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ADMINISTRATIVE/GENERAL ADMIN: 12.1.1

PAGE: 2
HIPAA COMPLIANCE – USES AND DISCLOSURES OF: 4

REVISED: 01/24
EFFECTIVE: 01/2024 REVIEWED: 01/24

• Contacting the patient to provide appointment reminders or information about other health activities the
agency provides;
• Contacting the patient to raise funds for the agency;
• Other health care providers to initiate treatment.

To use or disclose information about the patient without consent or authorization in the following
circumstances:

• In emergency treatment situations,
• Where substantial barriers to communicating with you exist and we determine that the consent is clearly
inferred from the circumstances;
• Where we are required by law to provide treatment and we are unable to obtain consent;
• Where the use or disclosure of medical information about you is required by federal, state, or local law;
• To provide information to state or federal public health authorities, as required by law to: prevent or
control disease, injury, or disability; report births and deaths; report child abuse or neglect; report reactions to
medications or problems with products; notify persons of recalls of products they may be suing; notify a
person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or
condition; and notify the appropriate government authority if we believe a patient has been the victim of
abuse, neglect, or domestic violence (if you agree or when required or authorized by law);
• Health care oversight activities such as audits, investigations, inspections, and licensure by a government
health oversight agency as authorized by law to monitor the health care system, government programs, and
compliance with civil rights laws;
• Certain judicial administrative proceedings if you are involved in a lawsuit or a dispute. We may disclose
medical information about you in response to a court or administrative order, a subpoena, discovery request,
SAMPLE
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;
• Certain law enforcement purposes such as helping to identify or locate a suspect, fugitive, material
witness or missing person, or to comply with a court order or subpoena and other law enforcement purposes;
• To funeral directors, coroners and medical examiners, in certain circumstances, for example, to identify
a deceased person, determine the cause of death, or to assist in carrying out their duties;
• For organ, eye, or tissue donation purposes to communicate to organizations involved in procuring,
banking, or transplanting organs and tissues (if you are an organ donor);
• For certain research purposes under very select circumstances. We may use your health information for
research. Before we disclose any of your health information for such research purposes, the project will be
subject to an extensive approval process. We will usually request your written authorization before granting
access to your individually identifiable health information;
• To avert serious threat to health and safety: To prevent or lessen a serious and imminent threat to the
health or safety of a particular person or the general public, such as when a person admits to participation in
a violent crime or serious harm to a victim or is an escaped convict. Any disclosure, however, would only be
to someone able to help prevent the threat;
• For specialized government functions, including military and veterans’ activities, national security and
intelligence activities, protective services for the President and others, medical suitability determinations,
correctional institution and custodial situations;
• For Workers’ Compensation purposes: Workers’ Compensation or similar programs provide benefits for
work-related injuries or illness.