DONOR PRIVACY POLICY

Arizona’s Children Association (AzCA) is committed to maintaining your trust and protecting your privacy. This privacy policy is intended to protect and secure the personally identifiable information (any information by which you can be identified) that you provide to us. We maintain the privacy of your information using security technologies and adhere to policies that prevent unauthorized use of your personal information.

If you desire to review your information, request corrections or special requests, or remove your name from our postal mailing list, you can email us at BKrusko@arizonaschildren.org or mail to Donor Relations, 3636 N. Central Ave #200, Phoenix, AZ 85012, and request to be removed from our list. You can unsubscribe from email communications by clicking on the unsubscribe link present in all our messages, or by replying to sender with “remove” in the subject line.

To ensure philanthropy merits the respect and trust of the general public and that donors and prospective donors have full confidence in our organization, AzCA adheres to the Association of Fundraising Professionals’ Donor Bill of Rights.

Information We Collect
We collect information from visitors through online requests, online donations and information provided to us at community events. Information collected usually includes name, address, city, state, zip, phone number, email address, contact preferences and, in the case of donations, credit card number and expiration date. In order to track what AzCA programs you are most interested in, we may also collect information on your area of interest, such as parenting specific programs or programs that support assault survivors. We also collect anonymous information on which portions of our website visitors access or visit. We monitor and track information such as usage patterns of visitors to our website. We use this information to improve our website, our operations and our client service.

How the Information is Used
AzCA uses your information to understand your needs and provide you with better online and mail service. We may use your information to complete a transaction, issue you an income tax receipt for a donation, or to personalize our Web site for you. Credit card numbers are used only for donation or payment processing and are not retained for any other purposes. In addition, we may periodically send you e-mail announcing news and event information. If you choose to supply your postal address, you may receive mailings from us as well. AzCA may share data with trusted partners to help us perform statistical analysis, send email or postal mail, or provide customer support. All such third parties are prohibited from using your personal information except to provide these services to AzCA, and they are required to maintain the confidentiality of your information. AzCA does not sell, rent or exchange donor information with any third party.

Security
AzCA is committed to ensuring the security of your personal information. To prevent unauthorized access, maintain data accuracy, and ensure the proper use of information, we have established and implemented appropriate physical, electronic and managerial procedures to safeguard and secure the information we collect online. AzCA uses Blackbaud NetCommunity when collecting or transferring sensitive data such as credit card information. Any information you enter is encrypted at your browser, sent over the public Internet in encrypted form, and then de-encrypted at our server.

WEBSITE PRIVACY POLICY

Arizona’s Children Association (AzCA) is committed to maintaining your trust and protecting your privacy. This website privacy policy is intended to protect and secure the personally identifiable information (any information by which you can be identified) that you provide to us while navigating our website. We maintain the privacy of your information using security technologies and adhere to policies that prevent unauthorized use of your personal information.

Security
AzCA is committed to ensuring the security of your personal information. To prevent unauthorized access, maintain data accuracy, and ensure the proper use of information, we have established and implemented appropriate physical, electronic and managerial procedures to safeguard and secure the information we collect online. AzCA uses Blackbaud NetCommunity when collecting or transferring sensitive data such as credit card information. Any information you enter is encrypted at your browser, sent over the public Internet in encrypted form, and then de-encrypted at our server.

Protecting your privacy
As part of our commitment to ensuring the privacy of subscribers, we do not sell or exchange names, email addresses or any other personally identifiable information with any third party.

Use of cookies
Cookies are pieces of information that are stored on your computer to help identify you while you visit our website. A cookie can’t read data off your hard drive or read cookie files created by other sites. Cookies do not damage your system. We use session cookies to make visiting and using our website easier – so that you don’t have to continually re-enter form information, and so that we can tailor your visit to your expressed preferences. These session cookies are erased when you close your web browser.

Many Web sites place cookies on your hard drive. You can choose whether to accept cookies by changing the settings of your browser. Your browser can refuse all cookies, or show you when a cookie is being sent. If you choose not to accept these cookies, your experience at our site and other Web sites may be diminished and some features may not work as intended.

Children’s Online Privacy
This site is not directed to children and we will not request any information from children under 13 at this site. If we find personally identifying information submitted by children under the age of 13, we will purge the information from our files.

Links to other sites
This website provides links to third party websites. While we make efforts to choose our links carefully, we take no responsibility for the content or privacy policy of linked websites.

Questions regarding this privacy policy can be directed to:

Barbara Krusko
Arizona’s Children Association
3636 N. Central Ave., Suite 200
Phoenix, AZ 85012
Email: BKrusko@arizonaschildren.org

CLIENT NON-DISCRIMINATION STATEMENT

Arizona’s Children Association (AzCA) accepts clients who can utilize and benefit from our services regardless of race, age, religion, gender, marital status, sexual orientation, gender identity and expression, national origin or disability. All clients and their families will be treated with dignity, courtesy, respect for their cultural, psychosocial, spiritual and personal values, beliefs and preferences and their right to self-determination.

HIPAA NOTICE OF PRIVACY PRACTICES

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.

If you have any questions about this Notice of Privacy Practices (“Notice”), please call the Privacy Officer at:
520-622-7611.

OUR PLEDGE REGARDING MEDICAL INFORMATION

We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive at Arizona’s Children Association (“AzCA”). We need this record to provide you with quality care and to comply with legal requirements. This notice applies to all medical information generated by AzCA.

This notice will tell you about the ways in which we may use and disclose health information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information.

THIS APPLIES TO THE FOLLOWING:

• Any behavioral health care professional authorized to enter information into your Medical Record;
• All departments within AzCA;
• All members of the workforce of AzCA;
• All subcontractors which provide services to AzCA clients;
• All entities, sites and locations will follow the terms of this Notice. Additionally, these entities, sites and locations may share treatment information with each other for payment or operations purposes described in this Notice.

Law requires us to:

Make sure that medical information that identifies you is kept private;
Give you this Notice of our legal duties and privacy practices with respect to medical information about you; and
Follow the terms of the Notice that is currently in effect.

HOW WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU

The following categories describe different ways that we use and disclose medical information. For each category of uses or disclosures we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.

For Treatment.
We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, technicians, therapists, case managers or other AzCA personnel who are involved in taking care of you. Many different staff members may share health information about you in order to coordinate the different services you need, such as prescriptions, lab work or x-rays. We also may disclose medical information about you to people outside of AzCA who may be involved in your medical care, such as family members, clergy or others we use to provide services that are part of your care.

For Payment.
We may use and disclose medical information about you so that the treatment and services you receive at AzCA may be billed to your payer and/or a third party. For example, we may need to give your treatment information to the payer so that we can receive payment. We may also give out your medical information so that we can obtain prior approval for your treatment at AzCA.

For Health Care Operations.
We may use and disclose medical information about you for our operations. These uses and disclosures are necessary to run AzCA and make sure that all of our clients receive quality care. For example, we may use medical information to review our treatment and services and to evaluate the performance of our staff in caring for you. We may combine information about many clients to decide what additional services we should offer, what services are not needed, and whether certain new treatments are effective. We may remove information that identifies you from this set of client information so others may use it to study behavioral health care and behavioral health care delivery without learning who the specific patients are.

Appointment Reminders.
We may use and disclose information to contact you as a reminder that you have an appointment for treatment at AzCA.

Treatment Alternatives. We may use and disclose medical information to tell you about, or recommend, possible treatment options or alternatives that may be of interest to you.

Health-Related Benefits and Services.
We may use and disclose medical information to tell you about health-related benefits or services that may be of interest to you.

Research.
Under certain circumstances, we may use and disclose medical information about you for research purposes. For example, a research project may involve comparing the health and recovery of all clients who received one medication to those who received another for the same condition. All research projects, however, are subject to a special approval process. This process evaluates a proposed research needs with clients need for privacy of their medical information. Before we use or disclose medical information for research, the project will have been approved through this research approval process. We will always ask for your specific authorization if the researcher will have access to you name, address or other information that reveals who you are, or will be involved in your care at AzCA.

As Required By Law.
We will disclose medical information about you when required to do so by federal, state or local law.

To Avert a Serious Threat to Health or Safety.
We may use and disclose medical information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. (Any disclosure, however, would be to someone able to protect public health and safety.)

Public Health Responsibilities. We may disclose medical information about you for public health activities. These activities generally include the following:
– To prevent or control disease, injury or disability;
– To report births and deaths;
– To report child abuse or neglect;
– To report reactions to medications or problems with products;
– To notify people of recalls of products they may be using;
– To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition;
– To notify the appropriate government authority if we believe a client has been victim of abuse, neglect or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.*

Health Oversight Activities.
We may disclose medical information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.

Lawsuits and Disputes.
If you are involved in a lawsuit or a dispute, we may disclose medical information about you in response to a court or administrative order. We may also disclose medical information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request of to obtain an order protecting the information requested.

Law Enforcement.
We may release medical information if asked to do so by a law enforcement official:
In response to a court order, subpoena, warrant, summons or similar process;
To identify or locate a suspect, fugitive, material witness, or missing person;
About the victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement;
About a death we believe may be the result of criminal conduct;
About criminal conduct at any AzCA locations; and
In emergency circumstances to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.*

Coroners, Medical Examiners and Funeral Directors.
We may release medical information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release information about clients to the funeral directors as necessary to carry out their duties.

National Security and Intelligence Agencies.
We may disclose medical information about you to authorized federal officials for intelligence, counterintelligence, and national security activities authorized by law.

Inmates. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release medical information about you to the correctional institution or law enforcement official. This release would be necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety and security of the correctional institution.

YOUR RIGHTS REGARDING MEDICAL INFORMATION ABOUT YOU.

You have the following rights regarding medical information we maintain about you:

Right to Inspect and Copy.
You have the right to inspect and copy medical information that may be used to make decisions about your care. Usually, this includes medical and billing records, but does not include psychotherapy notes.

To inspect and copy medical information that may be used to make decisions about you, you must submit your request in writing to AzCA’s Medical Records Department.

We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed.

Right to Amend.
If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for AzCA. To request an amendment, your request must be made in writing and submitted to AzCA’s Medical Records Department. In addition, you must provide a reason that supports your request.

We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:
– Was not created by us, unless the person or entity that created the information is no longer available to make the amendment;
– Is not part of the medical information created or maintained by or for AzCA;
– Is not part of the information which you would be permitted to inspect and copy; or
– Is accurate and complete.

Right to an Accounting of Disclosures.
You have the right to request an accounting of disclosures. This is a list of the disclosures we made of medical information about you.

To request this list or accounting of disclosures, you must submit your request in writing to AzCA’s Medical Records Department. Your request must state a time period that may not be longer than six years and may not include dates before April 14, 2003. Your request should indicate in what form you want the list (for example, on paper or electronically). The first list you request within a 12-month period will be free.

Right to Request Restrictions.
You have the right to request a restriction on the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a restriction on the medical information we disclose about you to someone who in involved in you care or the payment for your care, like a family member or friend. We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.

To request restrictions, you must make your request in writing to AzCA’s Medical Records Department. In your request, you must tell us (1) what information you want to restrict; (2) whether you want to restrict our use, disclosure or both; and (3) to whom you want the restrictions to apply, for example, disclosure to your spouse.

Right to Request Confidential Communications.
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail.

To request confidential communications, you must make your request in writing to AzCA’s Medical Records Department. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.

Right to a Paper Copy of This Notice. You have the right to a paper copy of this Notice. You may ask us to give you a copy of this Notice at any time.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice. We reserve the right to make the revised or changed Notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice at every AzCA site. This Notice will contain on the first page, in the top right-hand corner, the effective date. In addition, each time you enroll with AzCA, or visit an AZCA site for treatment or health care services as an inpatient or outpatient, we will offer you a copy of the current Notice in effect.

COMPLAINTS

If you believe your privacy rights have been violated, you may file a written complaint with AzCA’s Privacy Officer, Arizona’s Children Association, 2700 S. 8th Avenue, Tucson, AZ 85713.

If we cannot resolve your concerns, you have the right to file a written complaint with the Secretary of Health & Human Services.

You will not be penalized for filling a complaint.

OTHER USES OF MEDICAL INFORMATION.

Other uses and disclosures of medical information not covered by this Notice or the laws that apply to us will be made only with your written authorization. If you provide us authorization to use or disclose medical information about you, you may revoke that authorization in writing, at any time. If you revoke your authorization, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your authorization, and that we are required to retain our records of the care that we provided to you.