U.S. Mail including, but not limited to appeal letters, newsletters, event announcements and Annual Reports. You may opt out of these mailings any time by contacting the Fund Development Department at Clovernook at 513-522-3860 or emailing
firstname.lastname@example.org. We do not share this information with outside parties.
We use the information you provide about someone else when making a donation to provide acknowledgement that a donation has been made. Additionally, these names and addresses are also added to our organizational mailing list and may receive information via U.S. Mail including, but not limited to appeal letters, newsletters, event announcements and Annual Reports. You may opt out of these mailings any time by contacting the Fund Development Department at Clovernook at 513-522-3860 or emailing
email@example.com. We do not share this information with outside parties.
We use return email addresses to answer the email we receive. Such addresses are not used for any other purpose and are not shared with outside parties.
We use non-identifying and aggregate information to better design our website and to share with advertisers. For example, we may tell an advertiser that X number of individuals visited a certain area on our website, or that Y number of men and Z number of women filled out our registration form, but we would not disclose anything that could be used to identify those individuals.
Finally, we never use or share the personally identifiable information provided to us online in ways unrelated to the ones described above without also providing you an opportunity to opt-out or otherwise prohibit such unrelated uses.
Our Commitment To Data Security
To prevent unauthorized access, maintain data accuracy, and ensure the correct use of information, we have put in place appropriate physical, electronic, and managerial procedures to safeguard and secure the information we collect online.
How To Contact Us
Should you have other questions or concerns about these privacy policies, or how we gather and use information, please call us at 513-522-3860 or email
Clovernook Center for the Blind and Visually Impaired NOTICE OF PRIVACY PRACTICES
Effective Date: April 14, 2003
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.
WHO WILL FOLLOW THIS NOTICE?
This Notice describes the practices of Clovernook Center for the Blind and Visually Impaired and the practices that will be followed by all Clovernook Center for the Blind and Visually Impaired employees who handle your medical information.
OUR PLEDGE REGARDING YOUR PROTECTED HEALTH INFORMATION
Clovernook Center for the Blind and Visually Impaired understands that medical information about you and your health is personal. We are committed to protecting medical information about you. We maintain our records and conduct our treatment environment with a goal of providing the highest level of protection for your medical information, while still providing you with the highest level of medical care. This Notice applies to all of the records of your medical care which are received or created by Clovernook Center for the Blind and Visually Impaired.
Your other medical treatment providers (e.g., doctors, hospitals, home health agencies, etc.) may have different policies or notices regarding the use and disclosure of your medical information.
This Notice will tell you about the ways in which Clovernook Center for the Blind and Visually Impaired may use and disclose medical information about you. Your medical information, also referred to as protected health information, is that information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health information and related health care services. In this Notice, we also describe your rights and certain obligations Clovernook Center for the Blind and Visually Impaired has regarding the use and disclosure of protected health information. We are required by law to:
- make sure that medical and other information that identifies you (protected health information) is kept private;
- give you this Notice of our legal duties and privacy practices with respect to protected health information about you; and
- follow the terms of the Notice that is currently in effect.
USES AND DISCLOSURES FOR TREATMENT, PAYMENT AND HEALTH CARE OPERATIONS
By becoming a patient of Clovernook Center for the Blind and Visually Impaired you are giving consent for Clovernook Center for the Blind and Visually Impaired to use your protected health information for certain activities, including treatment, payment and other health care operations.
First of all, we may use and disclose protected health information about you so that Clovernook Center for the Blind and Visually Impaired and its medical professionals can treat you. For example, the results of your most recent eye examination. We may also use and disclose protected health information about you so that we may be paid for the medical treatment we provide you. For example, your Medicare or other health insurance identifying information. We may also use and disclose protected health information about you for health care operations, in 2 other words, those other tasks that we need to perform to make sure that you are provided the highest quality of medical care. For example, the filing and maintenance of your records.
The following uses of your protected health information may be made without any additional authorization from you. (Not every use or disclosure is listed, but be assured that all uses and disclosures made by Clovernook Center for the Blind are only those which are permitted under the law):
USES AND DISCLOSURES FOR APPOINTMENT REMINDERS
We may use and disclose your medical information to contact you as a reminder that you have an appointment at the office. If you request that such communications be made confidentially, please contact our office in writing at 7000 Hamilton Ave., Cincinnati, Ohio 45231. We will accommodate all reasonable requests.
USES AND DISCLOSURES TO OTHERS INVOLVED IN YOUR HEALTH CARE
We may disclose to a member of your family, a relative, a close friend, or any other person you identify, your protected health information that directly relates to that person’s involvement in your medical care. If you are unable to agree or object to this disclosure, we may disclose such information as necessary if we determine that it is in your best interests based on our professional judgment. We may also use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition, or death. Finally, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your health care.
USES AND DISCLOSURES IN EMERGENCY SITUATIONS
We may use or disclose your protected health information in an emergency treatment situation. If this happens, your physician will attempt to obtain your acknowledgment of this Notice as soon as reasonably practicable after the delivery of treatment.
USES AND DISCLOSURES FOR HEALTH-RELATED BENEFITS OR SERVICES
From time to time, Clovernook Center for the Blind and Visually Impaired may use and disclose protected health information to tell you about certain health-related benefits or services that may be of interest to you.
USES AND DISCLOSURES REQUIRED BY LAW
We will use or disclose protected health information about you when required to do so by federal, state, or local law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, if the law requires us to do so, of any such uses or disclosures. We must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the law.
USES AND DISCLOSURES FOR PUBLIC HEALTH ACTIVITIES
We may disclose your protected health information for public health activities and disclosure for such purposes will be to a public health authority that is permitted by law to collect or receive the information. The disclosure will be made for purposes such as controlling disease, injury or disability. Disclosures to public health authorities may include disclosure to a foreign authority that is working with the public health authority.
USES AND DISCLOSURES RELATED TO COMMUNICABLE DISEASES
3 We may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.
DISCLOSURES FOR HEALTH OVERSIGHT ACTIVITIES
We may disclose protected health information to a health oversight agency for activities authorized by law. These activities include, for example, audits, investigations, and inspections. These activities are necessary for the government to monitor the health care system, the delivery of health care, government benefit programs, other government regulatory programs and civil rights laws.
DISCLOSURES OF ABUSE OR NEGLECT
We may disclose your protected health information to a public health authority authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your protected health information if we believe that you have been a victim of abuse, neglect or domestic violence to a governmental entity or agency authorized to receive such information. In such cases, the disclosure will only be made in accordance with Ohio law.
DISCLOSURES TO THE FOOD AND DRUG ADMINISTRATION
We may disclose your protected health information to a person or company required by the Food and Drug Administration (FDA) to report adverse events, product defects or other problems, biologic product deviations, track products; to enable product recalls; to make repairs or replacements; or to conduct post-market surveillance, as required.
DISCLOSURES FOR LAWSUITS AND DISPUTES
If you are involved in a lawsuit or a dispute, we may disclose protected health information about you in response to a court order or administrative order. We may also disclose protected health information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
DISCLOSURES TO LAW ENFORCEMENT
We may release protected health information if asked to do so by a law enforcement official, in response to a court order, subpoena, warrant, summons, or similar process. Other related disclosures may include disclosures relating to individuals who are Armed Forces personnel, to national security and intelligence agencies, as well as disclosures to authorized federal officials for the protection of the President of the United States or other authorized persons or foreign heads of state.
DISCLOSURES TO CORONERS, FUNERAL DIRECTORS, AND ORGAN DONATION
We may disclose protected health information about you to a coroner or medical examiner for identification purposes, determining cause of death, or for the coroner or medical examiner to perform other duties required by law. We may also disclose protected health information about you to a funeral director in order to permit the funeral director to carry out legal duties, and may do so if death is reasonably anticipated. Your protected health information may also be disclosed for certain organ donations to which you may have agreed.
DISCLOSURES FOR RESEARCH
We may disclose your protected health information to researchers when their research has been approved and protocols have been established to ensure the privacy of your information. We may also disclose a limited set of your information, as allowed under the law, for research purposes. 4
DISCLOSURES RELATED TO CRIMINAL ACTIVITY
We may disclose your protected health information, consistent with federal and Ohio laws, if we believe that the use or disclosure is necessary to prevent or lessen a serious or imminent threat to the health or safety of a person or the public, or if it is necessary for law enforcement authorities to identify or apprehend an individual.
DISCLOSURES FOR WORKERS’ COMPENSATION
We may release protected health information about you for workers’ compensation or similar programs. These programs provide benefits for work-related injuries or illness.
YOUR RIGHTS REGARDING PROTECTED HEALTH INFORMATION ABOUT YOU.
Right to Inspect and Copy. You have the right to inspect and copy protected health information that may be used to make decisions about your medical care. Usually this right includes both medical and billing records. You must submit your request in writing. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other supplies associated with your request. Your request to inspect and copy your information may only be denied in very limited circumstances and you have a right to request that any such denial be reviewed.
Right to Request Restrictions. You have the right to request that we restrict the use and disclosure of your protected health information for treatment, payment and health care operations. We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment. To request restrictions, you must make your request in writing to 7000 Hamilton Ave. Cincinnati, Ohio 45231. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure, or both; and (3) to whom you want the limits to apply.,p>Right to Confidential Communications. You also have the right to request to receive private health information communications (such as appointment confirmations) by alternative means or at alternative locations. For example, you can ask that we only contact you at work or by mail. To request confidential communications, you must make your request in writing to Clovernook Center for the Blind and Visually Impaired, 7000 Hamilton Ave., Cincinnati, Ohio 45231. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.
Right to Amend. If you feel that the protected health information we have about you is incorrect or incomplete, you have the right to request that your protected health information be amended. Only the health care entity (e.g., doctor, hospital, clinic, etc.) that created your protected health information is responsible for amending it. For more information regarding the procedures for submitting such a request, contact the Clovernook Center for the Blind and Visually Impaired Privacy Officer at 728-6226.
Right to an Accounting of Disclosures. You have a right to an accounting of disclosures of your protected health information, for purposes other than treatment, payment or health care operations by Clovernook Center for the Blind and Visually Impaired or any of the people or companies who perform treatment, payment or health care operations on our behalf. To request this list of disclosures we made of protected health information about you, you must submit a request in writing to Mike Walsh, Clovernook Center for the Blind and Visually Impaired 7000 Hamilton Ave. Cincinnati, Ohio 45231. Your request must state a time period which may not be longer than six (6) years prior to the date of your request and may not include dates before April 5 16, 2003. Your request should indicate the form in which you want the list (for example, on paper or electronically). You may be charged a processing fee for this request.
Right to a Paper Copy of this Notice. You have the right to a paper copy of this Notice. You may ask us to give you a copy of this notice at any time.
- You may obtain a copy of this Notice at our website: www.clovernook.org
- To obtain a paper copy of this Notice, contact Mike Walsh, (513) 728-6226
To learn more about these procedures, or to make any of these requests, you should contact Mike Walsh at (513) 728-6226.
CHANGES TO THIS NOTICE
Clovernook Center for the Blind and Visually Impaired reserves the right to change this notice. We reserve the right to make the revised or changed Notice effective for protected health information we already have about you, as well as any information we create or receive in the future. We will post a copy of the current Notice on Clovernook’s website: www.clovernook.org. The Notice will contain, in the top right-hand corner, the effective date.
If you believe your privacy rights have been violated and/or that Clovernook Center for the Blind and Visually Impaired has not followed this policy, you may file a complaint with Clovernook’s Privacy Officer, or with the Secretary of the Department of Health and Human Services. To file a complaint with Clovernook Center for the Blind and Visually Impaired, contact Mike Walsh, vice president of program services. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
OTHER USES OF PROTECTED HEALTH INFORMATION
Other uses and disclosures of your protected health information not covered by this notice or the laws that apply to Clovernook Center for the Blind and Visually Impaired will be made only with your written permission (“authorization”). If you provide us permission to use or disclose protected health information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose protected health information about you for the reasons covered by your authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the medical treatment or other services that we have provided to you.
If you have any questions regarding this notice, please contact Mike Walsh, vice president of program services, (513) 728-6226.
Clovernook Center for Blind and Visually Impaired's website has been designed to be as accessible as possible to all website visitors. As such this website has been created to be accessible to those with varying degrees of visual impairment and has been found to be compliant using the former Watchfire WebXact and Bobby systems. This site strives to be accessible to all, if you have found content that you are having difficulty accessing, please contact us at firstname.lastname@example.org and we will address the issue.