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<DIV>Greetings to all!</DIV>
<DIV>Received from Pamela Gaston, NJ CBVI.</DIV>
<DIV>Read, share and save.</DIV>
<DIV>Joe </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV style="FONT-SIZE: 12pt; FONT-FAMILY: 'Calibri'; COLOR: #000000">We
care. We
share. We grow. We make a difference<BR>Joe Ruffalo, President <BR>National
Federation of the Blind of New Jersey <BR>973 743
0075<BR>nfbnj1@verizon.net<BR><A
href="http://www.nfbnj.org">www.nfbnj.org</A></DIV>
<DIV style="FONT-SIZE: 12pt; FONT-FAMILY: 'Calibri'; COLOR: #000000">Raising
Expectations To Live The Life You Want!</DIV>
<DIV style="FONT-SIZE: 12pt; FONT-FAMILY: 'Calibri'; COLOR: #000000">Your
old
car keys can be keys to literacy for the blind.<BR>Donate your unwanted
vehicle
to us by clicking <BR>www.carshelpingtheblind.org <BR>or call 855 659
9314<BR></DIV>
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<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV><FONT size=3 face=Calibri>**** </FONT></DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV> [stateseal]</DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV>State of New Jersey</DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV>Department of Human Services</DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV>P.O. BOX 700</DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV>Trenton, NJ 08625-0700</DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV>NOTICE OF PRIVACY PRACTICES</DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV>Effective Date: October 15, 2018</DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV>This Notice applies to individuals receiving services from the
Department
of Human Services' Commission for the Blind and Visually Impaired and
does
not require your response. 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.</DIV>
<DIV> </DIV>
<DIV>YOUR RIGHTS</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Right to see and copy your records. In most cases,
you
have a right to view or get copies of your records. You must make your
request
in writing. We will provide a response to your request within thirty (30)
days.
You may be charged a fee for the cost of copying your records.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Right to an electronic copy of your medical
records.
If your information is maintained in an electronic format, you may request
that
your electronic records be transmitted to you or another individual or
entity.
We will respond to your request within thirty (30) days.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Right to correct or update your records. You may
ask
us to correct your health information if you think there is a mistake. You
must
make your request in writing and provide a reason for your need to correct
the
information.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Right to choose how we communicate with you. You
may
ask us to share information with you in a certain way. For example, you can
ask
us to send information to your work address instead of your home address.
You
must make this request in writing. You don't have to explain a reason for
the
request. We may deny unreasonable requests.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Right to get a list of disclosures. You have a
right
to ask us for a list of disclosures made after April 14, 2003. You must make
a
request in writing. This will not include information shared for treatment,
payment or health operation purposes. We will provide one accounting a year
free
of charge, but may charge a cost for additional lists provided within the 12
month period.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Right to get notice of a breach. You have a right
to
be notified upon a breach of any of your protected health information.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Right to request restrictions on uses or
disclosures.
You have a right to ask us to limit how your information is used or shared
with
others. You must make the request in writing and indicate what information
should be limited. We are not required to agree to a requested restriction.
If
you paid out-of-pocket expenses in full for a specific item or service, you
have
a right to ask that your information with respect to that item or service
not be
disclosed. We will always honor that request.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Right to revoke authorization. If we ask you to
sign
an authorization to use or disclose your information, you can cancel that
authorization at any time. You must make that request in writing. Your
request
will not affect information that has already been shared.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Right to get a copy of this notice. You have a
right
to ask for a paper copy of this notice at any time</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Right to file a complaint. You have a right to
file a
complaint if you don't agree with how we have used or disclosed your
information.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Right to choose someone to act for you. If someone
has
been legally designated as your personal representative, that person can
exercise your rights and make choices about your health.</DIV>
<DIV> </DIV>
<DIV>OUR DUTIES</DIV>
<DIV> </DIV>
<DIV>The Department of Human Services functions as a health care provider
for
you and your family. Consequently, we must collect information about you to
provide these services. We are required to protect your information
according to federal and state law and will abide by the terms of this
notice.
We may use and disclose information without your authorization for the
following
purposes:</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Treatment Purposes. We may use or disclose your
information to health care providers who are involved in your health
care.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Payment. We may use or disclose your information
to
get payment or pay for health care services you received or will
receive.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Health Care Operations. We may use or disclose
your
information in order to manage our business, improve your care and contact
you
when necessary.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * As Required by Law. We will disclose information
to a
public health agency that maintains vital records, such as births, deaths
and
some diseases.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Abuse and Neglect Investigations. We may disclose
your
information to report all potential cases of abuse and/or
neglect.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Health Oversight Activities. We may use or
disclose
your information to respond to an inspection or investigation by state
officials.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Government Programs. We may use and disclose your
information for the management and coordination of public benefits under
government programs.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * To Avoid Harm. We may use and disclose information
to
law enforcement in order to avoid a serious threat to the health and safety
of a
person or the public.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * For Research. We may use and disclose your
information
for studies and to develop reports. These reports will not specifically
identify
you or another person.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Business Associates. We may use and disclose your
information to our business associates that perform functions on our behalf,
if
necessary to complete those functions.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Organ and Tissue Donation. If you are an organ
donor,
we may use and disclose your information to organizations engaged in
procuring,
banking or the transportation of organs, eyes, or other tissues to
facilitate
organ transplantation.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Military and Veterans. If you are a member of the
armed forces, we may disclose your information to the appropriate military
authority.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Workers Compensation. We may use or disclose your
information for workers compensation or similar programs providing benefits
for
work-related injuries or illnesses.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Data Breach Notification Purposes. We may use or
disclose your information to provide legally required notices of
unauthorized
access or disclosure of your health information.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Lawsuits and Disputes. We may use or disclose your
information in response to a Court or Administrative Order, subpoena,
discovery
request or other lawful process.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Law Enforcement. We may disclose your information
to
law enforcement if the information: 1) is in response to a court order,
subpoena, warrant or similar process; 2) limited to identify or locate a
suspect, fugitive, material witness or missing person; 3) about a victim of
a
crime under very limited circumstances; 4) about a death potentially
resulting
from a crime; 5) about criminal conduct on any DHS property and; 6) is
needed in
an emergency to report a crime or facts surrounding a crime.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Coroner, Medical Examiners and Funeral Directors.
We
may disclose your information to a Coroner or Medical Examiner to identify a
deceased person or determine the cause of death. We may release your
information
to a Funeral Director as necessary for their duties.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * National Security and Intelligence. We may
disclose
your information to authorized federal officials for intelligence,
counter-intelligence and other national security activities authorized by
law.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Protective Services for the President and Others.
We
may disclose your information to authorized federal officials so that they
can
provide protection to the U.S. President; other authorized persons or
foreign
heads of state, or to conduct special investigations.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Inmates or Individuals in Custody. If you are an
inmate, we may release your information to a correctional institution if
that
information would be necessary for the institution to: 1) provide you with
health care; 2) protect your health and safety or the health and safety of
others or: 3) for the safety and security of the correctional
institutions.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Disclosure to Family, Friends and Others. We may
disclose your information to your family members, friends or other persons
who
are involved in your medical care. You may object to the sharing of this
information. We may also share your information with someone legally
designated
as your personal representative.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * Hospital Directory. Unless you notify us that you
object, we may include certain information about you in the hospital
directory
in order to respond to inquiries from friends, family, clergy and others who
inquire about you when you are a patient in the hospital.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV>Other Uses and Disclosures that Require Your Written
Authorization</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * For All Other Situations. We will ask for your
written
authorization before using or disclosing information for any other purpose
than
what is mentioned above. Special circumstances that require an authorization
include most uses and disclosures of your psychotherapy notes, certain
disclosures of your test results for the human immunodeficiency virus or
HIV,
uses and disclosures of your health information for marketing purposes and
for
the sale of your health information with some exceptions. If you give us
authorization, you can withdraw this written authorization at any time. To
withdraw your authorization, please contact us at the number below. If you
revoke your authorization, we will no longer use or disclose your health
information as allowed by your written authorization, except to the extent
that
we have already relied on your authorization.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> * As Required by Other Laws. We will ask for your
written authorization to comply with other laws protecting the use and
disclosure of your information.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV>FILING A COMPLAINT</DIV>
<DIV> </DIV>
<DIV>You may use the contact information below if you want to file a
complaint
or to report a problem regarding the use or disclosure of your health
information. Treatment or services being provided to you will not be
affected by
any complaints you make. DHS opposes any retaliatory acts resulting from
participation in an HIPAA investigation.</DIV>
<DIV> </DIV>
<DIV>New Jersey Department of Human Services</DIV>
<DIV>Commission for the Blind & Visually Impaired</DIV>
<DIV>Attention: HIPAA Privacy Officer</DIV>
<DIV>153 Halsey Street, 6th floor</DIV>
<DIV>Newark, NJ 07101</DIV>
<DIV>Phone: 973-648-3333</DIV>
<DIV>DHS or its appropriate Division will respond to your communication
within
thirty (30) days.</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> [U.S. Department of Health
and
Human Services Office of Civil Rights 200 Independence Ave,
S.W.,
Room 509H Washington DC, 20201 Phone: 866-627-7748/ TTY:
886-788-4989 www.hhs.gov/ocr] <<A
href="http://www.hhs.gov/ocr">http://www.hhs.gov/ocr</A>></DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV>CHANGES TO THIS NOTICE</DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV> </DIV>
<DIV>In the future, DHS may change its Notice of Privacy Practices. Any
change
could apply to medical information we already have about you, as well as
information we receive in the future. A copy of a new notice will be posted
in
our facilities/offices and provided to you as required by law. You may ask
for a
copy of our current notice or get it online on our website.</DIV>
<DIV><FONT size=3 face=Calibri></FONT> </DIV>
<DIV><A
href="https://www.state.nj.us/humanservices/cbvi/home/index.html">https://www.state.nj.us/humanservices/cbvi/home/index.html</A></DIV>
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