Privacy And Confidentiality
By law we are required to: (1) assure medical information that identifies you is kept private, (2) give you a copy of our Privacy Practices and legal duties with respect to medical information about you, and (3) follow the terms of the Privacy Notice that is currently in effect.
Nova Behavioral Health, Inc. will only disclose medical information with your written permission to do so. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization.
If you believe your rights have been violated, you may file a complaint with the agency or with the Secretary of the Department of Health and Human Services.• All complaints must be in writing.• To file a complaint with the agency, contact the Privacy Officer.• We will investigate all complaints and you will not be penalized or discriminated against for filing a complaint.• If you wish to file a complaint with the Secretary of the Department of Health and Human Services, you may send the complaint to:
7500 Security Boulevard, C5-24-04
Baltimore, Maryland• 21244
If you have any questions about this notice please contact:
Marlene Crane, Privacy Officer
937-253-1680 ext. 212