Seattle: Building 100, Room 4B-151. 7/20/11, mah rev. Requests for records will take approximately 10-14 days to process. Contact Us At: Phone: (206) 302-2300. Typically, all disclosures of information outside Sound are based on consents and authorizations obtained from the client or on uses permitted in federal and state laws, for example, the state and federal laws permit reporting of suspected child abuse and crimes committed by clients on the premises. We will provide a copy or a summary of your health information, usually within 30 days of your request. The record typically contains an initial assessment, a treatment plan, progress notes and other information related to the services you receive. Behavioral Health Patients. Requests for access to records are also subject to additional fees if requestor is seeking expedited access to off−site records… Sound applies federal and state laws to the use and protection of the healthcare information of clients. In accordance with HIPAA regulations45 CFR 164.524, please provide me with information on how I may submit a complaint to the HHS Office for Civil Rights. Without a place to live, or employment, people living with mental health, intellectual and developmental disabilities or addiction issues may find it challenging to access the services they need. Sound is open and accepting new clients for safely-distanced appointments or telehealth Sound King county's largest provider of comprehensive mental health services since 1966. The request must be provided in writing, except to the extent authorized in subsection (5) of this section. The request must specify the information being requested. A qualified person may request that the provider permit him or her access to clinical records. Requests for medical records can be submitted at any MHC office. Sample letter if a doctor's office is refusing to release psychiatric or mental health records. For Swedish Medical Center (all campuses), Swedish Cancer Institute (all campuses), Express Care Virtual and Swedish ExpressCare at Walgreens:Swedish Medical CenterAttn: Health Information Management747 BroadwaySeattle, WA 98122PHONE: 206-320-3850FAX: 206-320-2626Radiology fax: 206-233-7380For Swedish Medical Group Primary & Specialty Care clinics:Please contact us by phone or fax to request medical records.PHONE: 206-320-3025FAX: 425-454-2935 How Can I Get Emergency or Immediate Housing? welcome to sound community services, inc Welcome to Sound Community Services, Inc. (SCSI) a private, not-for-profit organization. 1. We are sorry that we are unable to respond to comments at this time. 9330 59 th Ave SW, Lakewood, WA 98499. 2/5/13, Sound is open and accepting new clients for safely-distanced appointments or telehealth, Website Designed + Built by Wildern Design and Interactive, To notify you of appointments and coordination of services, To communicate between the professionals who provide care, To support regular clinical service operations, As a data source for organizational planning and management, As a tool to continually assess and improve care, To verify the quality of services to payers, licensing and accrediting bodies, To communicate your prescription information to the pharmacy and verify active, and previous prescriptions and medication allergies using Surescripts database, To communicate with the health care community through secure electronic health information exchanges which protect the privacy and confidentiality of health information. Standard medical record request. (HUD, Section 8 & Low Income Housing). Purpose:  This notice describes how information about you may be used and disclosed and how you can get access to this information. (Form is in PDF format.) A valid (ROI) Authorization for Use and Disclosure of Health Information is required for any outside records requests. 1, including mental health notes in the general record. Fax:253-697-8393 (only monitored Monday-Friday; 8am-4:30pm) or; 2. 2. Sound will cooperate with both the client and the court system in appropriately protecting and making information available. As the Notice of Information Practices changes it will be updated, posted in a public location and revised in the Client Handbook. We encourage you to request a copy of your records and review them before authorizing the release of the records. In each instance of disclosure, the information disclosed is limited to what is needed in that situation. There will be no retaliation for filing a complaint. Examples of health information exchanges are:  Emergency Department Information Exchange and One Health Port, To communicate with other organizations who agree to meet confidentiality rules by signing an agreement with Sound to be a qualified service organization/business associate, Request access to your record and review your record, Request copies of your record or specific reports from your record, Authorize sharing or disclosure of information in your record with someone outside Sound, Revoke your authorization to share or disclosure your information outside Sound except as action has already been taken based on your authorization, Obtain an accounting of  disclosures of information sent outside Sound, except those disclosures made to carry out treatment, obtain payment for services, or provide for clinical service operations and certain other exceptions noted in the, Request a restriction on certain uses and disclosures of your information, although Sound may decide not to implement the requested restriction, Request that Sound communicate with you through alternate means or at an alternate location. Use our convenient online Medical Record Request form to submit your request more quickly. Post was not sent - check your email addresses! 800.684.3555. For mental health and/or drug/alcohol abuse records the law … You can either fax, mail, or scan and email the form to us as noted below: 1. Phone: (206) 764-2014. Sound does not disclose the fact that an individual is receiving treatment services or the type of service unless we have an authorization to do so or disclosure is permitted by federal or state law. Ask us how to do this. Preparation of Record $10.00. Sorry, your blog cannot share posts by email. Because forms must contain an original signature, e-mailed forms cannot be accepted. For More Information:  If you have questions and would like additional information, you may contact the Healthcare Information Manager at Sound. NSHC’s Health Information Management department follows all state and federal requirements regarding an application for a Release of Protected Health Information. The Privacy Rule does not require the health care provider or health plan to share information with other providers or plans.HIPAA gives you important rights to access - PDF your medical recor… Sound maintains a confidential clinical record of the services it provides to you. To request the following records: Personal request for medical records; Medical records for continuity of care Request that Sound communicate with you through alternate means or at an alternate location . Please note: Certain requests are subject to a fee. These primarily involve mental health records for which the provider's notes may be considered "impressions" rather than diagnoses. IMPORTANT: Be prepared to upload a copy of your Photo ID when using the online tool. I will be given a copy of this authorization for my records. Find Services Near You. January 18, 2018: 2017-601: High Risk: The California State Auditor's Updated Assessment of High-Risk Issues the State and Select State Agencies Face Get VA Form 10-5345, Request for and Authorization to Release Health Information. Please provide me with all records within thirty days. The Mental Health professional may deny access to the patient to any portion of the record if he/she determines that release of that portion would be harmful to the patient’s physical, mental or emotional health. When a subpoena or court order is received, the client is contacted and when a subpoena is received Sound requires the client consent to release the information. Comprehensive recovery-oriented counseling & case management. North Sound BH-ASO contracted services are available in Island, San Juan, Skagit, Snohomish and Whatcom counties. To receive a copy of your behavioral health record, download and complete this form: Patient Access Request for Medical Records (PDF). Viewing of a Record $ 6.00 for each additional 30 minutes after the first 30 minutes. If requesting for someone other than yourself, you may be asked to upload supporting documentation in addition to your Photo ID to verify your authority to request medical records on behalf of the patient. Mental Health Services Act: The State Could Better Ensure the Effective Use of Mental Health Services Act Funding. Sound is guided by state and federal law in its information practices. Outside organizations or individuals that provide services to Sound or collect data by contract agreement are required by written agreement to protect client confidentiality. VA Puget Sound Health Care System 1660 S. Columbian Way Seattle, WA 98108-1597. Contact Us. 2. I am requesting that you please provide me with confirmation that your decision meets the HIPAA guidelines listed above, including the “very limited circumstances” that this denial is based on. What Does this Mean? American Lake: Located in Building 19 , Phone: (253) 583-1507. I am requesting these records in accordance with HIPAA’s guidance on  Individuals’ Right Under HIPAA to Access their Health Information which states that “A covered entity may deny an individual access to all or a portion of the PHI requested in only very limited circumstances.” In addition, HIPAA guidelines state that “we expect this ground for denial to apply in extremely rare circumstances.”, This policy may be found here: https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html. Mental health records must be reviewed by the Mental Health Professional prior to release to the patient. Policies and procedures, which are revised periodically also guide Sound’s actions. Release psychiatric or mental health medical Records325 East Pioneer, Mailstop 325-1-MRECPuyallup, WA 98108-1597 s actions completion.... Client confidentiality either fax, mail, or scan and email the form to us as below. 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