Notice of Privacy Practices
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.
[LEGAL REVIEW REQUIRED] This document is a professionally drafted template and must be reviewed and approved by qualified legal counsel before publication.
Last updated: July 2, 2026
Our commitment to your privacy
The Garage Peer to Peer Recovery Services is required by law to maintain the privacy of your protected health information (“PHI”), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.
How we may use and disclose health information
- Treatment: To provide, coordinate, or manage your care and support services.
- Payment: To obtain payment or reimbursement for services, where applicable.
- Operations: For internal activities necessary to run our programs, such as quality improvement and training.
Uses and disclosures that require your authorization
Most uses and disclosures beyond treatment, payment, and operations require your written authorization, which you may revoke at any time in writing.
Special protection for substance use disorder records — 42 CFR Part 2
Records of the identity, diagnosis, prognosis, or treatment of any individual maintained in connection with the performance of any substance use disorder program are protected under federal law (42 CFR Part 2) and, where applicable, HIPAA.
Generally, we may not tell a person outside the program that you attend the program, nor disclose any information identifying you as having a substance use disorder, unless:
- You consent in writing;
- The disclosure is allowed by a court order; or
- The disclosure is made to medical personnel in a medical emergency, to qualified personnel for research or program evaluation, or as otherwise permitted by 42 CFR Part 2.
Violation of these federal rules by a program is a crime, and suspected violations may be reported to appropriate authorities. Federal law and regulations do not protect any information about suspected child abuse or neglect from being reported under state law to appropriate authorities.
Your rights
- To request restrictions on certain uses and disclosures.
- To inspect and obtain a copy of your health information.
- To request amendments to your information.
- To receive an accounting of certain disclosures.
- To request confidential communications.
- To receive a paper copy of this Notice.
- To file a complaint if you believe your privacy rights have been violated.
Complaints
You may file a complaint with us or with the U.S. Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.
Contact
To exercise any of these rights or ask questions, contact us at (513) 555-0123 or [email protected].
[CONTENT NEEDED: Confirm Privacy Officer contact, effective date, and any Ohio-specific provisions with legal counsel before publication.]