3043 State Rt. 4
Hudson Falls, New York

p. 518.747.2284
f. 518.747.2253

NOTICE OF PRIVACY PRACTICES
Effective Date – April 14, 2003

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.

We are required by law to protect the privacy of health information that may reveal your identity, and to provide you with a copy of this notice which describes the health information privacy practices of WWAMH staff and affiliated health care providers that jointly provide health care services with our programs. A copy of our current notice will always be posted in our reception area. You or your personal representative may also obtain a copy of this notice by accessing our website at wwamh.org or requesting a copy from our program staff.

If you have any questions about this notice or would like further information, please contact one of the following individuals:

Residential Services Director – Frank Molinari (518-747-2284)
Clinical Services Director – Linda Donovan (518-747-8243)
Support Services Director – Belinda Bradley (518-793-2352)
WWAMH Director - Peter Groff (518-747-2284)

click here to download full document.

WWAMH PRIVACY MANUAL
Effective Date: April 14, 2003

WHAT HEALTH INFORMATION IS PROTECTED

We are committed to protecting the privacy of information we gather about you while providing health-related services. Some examples of protected health information are:

• information indicating that you are receiving treatment or other health-related services from our programs;
• information about your health condition (such as a psychiatric diagnosis you may have received);
• information about health care products or services you have received or may receive in the future;
• information about rehabilitation or other counseling that you may be receiving;
• information about benefits you may receive under Medicaid; or
• information about your health care benefits under an insurance plan (such as whether a prescription is covered);

when combined with:

• demographic information (such as your name, address, or insurance status);
• unique numbers that may identify you (such as your social security number, your phone number, or your driver’s license number); and
• other types of information that may identify who you are.

If you have any questions or require additional information, please contact:

Residential Services Director – Frank Molinari (518-747-2284)
Clinical Services Director – Linda Donovan (518-747-8243)
Support Services Director – Belinda Bradley (518-793-2352)
WWAMH Director – Peter Groff (518-747-2284)

click here to download full document.