Synergy Sobriety Solutions operates the https://www.synergysobrietysolutions.com website, which provides adult (ages 18 and older) Substance Use and Co-occurring Treatment Disorder services.
We are required by applicable federal and state laws to maintain the privacy of your protected health information. PHI is information that may identify you and that relates to your past, present, or future physical or mental health/condition and related health care services. We will not use or disclose PHI about you without your written authorization – except as described in this notice. We are required to give this notice about privacy practices, our legal duties, and your rights concerning your PHI. We must follow the privacy practices that are described in this notice while it is in effect. This notice took effect on May 8, 2020, and will remain in effect until we replace it. This page is used to inform website visitors regarding our policies with the collection, use, and disclosure of Personal Information if anyone decided to use our Service.
Information Collection and Use
For a better experience, while using our Service, we may require you to provide us with certain personally identifiable information, including but not limited to your name, phone number, and postal address. We are the sole owners of the information collected on the site. The information that we collect will be used to contact or identify you. We never sell your personal information to third parties.
We also collect non-personally identifiable information through such devices like analytics, cookies, and log files, which may include, but is not limited to, your IP (internet protocol) address, your ISP (internet service provider), the Web browser you used to visit the Site, the time visited the Site, which Web Pages you visited on the Site, and other anonymous Site usage data.
We may share information with governmental agencies or other companies assisting us in fraud prevention or investigation. Under no circumstances do we rent, trade, or share your address or e-mail address with any other company for their marketing purposes without your consent. We may do so when: (1) permitted or required by law; or (2) trying to protect against or prevent actual or potential fraud or unauthorized transactions; or (3) investigating fraud that
has already taken place. The information is not provided to these companies for marketing purposes.
We want to inform you that whenever you visit our Service, we collect information that your browser sends to us which is called Log Data. This Log Data may include information such as your computer Internet Protocol address, browser version, pages of our Service that you visit, the time and date of your visit, the time spent on those pages, and other statistics.
Cookies are files with a small amount of data that is commonly used as an anonymous unique identifier. These are sent to your browser from the website that you visit and are stored on your computer’s hard drive. Cookies can also enable us to track and target the interests of our users to enhance the experience on our site. Our website uses these cookies to collect information and to improve our Service. You have the option to either accept or refuse these cookies and know when a cookie is being sent to your computer. If you choose to refuse our cookies, you may not be able to use some portions of our Service. Usage of a cookie is in no way linked to any personally identifiable information on our site.
We may employ third-party companies and individuals due to the following reasons:
• To facilitate our Service;
• To provide the Service on our behalf;
• To perform Service-related services; or
• To assist us in analyzing how our Service is used.
We want to inform our Service users that these third parties have access to their Personal Information. The reason is to perform the tasks assigned to them on our behalf. However, they are obligated not to disclose or use the information for any other purpose.
We value your trust in providing us with your Personal Information, thus we are striving to use commercially acceptable means of protecting it. We take the necessary precautions to protect your information. When you submit sensitive information via the website, your information is protected both online and offline. Wherever we collect sensitive information, that information is encrypted and securely transmitted to us. You can verify this by looking for “HTTPS” at the beginning of the address of the web page. While we use encryption to protect sensitive information transmitted online, we also protect your information offline. Only employees who need the information to perform a specific job are granted access to personally identifiable information. The computers/servers in which we store personally identifiable information are kept in a secure environment. The safety and security of your information also depend on you. We urge you to be careful about giving out information in public areas of the site like message boards. Unfortunately, no data transmission over the Internet or any wireless network can be guaranteed to be 100% secure. As a result, while we strive to protect your Personally
Identifiable Information, you acknowledge that: (a) there are security and privacy limitations of the Internet which are beyond our control; (b) the security, integrity, and privacy of any information and data exchanged between you and us through this Site cannot be guaranteed; and (c) any such information and data may be viewed or tampered with in transit by a third party.
Links to Other Sites
Our Services do not address anyone under the age of 13. We do not knowingly collect personally identifiable information from children under 13. In the case we discover that a child under 13 has provided us with personal information, we immediately delete this from our servers. If you are a parent or guardian and you are aware that your child has provided us with personal information, please contact us so that we will be able to do the necessary actions.
Notice of Privacy Practices
This notice describes how information about you and your treatment may be used and disclosed and how you may gain access to this information.
This organization is required by law to maintain the privacy and confidentiality of your health information and to provide you with notice of its legal duties and privacy practices concerning your health information. Please also respect the privacy of others you encounter in treatment.
Information regarding your health care, including payment for health care, is protected by two federal laws: the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), 42 U.S.C. & 1320d et seq., 45 C.F.R. Parts 160 & 164, and the Confidentiality Law, 42 U.S.C &
290dd-2, 42 C.F.R. Part 2. Under these laws, Synergy Sobriety Solutions may not say to a person outside Synergy Sobriety Solutions that you attend the program, nor may Synergy Sobriety Solutions disclose any information except as permitted by federal law.
Synergy Sobriety Solutions must obtain your written consent before it can disclose information about you for the payment process. For example, Synergy Sobriety Solutions must obtain your written consent before it can disclose information to your health insurer to be paid for services. You must also sign a written consent before Synergy Sobriety Solutions can share information for treatment purposes or health care operations. However, federal law permits Synergy Sobriety Solutions to disclose information without your written permission:
1. Under an agreement with a Qualified Service Organization.
2. For research, audit, or evaluations.
3. To report a crime committed on Synergy Sobriety Solutions’ premises or against Synergy Sobriety Solutions personnel.
4. To medical personnel in a medical emergency.
5. To appropriate authorities to report suspected child abuse or neglect.
6. As allowed by a court order.
For example, Synergy Sobriety Solutions can disclose information without your consent to obtain legal or financial services, or to another medical facility to provide health care to you, as long as there is a Qualified Service Organization Agreement in place. Before Synergy Sobriety Solutions can use or disclose any information about your health in a manner that is not described above, it must obtain your specific written consent allowing it to make the disclosure. Any such written consent may be revoked by you either verbally in person or writing.
Synergy Sobriety Solutions collects health information about you and stores it in an electronic health record. This is your medical record. The medical record is the property of Synergy Sobriety Solutions, however, the information in the medical record belongs to you. The Health Insurance Portability and Accountability Act (HIPAA) requires our agency to maintain the privacy of your medical record. HIPAA requires that any uses or disclosures of information in your medical record be limited to the minimum necessary to the purposes of the uses or disclosures. HIPAA also provides you certain rights concerning the information in your medical record which is described below.
Information relating to your treatment is protected by federal regulations specific to drug and alcohol treatment, which are known as 42 CFR Part 2. These regulations protect the confidentiality of information relating to the identity, diagnosis, prognosis, or treatment of any person in a drug or alcohol treatment program. Synergy Sobriety Solutions may not disclose records relating to your treatment without your written consent, except in narrowly limited circumstances. Under 42 CFR Pt 2, the terms of written consent to disclose information must specify the scope and types of information to be disclosed, the parties to whom the information may be disclosed, the purpose of the disclosure, and the timeframe of the consent. You may revoke consent to disclose information relating to drugs and alcohol verbally or in writing at any time.
At Synergy Sobriety Solutions, we ask for your written consent to disclose treatment information for certain purposes, including releasing treatment information to or obtaining information from your other medical providers, obtaining payment from insurance or other payors, contacting your family and/or support persons either for treatment purposes or in the case of a medical or another emergency. Synergy Sobriety Solutions will not disclose your treatment information for these purposes without your written consent.
Synergy Sobriety Solutions may disclose treatment information without your written consent under certain narrow circumstances as permitted by 42 CFR Part 2. For treatment purposes, Synergy Sobriety Solutions is permitted to use and disclose treatment information internally and to entities with which it shares administrative control. Synergy Sobriety Solutions staff may disclose treatment information to outside auditors, regulatory agencies, and evaluators and for certain research purposes. Synergy Sobriety Solutions may disclose treatment information without your written consent, when necessary, in a life-threatening medical emergency, and may disclose to report a crime on the premises or against personnel. Lastly, information may be disclosed without consent where the state mandates child abuse and neglect reporting; when the cause of death is being reported; or when required by a valid court order that contains specifically required findings. Our Alumni staff may contact you to share information about your treatment experience or to send you reminder notices of future events.
Your Health Information Rights
In addition to protecting privacy and confidentiality, HIPAA and 42 CFR Part 2 afford you the following rights concerning your medical record and drug or alcohol treatment information:
1. You have the right to a paper copy of this written notice of the agency’s privacy practices.
2. You have a right to request a copy of your treatment record or to receive your health information through a reasonable alternative means or at an alternative location. The agency requires that all such requests be put in writing. A reasonable fee will be charged for copying your health information.
3. You have a right to request that the agency amends health information that is incorrect or incomplete. If the agency determines not to amend the health information, it will provide you with an explanation of the reason for the denial and your right to disagree with the denial.
4. You have a right to request restrictions on otherwise permitted uses and disclosures of your health information. The agency is not obligated to comply with such requests.
5. You may request that we provide you with a written accounting of all disclosures made by us during a specific period (not to exceed 6 years). We ask that such requests be made in writing on a form provided by our facility. Please note that accounting will not apply to any of the following types of disclosures: disclosures made with your written consent for reasons of treatment, payment, or health care operations; disclosures made
to you or your legal representative, or any other individual involved with your care. You will not be charged for your first accounting request in any 12 months. However, for any requests that you make thereafter, you will be charged a reasonable, cost-based fee
6. Your health information cannot be given to your employer, used, or shared for things like sales calls or advertising unless you give your permission by signing a consent form. You must cancel your authorization in writing. The authorization form will give you instructions on where to send the written notice or will direct you to another place to find this information.
7. You have the right to correct any mistakes in your health information. Any request to change a health record must be submitted in writing.
8. You have a right to revoke consent to one or more parties and leave the rest of the consent in effect.
Changes to this Notice of Privacy Practices
We reserve the right to improve this Notice of Privacy Practices at any time moving forward and make the new provisions effective for all information that it maintains, including information that was created or received before the date of such modification. Until amendment is made, we remain in compliance with this Notice as required by law. If our privacy practices change, we will provide all current and forthcoming clients with a copy of the revised Notice of Privacy Practices.
Complaints Regarding Privacy Practices
Complaints about this Notice of Privacy Practices and/or managing your health information should be directed to:
Synergy Sobriety Solutions, LLC
Chief Executive Officer
8895 North Military
Trail Ste 101E,
Palm Beach Gardens, FL 33410
If you are not satisfied with how this office oversees a complaint, you may submit a formal complaint to one of the regional U.S Department of Health and Human Services Offices for Civil Rights. A list of these offices can be found online at: https://www2.ed.gov/about/offices/list/ocr/addresses.html