We understand that health information about you and your health is personal. This Notice describes how medical information about you may be used and disclosed by the San Felipe Pueblo Providers and our caregivers and how you can get access to this information. This Notice also describes your rights and certain obligations and responsibilities we have regarding the use and disclosure of Protected Health Information (PHI). The San Felipe Pueblo and all its health care providers and affiliates are required to comply with federal and state laws that offer additional privacy protections to a patient or plan member. Please review this document carefully.
The following is a brief summary of your right as a patient of San Felipe Pueblo:
Subject to compliance with limited exceptions, we will not use or disclose any behavioral or mental health information and psychotherapy notes without your written authorization, and/or authorization from your mental health caregiver and clinicians, or both.
We reserve the right to change the terms of this notice and make the new terms effective for all protected health information (PHI) kept and managed by the Health and Wellness Department and other programs of the San Felipe Pueblo. We will post a copy of our current Notice in our facilities, program areas, and our website. You may also get a current copy of this Notice by contacting our Privacy Officer (Contact information provided below).
If you believe your privacy rights have been violated, you may file a complaint with the Privacy Officer of the Health and Wellness Department of the San Felipe Pueblo or with the Secretary of the Department of Health and Human Services. To file a complaint to the Privacy Officer, please submit your written complaint or ask to talk to the Privacy Officer. You will not be penalized for filing a complaint.
Compliance & Privacy Officer
Health & Wellness Department
3 Cedar Road
San Felipe Pueblo, NM 87001
Office: (505) 771-9908