What Information We Collect
In order to contact us via email from any page in our website we collect your name, phone number, and email address, insurance information, date of birth, and .
Cookies are small data files transferred from our website to your computer’s hard drive. These cookies are ‘session’ cookies only, and do not remain on your computer after you leave our website. The cookies are used on this page to facilitate the collection of information. If you turn off cookies in your browser, you may not be able to complete this form.
Use of Your Personal Information
We use your personal information collected on our email form to answer your emails and provide you with the information requested. Information provided with this email form is not shared with or sold to any outside parties. Information collected from our website is used only for evaluation purposes in establishing a personal alcohol and drug rehab program. This information is only available to our staff and is not shared with or sold to any outside parties. Maple Mountain Recovery prohibits the use of any personal information other than the use stated above.
By submitting information, you assume all liability for your use of this Web site and agree to hold harmless and indemnify Maple Mountain Recovery from and against any claims or liabilities pertaining to the information collected on our website.
Privacy for Children
Maple Mountain Recovery is an addiction and mental health treatment center. We only provide treatment for individuals 18 years of age or older. As such, our website is not structured to attract anyone under the age of 18, nor do we knowingly collect any information from individuals under the age of 18.
Maple Mountain Recovery is responsible for safeguarding both the record and its’ informational content against loss, defacement and tampering, and from use by unauthorized individuals. Documentation that is computerized is accessed by password. Medical records may be removed from the facility’s jurisdiction and safekeeping only in accordance with a court order.
- Written consent of the resident or the resident’s legally qualiﬁed representative is required for the release of medical information to persons not authorized to receive the information.
- When certain portions of the medical record are so conﬁdential that extraordinary means are necessary to preserve their privacy, these portions may be stored separately, provided the complete record is readily available when required for current care or follow-up or use in performance improvement activities.
- 2.1 The medical record will state that a portion has been ﬁled elsewhere in order to alert authorized personnel of its existence.
- No information concerning a resident is accessible to anyone who is not an employee in the facility or through legal instrument, such as a court order to possess or receive records in place of the resident.
- 3.1. Written consent is not required for the use of the medical record for any of the following purposes:
- 3.1.1. Automated data processing of designated information;
- 3.1.2. Use in activities concerned with the monitoring and evaluation of the quality of care; and
- 3.1.3. Ofﬁcial licensing or accreditation surveys for facility compliance.
- Entries in the medical record are made only by individuals involved in the care and treatment of the resident.
- All entries in the medical record are dated and authenticated. All employee signatures are kept with corresponding typed signatures for purposes of authentication.
- 5.1. Rubber stamp signatures are not authorized.
- Sections of the medical record that are the responsibility of the physician are authenticated by the physician.
- Each clinical event is documented as soon as possible after its occurrence.
- Medical records with speciﬁc deﬁciencies that can be completed by a health care provider are termed incomplete records.
- Records of discharged residents are completed with 30 days following discharge.
- A medical record is considered “complete” when the required contents, including the discharge summary, are assembled and authenticated and when all ﬁnal diagnoses and any complications are recorded, without the use of symbols or abbreviations.
- The medical record indicates when a portion of the record has been ﬁled elsewhere, in order to alert authorized personnel of its existence.
- The facility information systems policies and procedures include security and back-up information. The system uses password codes with assigned levels of access.
- Facility staff is educated on release of information conﬁdentiality policies and procedures.
NOTE: The resident and / or guardian will be assured that the provision of services is not contingent upon his / her decision concerning the release of any information.
Whether the information concerning the resident is obtained during the course of one’s regular duties or accidentally overheard while performing one’s work, employees must refrain from discussing such information with unauthorized persons within or outside of the facility or ofﬁce in order to insure the client’s right to privacy.
All information regarding the Maple Mountain Recovery, its personnel, residents and operating procedures is strictly conﬁdential.
Any violation of conﬁdentiality is considered a violation of patient rights and cause for immediate termination.
The Privacy Rule provides patients with new Federal privacy rights, including the right to request restrictions of uses and disclosures of PHI, and the right to access, amend, and receive an accounting of disclosures of PHI. See 45 CFR §§164.522, 164.524, 164.526,164.528.
1. Right to request a restriction of uses and disclosures
The Privacy Rule requires that programs allow patients to request that the program restrict uses or disclosures of PHI for the purpose of treatment, payment or health care operations and for involvement in the patient’s care and notification under 45 CFR §164.510(b). The program is not required to agree to a requested restriction. If, however, a program agrees to a restriction, the program may not then violate the agreed-upon restriction, except for emergency treatment purposes, so long as the program requests that the emergency treatment provider not further use or disclose the PHI. A covered entity may terminate the agreement to a restriction, effective after the patient has been informed of the termination. See 45 CFR §164.522(a).
The Privacy Rule gives the individual the right to request that communication of PHI be done by alternative means or to alternative locations (confidential communications). See 45 CFR §164.522(b)(1)(i). This might include the right to request that mail and telephone calls be limited to home or office location. The Privacy Rule requires programs to accommodate reasonable requests.
2. Right to access PHI
Neither Part 2 nor the Privacy Rule requires programs to obtain written consent from individuals before permitting them to see their own records. Likewise, neither rule prohibits a program from giving a patient access to his or her own records, including the opportunity to inspect and copy any records that the program maintains about the patient. 42 CFR §2.23. Except in cases where records may put client at rick because if mental instability. However, the Privacy Rule permits programs to require that such requests be in writing. See 45 CFR §164.524(b)(1). The Privacy Rule provides patients with a right of access to inspect and obtain a copy of their PHI. See 45 CFR §164.524(a)(1).
Last Updated On January 22, 2020