Graceful Adult Day Health Program
Effective Date: 02/24/2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Graceful Adult Day Health Program (“Graceful,” “we,” “our,” or “us”) is required by law to maintain the privacy of your Protected Health Information (PHI) and to provide you with this Notice of our legal duties and privacy practices.
We are required to follow the terms of this Notice currently in effect.
1. What Is Protected Health Information (PHI)?
Protected Health Information (PHI) is individually identifiable health information that we collect and maintain about you, including:
- Medical history and diagnoses
- Medications and treatment plans
- Physician and healthcare provider information
- Insurance and billing information
- Any other information related to your health or care
2. How We May Use and Disclose Your Information
We may use and disclose your PHI without your written authorization for the following purposes:
A. Treatment
To provide, coordinate, or manage your healthcare and related services. This may include communication with physicians, nurses, therapists, transportation providers, pharmacies, and other healthcare professionals involved in your care.
B. Payment
To bill and collect payment from you, your insurance company, Medicaid, Medicare, or other third parties.
C. Healthcare Operations
For administrative, quality assurance, staff training, licensing, accreditation, and program improvement activities.
D. As Required by Law
We may disclose your PHI when required by federal, state, or local law.
E. Public Health & Safety
We may disclose information to public health authorities to prevent or control disease, report abuse or neglect, or avert a serious threat to health or safety.
F. Health Oversight Activities
To government agencies authorized to conduct audits, investigations, inspections, and licensure activities.
G. Legal Proceedings
In response to a court order, subpoena, or other lawful process.
3. Uses and Disclosures That Require Authorization
We will obtain your written authorization before:
- Using or disclosing psychotherapy notes (if applicable)
- Using your information for marketing purposes (where required by law)
- Selling your PHI
- Any other use not described in this Notice
- You may revoke your authorization in writing at any time.
4. Your Rights Regarding Your Health Information
You have the following rights under HIPAA:
Right to Access
You may request to inspect or obtain a copy of your PHI.
Right to Amend
You may request corrections to your health information if you believe it is incorrect or incomplete.
Right to an Accounting of Disclosures
You may request a list of certain disclosures we have made of your PHI.
Right to Request Restrictions
You may request restrictions on how we use or disclose your PHI. We are not required to agree to all requests.
Right to Request Confidential Communications
You may request that we communicate with you in a specific way (for example, at a specific phone number or address).
Right to a Paper Copy of This Notice
You may request a paper copy of this Notice at any time, even if you agreed to receive it electronically.
5. Our Responsibilities
Graceful Adult Day Health Program is required to:
- Maintain the privacy and security of your PHI
- Provide you with this Notice of our legal duties and privacy practices
- Notify you if a breach occurs that may have compromised your information
- Follow the terms of this Notice
6. Changes to This Notice
We reserve the right to change this Notice at any time. Any changes will apply to all PHI we maintain. The updated Notice will be posted at our facility and on our website with a revised Effective Date.
7. Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Graceful Adult Day Health Program
550 Turpike Street, Canton, Massachusetts
857-855-7235
You may also file a complaint with the:
U.S. Department of Health & Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
1-877-696-6775
www.hhs.gov/ocr
You will not be retaliated against for filing a complaint.