How Virtual Psychiatric Care Independent Professional Healthcare Providers May Use and Disclose PHI – Special Situations
Your record will not be disclosed unless you direct your provider to do so or unless the law compels your provider to do so. Information communicated is protected by professional ethics and state and federal law required by the Health Insurance Potability & Accountability Act (HIPPA). Your medical records will not be disclosed unless you provide specific written consent. There are exceptions to this confidentiality, where disclosure is mandatory. These include the following:
• When there is a threat of harm to yourself your health care provider is required to seek immediate hospitalization. Your provider will likely seek the aid of family members or friends to ensure your safety.
• Emergencies: Your protected health information will be disclosed if there is an emergency as needed to enable people to care for you. Otherwise you must sign a release to be able to talk to any family, friends, etc
• Insurance Companies: There are some that require treatment plans, diagnosis, progress notes, or the entire record, which is part of your permanent record. A consent form must be signed by you before the release of such information.
• Disclosure to health oversight agencies: Healthcare providers are legally obligated to disclose protected health information to certain government agencies, including the Federal Department of Health and Human Services.
• Disclosure to child protection agencies: Providers will disclose protected health information as needed to comply with state law requiring reports of suspected incidents of child abuse or neglect or elder abuse or neglect.
• If you seriously threaten to harm another individual, your provider must warn that individual and the authorities.
• If a court orders your provider to testify about you, your provider must do so.
• If you are being treated under court order, findings must be reported to the court.
• Insurance company or EAP may be given information to the insurance company or their agent about your diagnosis and treatment.
• To public health authorities;
• To law enforcement officials in some circumstances;
• To correctional institutions regarding inmates;
• To federal officials for lawful military or intelligence activities;
• To coroners, medical examiners and funeral directors;
• To researchers involved in approved research projects; and as otherwise required by law.