HIPPA Acknowledgment Behavioral Health Network ~ Dr. Joseph Schembri Jr.
In accordance with the privacy regulations promulgated under the Health Insurance Portability and Accountability Act, 45 (forty-five) CFR parts 160 and 164 (the “Privacy Regulations”), Dr. Joseph Schembri Jr. and Behavioral Health Network understand and agree to abide by the Facility privacy policies and to not use or further disclose a patient’s personal health information except as expressly permitted by the Agreement or as otherwise authorized in writing by the patient through a consent or authorization meeting the requirements of the Privacy Regulations. Dr. Schembri and Behavioral Health Network may only use a patient’s personal health information for the sole purpose of treatment, and/or health care operations and may not release any information to unauthorized parties. Dr. Schembri and Behavioral Health Network agree to implement appropriate safeguards to prevent the unauthorized use and disclosure of any patient’s personal health information received by Facility under this Agreement. If any unauthorized disclosure of personal health information occurs, Dr. Schembri and Behavioral Health Network shall immediately contact the patient to inform them of the disclosure and any remedial action taken to prevent further disclosures.
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