Notice of Privacy Practices
Effective Date: August 17, 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.
CAPS & Maple City is committed to protecting the privacy and security of your health information. This Notice explains how we may use and share your protected health information, your rights, and our responsibilities.
How We May Use and Share Your Health Information
We may use or share your health information without separate written authorization when permitted by law for:
Treatment: To provide, coordinate, or manage your care with other health care professionals involved in your treatment.
Payment: To bill and obtain payment for your care.
Health Care Operations: To operate our organization, coordinate services and referrals, improve quality and safety, train staff, conduct audits, and evaluate our services.
Health Care Communications: To contact you about appointments, follow-up care, referrals, lab results, prescriptions, preventive care, and other services related to your care.
We may also use or disclose your information when permitted or required by law, including for public health and safety, reporting abuse or neglect, health oversight, workers' compensation, certain law enforcement or legal proceedings, research when requirements are met, and other purposes required by law.
For uses or disclosures not otherwise permitted by law, we will obtain your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.
Specially Protected Information
Certain information may receive additional protection under federal or state law, including certain mental health, substance use disorder, HIV/AIDS, genetic, and other sensitive health information. CAPS & Maple City will follow any law that provides greater privacy protection than HIPAA.
If CAPS & Maple City maintains substance use disorder records protected by 42 CFR Part 2, those records receive additional federal protections. Part 2 records generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you without your written consent or an applicable court order and subpoena.
Health Information Exchanges and Organized Health Care Arrangements
CAPS & Maple City may participate in health information exchanges and other arrangements that allow health care organizations to securely share information for treatment, payment, and health care operations as permitted by law.
CAPS & Maple City participates in Organized Health Care Arrangements (OHCAs), including Indiana Lakes and the Clinically Integrated Network of Indiana (CINI). Information may be shared with participating organizations for treatment and health care operations, including care coordination, referrals, quality improvement, clinical review, information technology, and population health activities.
Text Messaging and Mobile Communications
If you provide a mobile number and opt in to text messages, CAPS & Maple City may send appointment reminders, follow-up requests, health reminders, care coordination information, and other communications related to our services. Mobile information and text-message opt-in consent will not be shared with third parties or affiliates for marketing or promotional purposes. Additional information about text messaging is available in our Messaging Terms & Conditions.
Your Rights
You have the right to:
Access your records: Ask to see or receive an electronic or paper copy of your health information. We will respond within the timeframe required by law and may charge a reasonable, cost-based fee when permitted.
Request a correction: Ask us to correct information you believe is incorrect or incomplete. If we deny your request, we will explain why in writing.
Request confidential communications: Ask us to contact you in a specific way or at a different address or telephone number.
Request restrictions: Ask us to limit certain uses or disclosures of your information. We are generally not required to agree.
Restrict disclosure to your health plan: If you pay for a service or item in full out of pocket, you may ask us not to disclose information about it to your health plan for payment or health care operations. We will honor the request unless disclosure is required by law.
Receive an accounting of disclosures: Ask for a list of certain disclosures of your health information made during the period allowed by law.
Receive a copy of this Notice: Request a paper copy at any time.
Choose someone to act for you: A person with legal authority to act on your behalf may exercise your privacy rights as permitted by law
Your Choices
In certain situations, you may tell us your preferences about sharing information with family members, friends, or others involved in your care or payment for your care.
We will obtain your written authorization when required by law, including for most uses or disclosures of psychotherapy notes, certain marketing activities, and the sale of protected health information.
We may contact you about fundraising as permitted by law. You may opt out of future fundraising communications.
Our Responsibilities
CAPS & Maple City is required by law to:
Protect the privacy and security of your health information;
Follow the privacy practices described in the Notice currently in effect;
Provide you with this Notice; and
Notify you following a breach of unsecured protected health information when required by law.
We will not use or disclose your health information except as described in this Notice, as otherwise permitted by law, or as authorized by you in writing.
Changes to This Notice
We may change this Notice and our privacy practices. Changes may apply to all health information we maintain, including information created or received before the change.
If we make a material change, the revised Notice will be available on our website, at CAPS & Maple City locations, and upon request.
Questions or Complaints
If you have questions, want to exercise your privacy rights, or believe your privacy rights have been violated, contact:
Ellen Graber-McCrae
Privacy Officer
CAPS & Maple City
574-383-9474
egraber-mccrae@capselkhart.org
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
CAPS & Maple City will not retaliate against you for filing a complaint or exercising your privacy rights.
To learn more about our messaging terms and conditions, read our policies here.