Notification of Change
Welcome to the Easter Seals Online Network, the Web site of Easter Seals, Inc. (Easter Seals headquarters) and participating Easter Seals affiliates across the country.
Because Easter Seals values the privacy of constituents visiting the Easter Seals Online Network, users of the Easter Seals Online Network have the right to manage their own personal information.
You can contact Easter Seals for more information related to the privacy of the information you provide online:
The Information We Collect
Easter Seals has partnered with Convio, Inc. to power the Web content, email and transaction processing capabilities to serve our constituents and fulfill our mission on the Internet. Convio, Inc. is an Internet software and services company that provides online electronic Constituent Relationship Management (eCRM) solutions for nonprofit organizations and higher education institutions. Convio will not disclose your name or other personally identifiable information (such as your e-mail address or phone number) to any party other than Easter Seals.
Neither Easter Seals nor Convio store sensitive information such as credit card numbers. When an online transaction is completed through the Easter Seals Online Network, such as a charitable contribution, credit card information is used solely for the purpose of completing that specific transaction and is not retained in the Easter Seals or Convio database.
Easter Seals will not sell, share or exchange personal contact information collected from this Web site with other organizations. If a user has a previous relationship with Easter Seals through another channel (i.e., mail, phone), Easter Seals will occasionally rent or exchange those names and addresses with other organizations as a way of providing extra funds to help support services. If you do not want to participate in this program, please let us know.
Visitors to the Easter Seals Online Network are not required to share any personally identifiable information. Users who do not wish to share personal information when visiting the Easter Seals Online Network can still access the Network's Web pages and the valuable information provided.
If you would like to opt-out of receiving email communications please update your user profile. Email unsubscribe requests are processed immediately.
To discontinue the receipt of postal mail, please contact Easter Seals. Shortly, Easter Seals will be adding the capability to remove your name from our postal mailing list online. You'll need to register as user of the Easter Seals Online Network. Please note: there is a 8-12 week lapse period due to the fact that a subsequent mailing may already be in production. If you do receive another mailing, please disregard it.
Your California Privacy Rights
Correct/Update Your Profile
Easter Seals reserves the right to maintain information on users who have had their access to the Easter Seals Online Network blocked.
Your browser is probably set to accept cookies. If you would like to turn this feature off, you will need to change the settings of your Internet browser.
Security of Your Information
Easter Seals also protects account information by placing it on a secure portion of the Easter Seals Online Network that is only accessible by certain qualified employees of Easter Seals. Unfortunately, no data transmission over the Internet is 100% secure. Easter Seals strives to protect your information, however cannot ensure or warrant the security of such information.
Tell-A-Friend, Ecards and Personal Fundraising Pages
Links to Other Web Sites
In addition, please be aware that Easter Seals is not responsible for the privacy practices of such other Web sites. Easter Seals encourages you to read the privacy statements of each and every Web site that requests personal information from you.
Information from Children
Transmission of Health-Related Data
NOTICE TO PARTICIPANTS OF PRIVACY PRACTICES
CONTACT: Privacy Officer John Martin email@example.com or (208) 378-9924
In the course of providing services to you, Easter Seals-Goodwill may create or receive medical information about you. This notice describes how your medical information may be used and disclosed and how you can access to this information. Please review it carefully.
I. Uses and Disclosures of Medical Information Without Authorization.
We may use or disclose protected health information for the following purposes without your authorization. These examples are not meant to be exhaustive.
Treatment. We may use or disclose protected health information to provide medical services to you. For example, our staff may use information in your medical records to understand or treat a medical condition. Also, we may disclose your information to health care providers so that they may help treat you.
Payment. We may use or disclose protected health information to obtain payment for services provided to you. For example, we may disclose information from your medical records to your health insurance company or a payor to obtain pre-authorization for treatment or submit a claim for payment.
Health Care Operations. We may use or disclose protected health information for certain health care operations that are necessary to manage our company and ensure you receive quality care. For example, we may use information from your medical records to review the performance or qualifications of staff, train staff,or make business decisions affecting the hospital and its services.
Other possible uses and disclosures of your health information to you or others:
II. Uses And Disclosures Of Information That We May Make Unless You Object.
We may use and disclose protected health information in the following instances without your written authorization unless you object. To object, please notify the Privacy Officer identified below.
Persons Involved in Your Health Care. Unless you object, we may disclose protected health information to a member of your family, relative, close friend, or other person identified by you who is involved in your health care or the payment for your health care. We will limit the disclosure to the protected health information relevant to that person’s involvement in your health care or payment.
Notification. Unless you object, we may use or disclose protected health information to notify a family member or other person responsible for your care of your location and condition. Among other things, we may disclose protected health information to a disaster relief agency to help notify family members.
III. Uses and Disclosures of Information That We May Make With Your Written Authorization.
We will obtain a written authorization from you before using or disclosing your protected health information for purposes other than those summarized above and for most uses and disclosures of psychotherapy notes; for uses and disclosures for marketing purposes; and for uses and disclosures that involve the sale of Protected Health Information. You may revoke your authorization by submitting a written notice to the Privacy Officer identified below.
IV. Your Rights Concerning Your Protected Health Information.
You have the following rights concerning your protected health information. To exercise any of these rights, you must submit a written request to the Privacy Officer identified below.
You have the right to inspect and copy your personal health information.
Depending on the circumstances, a decision to deny access may be open to review. In some circumstances, you may have a right to have this decision reviewed.
Please contact the Privacy Officer below if you have questions about access to your medical record.
You have the right to request disclosure of your personal health information be restricted.
If Easter Seals-Goodwill agrees to the requested restriction, we may not use or disclose your personal health information in violation of that restriction unless it is needed to provide emergency treatment. With this in mind, please discuss any restriction you wish to request with your care provider. You may request a restriction by contacting the Privacy Officer below.
You have the right to request to receive confidential communications from us by alternative means or at an alternative location.
You may have the right to amend your personal health information. This means you may request an amendment of personal health information about you in a designated record set for as long as we maintain this information. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. Please contact the Privacy Officer listed below if you have questions about amending your medical record.
You have the right to receive an accounting of certain disclosures we have made, if any, of your personal health information.
You have the right to restrict disclosure if you pay 100% of your bill out of pocket.
You have the right to receive your medical records electronically.
IV. For More Information or to Report a Problem
If you have questions and would like additional information, you may contact John Martin, our Privacy Officer, at firstname.lastname@example.org or 208-373-4821.
If you believe your privacy rights have been violated, you can file a complaint with our Privacy Officer, John Martin, and Health & Human Services. All complaints must be in writing. There will be no retaliation for filing a complaint.
RECEIPT OF NOTICE OF PRIVACY PRACTICES
Participant Name: _______________________________________
My signature on this form acknowledges that I have received a copy of Easter Seals-Goodwill Northern Rocky Mountain, Inc., (ESGW-NRM, Inc.) Notice to Participants of Privacy Practices. I understand that this document provides an explanation of the ways in which my health information may be used or disclosed by ESGW-NRM, Inc. and of my rights with respect to my health information.
I have been provided with the opportunity to discuss concerns I may have regarding the privacy of my health information.