The Children’s Center of Wayne County Health Insurance and Portability Act (HIPAA) 

This notice describes how health and service information about you/your child may be used and disclosed and how you can get access to this information. Please read and review it carefully. 

Protected Health Information (PHI) means individualized identifiable information about your past, present, or future physical/mental health or condition, the provision of your health care, or payment for your health care services.

Our Privacy and Commitment to You: We care about your privacy. The information we collect about you/your child is private. We are required to give you a notice of our privacy policy practices. Only people who have both the need and the legal right may see your information. Unless you give us permission in writing, we will only disclose information for purposes of treatment, payment, health care operations, or when we are required to do so by law.

Treatment: We will use/disclose your/your child’s PHI to coordinate and manage your/your child’s treatment services. For example, to clinicians and other staff, volunteers, and other service delivery personnel who are involved in providing and coordinating your treatment services.

Payment: We may use/disclose your/your child’s PHI, so the care you/your child receives can be properly billed. For example, to Medicaid or a state or private insurance plan, to determine eligibility or coverage, to ensure appropriateness of your care, or to justify the charges for your care.

Health Care Operations: We may need to use/disclose information about you/your child’s PHI in the course of operating our agency. Examples of such releases would be quality assessment and improvement, reviewing the performance or qualification of our clinicians, licensing, accreditation, and general administrative activities.

Your Right to Receive Confidential Communications: Unless you provide us with alternative instructions, we may send appointment reminders, treatment/service information, and other similar materials to your home, via text, via e-mail, or through the portal.

Your Privacy Rights. You have the following rights regarding the health/treatment information that we have about you/your child: 

  • Your Right to Inspect and Copy: You have the right to inspect and copy your PHI. You may be charged a small fee. We require requests to inspect/copy PHI to be submitted in writing. We will respond within 60 days of receiving the request.
  • Your Right to Amend: You have the right to amend or submit corrections to your PHI. We will consider your request, but are not legally bound to agree to the restriction.
  • Your Right to Request Restrictions on the Use of Disclosures: You have the right to ask that limit how we use or disclose your PHI. We will consider your request but are not legally bound to agree to the restriction.
  • Your Right to a List of Disclosures: You have the right to get a list of your PHI that has been released other than instance of disclosures for which you gave consent.

Uses and Disclosures Not Requiring Consent or Authorization: As required by law we will release information when we are required to do so. Examples of such releases would be for law enforcement, national security, government purposes, subpoenas, or other court orders, communicable diseases reporting, suspected abuse, neglect and criminal activity investigations, inspections of unusual incidents, audits, approved research activity, worker’s compensation, and review of our activities by government agencies to avert a serious threat to health or safety.

With Your Permission: If you give us permission in writing, we may use/disclose your/your child’s PHI. If you give us your permission, you have the right to revoke the disclosure at any time in writing. We cannot take back any uses or disclosures already made with your permission.

Changes to the Notice: We are required by law to comply with changes in HIPAA, therefore we reserve the right to revise this notice as needed. If we do so, we will post a revised notice at the receptionist desk.

How to Use Your Rights under This Notice: If you believe you/your child’s privacy have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. To file a complaint or if you have questions contact: 


Desiree Jones, Privacy Officer 

79 W. Alexandrine, Detroit, MI 48201

(313) 221-1446


There will be no retaliation for filing a complaint. 

Region V, Office for Civil Rights

U.S. Department of Health and Human Services

233 N Michigan Ave., Suite 240

Chicago, IL 60601

Phone: (312) 886-2359

Fax: (312) 886-1807

TDD: (312) 353-5693


Updated: 6/01/2017 



The Children’s Center of Wayne County Online Privacy Statement

Thank you for visiting We appreciate the opportunity to interact with you on the Internet and are committed to protecting and safeguarding your privacy. The purpose of this Privacy Statement is to inform you about the types of information we might collect about you when you visit our Site, how we may use that information and whether we disclose that information to anyone.

The information we collect and how we use it

Any information we collect on our Site generally falls into the Personally Identifiable Information category. Personally Identifiable Information: This refers to information that lets us know specifically who you are. In general, you can visit our Site without telling us who you are or revealing any Personally Identifiable Information.

When you purchase tickets or make a donation on this website, we collect Personally Identifiable Information (such as name, contact and billing information, credit card, and other transaction information). We use this information to process your order and payment and to communicate with you about the status of your online transaction. Credit card information submitted with your order is used only for payment processing and is not retained on our Site. You may request your purchase be shipped by common carrier, in which case certain information will be shared with the respective carrier for delivery purposes.

Sharing your information

Except as disclosed in this Privacy Statement, we do not sell, trade, or otherwise retransmit any Personally Identifiable Information we collect online unless we have your permission. Any Personally Identifiable Information you provide to us will be used for your purchases and retained in hard copy form of the original invoice as well as within our database system, which generates our financial transactions and associated electronic records.

From time to time, we may be required to provide Personally Identifiable Information in response to court order, subpoena, or government investigation. We also reserve the right to report to law enforcement agencies any activities that we in good faith believe to be unlawful. We may release Personally Identifiable Information when we believe that such release is reasonably necessary to enforce or apply our Limited Warranty or to protect the rights, property, and safety of others and ourselves.

Links to other websites

Links to third-party Web sites may be provided solely for your information and convenience, or to provide additional information for various other goods and services. If you use these links, you will leave our Site. This Privacy Statement does not cover the information practices of those Web sites linked to our Site, nor do we control their content or privacy policies. We suggest that you carefully review the privacy policies of each site you visit.

Changes to this statement

Any updates or changes to the terms of this Privacy Statement will be posted here on our Site and the date of the newest version posted below. Please check back frequently, especially before you submit any Personally Identifiable Information at our Site, to see if this Privacy Statement has changed.

Contact us

If you have any concerns about our use of your information or about this Privacy Statement, please send an e-mail to We will make every reasonable effort to address your concerns and remedy any problems you bring to our attention.

By using our Site, you acknowledge acceptance of this Privacy Statement in effect at the time of use.


Updated: 05/23/2016