Notice of Privacy Practices
Effective date: TODO(legal) — set on adoption
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.
Who This Notice Covers
Counsel-approved language pending. A finished notice identifies the covered entity here — including Bishop Medical Group, the medical practice entity that furnishes and bills for clinical services — along with any affiliated entities, locations, and workforce members it applies to.
How We May Use and Disclose Your Health Information
Counsel-approved language pending. A finished notice describes permitted uses and disclosures for treatment, payment, and health care operations — including how Bishop Medical Group submits claims to commercial insurers and MaineCare — followed by each additional category of permitted or required disclosure, with plain-language examples.
Uses and Disclosures That Require Your Written Authorization
Counsel-approved language pending. A finished notice lists the uses that occur only with written authorization — such as psychotherapy notes, marketing, and any sale of information — and explains the right to revoke an authorization.
Special Protections for Behavioral Health Records
Counsel-approved language pending. A finished notice explains the heightened federal and Maine protections that can apply to mental health and substance use disorder records (for example, 42 CFR Part 2), with counsel confirming which apply to this practice.
Your Rights Regarding Your Health Information
Counsel-approved language pending. A finished notice sets out each patient right — to access and receive copies of records, request amendments, receive an accounting of disclosures, request restrictions, request confidential communications, and receive a paper copy of this notice — and how to exercise each one.
Changes to This Notice
Counsel-approved language pending. A finished notice reserves the right to change its terms, explains how revised notices take effect, and states where the current version is posted and available.
Complaints
Counsel-approved language pending. A finished notice explains how to file a privacy complaint with the practice and with the U.S. Department of Health and Human Services, Office for Civil Rights, and states that no one will be retaliated against for filing a complaint.
Privacy Contact
Questions about this notice can be directed to our office at (207) 742-8558.
Counsel-approved language pending. A finished notice names the privacy officer (or privacy contact role) for Bishop Medical Group and gives a mailing address for written requests and complaints.