Privacy Policy
Notice of Privacy Practices
Organization: Wisconsin Recovery Institute
Address: 1446 Lynn Avenue, Fond du Lac, WI 54937
Phone: (920) 990-2104
Purpose of This Notice
This Notice describes how your medical and personal information may be used and disclosed, and how you can access this information. Please review it carefully. Wisconsin Recovery Institute is committed to protecting the privacy of your Protected Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 42 CFR Part 2, and Wisconsin state law.
1. Our Responsibilities
We are legally required to maintain the privacy of your PHI.
We must provide you with this Notice explaining our legal duties and privacy practices.
We are required to notify you of a breach of unsecured PHI.
We will comply with the terms of this Notice and will not use or disclose your PHI without your authorization, except as described here.
2. Your Rights Regarding Your Information
You have the right to:
- Access Your Records: Receive a paper or electronic copy of your PHI within 30 days of your request (45 CFR 164.524).
- Request Amendments: Ask us to correct information you believe is inaccurate or incomplete (45 CFR 164.528).
- Request Restrictions: Limit disclosures of your PHI (45 CFR 164.522), including to health plans when you pay in full out-of-pocket.
- Receive a List of Disclosures: Request a list of certain disclosures we’ve made of your PHI (45 CFR 164.528).
- Confidential Communications: Request contact through alternate addresses, phone numbers, or methods.
- Revoke Authorizations: Withdraw permission for us to use or disclose PHI, except where already acted upon.
- Receive a Paper Copy: Request a printed copy of this Notice at any time.
3. How We May Use & Disclose Your PHI
We may use or disclose your PHI for:
- Treatment: To share with other healthcare providers involved in your care.
- Payment: To bill your health insurance or other payers.
- Healthcare Operations: To review treatment quality and train staff.
- Business Associates: To vendors who provide services (e.g., labs, pharmacies), under HIPAA-compliant contracts.
- Public Health & Safety: To report infectious disease, abuse, or threats, as required by law.
- Legal Requirements: To comply with Wisconsin and federal laws, subpoenas, or court orders.
- Workers’ Compensation: To provide data needed for claims or injury management.
- Research: For approved studies, with your written consent.
- Family & Caregivers: With your consent, to those involved in your care.
- Emergencies: To notify family or caregivers about your condition, if you’re incapacitated.
We will not use or disclose your PHI for marketing or sell your PHI without your written authorization.
4. How We Protect Your Information
We use administrative, technical, and physical safeguards to ensure confidentiality, integrity, and security of your information, including:
- Secure Socket Layer (SSL) encryption on our website.
- Restricted access to systems and data.
- Workforce training on HIPAA and patient confidentiality.
5. Website Privacy Practices
When you use our website, we may collect:
- Your name, phone number, email, and address if submitted via forms.
- Technical data (cookies, usage analytics).
We use this data to:
- Improve your experience and our services.
- Respond to inquiries or provide resources.
- Communicate updates or information (you can unsubscribe anytime).
We do not sell or trade your personal information. Third-party vendors assisting us are bound by confidentiality agreements.
6. Children’s Privacy
We do not knowingly collect information from children under the age of 13.
7. Changes to This Notice
We reserve the right to revise this Notice at any time. Updates will apply to all PHI we maintain and will be posted at our facility and on our website.
8. Filing a Complaint
If you believe your privacy rights have been violated, you may file a complaint:
Wisconsin Recovery Institute
Attn: Privacy Officer
1446 Lynn Avenue
Fond du Lac, WI 54937
Phone: (920) 990-2104
U.S. Department of Health & Human Services, Office for Civil Rights
Email: ocrcomplaint@hhs.gov
Phone: 202-205-8725
We will not retaliate against you for filing a complaint.
Contact Us
For questions or requests regarding your PHI, this Notice, or privacy practices:
Wisconsin Recovery Institute
1446 Lynn Avenue
Fond du Lac, WI 54937
Phone: (920) 990-2104
