Client Rights and Data Privacy Information

For your convenience you may complete forms in our office or electronically online.

This notice explains your rights that you have to access your health record, and when certain information in your health record can be released without your consent. This notice does not change any protections you have under the law.

Your Rights to Access and Protect Your Health Record

You have the following rights relating to your health record under the law:

You can see your health record for information about any diagnosis, treatment and prognosis.
You can ask, in writing, for a copy of summary of your health record, which must be given to you promptly.
You must be given a copy or a summary of your health record unless it would be determined harmful to your physical or mental health, or cause you to harm another.
You cannot be charged if you request a copy of your health record to review your current care.
If you request a copy of your health record and it does not include your current care, you can only be charged the maximum amount set by Minnesota law for copying your record.

Release of Your Health Record without Your Consent

There are specific times that the law allows some health record information held by your provider to be released without your written consent. Some, but not all, of the reasons for release under federal law are:

For specific public health activities
To stop a serious threat to health or safety.
For health oversight activities.
For judicial and administrative proceedings.
For specific law enforcement purposes.
For certain organ donation purposes.
When health information about decedents is required for specific individuals to carry out their duties under the law.
When health information about victims of abuse, neglect, or domestic violence must be released to a government authority.
For research purposes approved by a privacy board.
For workers’ compensation purposes.
For specialized government functions related to national security.

Under Minnesota law, health record information may be released without your consent in a medical emergency, or when a court order or subpoena requires it. The following include some of the agencies, persons, or organizations that specific health record information may or must be released to for specific purposes, or after certain conditions are met:

The Departments of Health, Human Services, Public Safety, Commerce, Employee Relations, Labor & Industry and Education.

Insurers and employers in workers’ compensation cases.
Medical examiners or coroners
Ombudsman for Mental Health and Mental Retardation
Law enforcement agencies
Health professional licensing boards/agencies
Victims of serious threats of physical violence
The State Fire Marshal
Local welfare agencies
Medical or scientific researchers
Schools, childcare facilities, and Community Action Agencies to transfer immunization records
Parent/legal guardian who did not consent for a minor’s treatment, when failure to release health information could cause serious health problems.
Insurance companies and other payers paying for an independent medical examination.

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