Division of Alcohol & Drug Abuse Programs
Vermont Department of Health
108 Cherry Street, Room 207
P.O. Box 70
Burlington, Vermont 05402-0070
Phone: (802) 651-1550
Fax: (802) 651-1573
The Department of Health operates 12 District Offices located throughout the state. All Vermont residents have a local health office they can count on for health information, and for disease prevention and emergency response services.
- Barre: 888-253-8786 / 802-479-4200
- Bennington: 800-637-7347 / 802-447-3531
- Brattleboro: 888-253-8805 / 802-257-2880
- Burlington: 888-253-8803 / 802-863-7323
- Middlebury: 888-253-8804 / 802-388-4644
- Morrisville: 888-253-8798 / 802-888-7447
- Newport: 800-952-2945 / 802-334-6707
- Rutland: 888-253-8802 / 802-786-5811
- St. Albans: 888-253-8801 / 802-524-7970
- St. Johnsbury: 800-952-2936 / 802-748-5151
- Springfield: 888-296-8151 / 802-885-5778
- White River Junction: 888-253-8799 / 802-295-8820
THIS NOTICE DESCRIBES HOW MEDICAL AND DRUG AND ALCOHOL RELATED INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Information regarding your health care, including payment for health care, is protected by two federal laws: the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), 42 U.S.C. § 1320d et seq., 45 C.F.R. Parts 160 & 164, and the Confidentiality Law, 42 U. S.C. § 290dd-2, 42 C.F.R. Part 2. Under these laws, the Division of Alcohol & Drug Abuse Programs (ADAP) may not say to a person outside ADAP that you attend the program, nor may ADAP disclose any information identifying you as an alcohol or drug abuser, or disclose any other protected information except as permitted by federal law.
ADAP must obtain your written consent before it can disclose information about you for payment purposes. For example, ADAP must obtain your written consent before it can disclose information to your health insurer in order to be paid for services. Generally, you must also sign a written consent before ADAP can share information for treatment purposes or for health care operations. However, federal law permits ADAP to disclose information without your written permission:
- Pursuant to an agreement with a business associate;
- For research, audit or evaluations;
- To report a crime committed on ADAP's premises or against ADAP personnel;
- To medical personnel in a medical emergency;
- To appropriate authorities to report suspected child abuse or neglect
- As allowed by a court order
For example, ADAP can disclose information without your consent to obtain legal or financial services, or to another medical facility to provide health care to you, as long as there is a business associate agreement in place.
Before ADAP can use or disclose any information about your health in a manner which is not described above, it must first obtain your specific written consent allowing it to make the disclosure. Any such written consent may be revoked by you in writing.
Under HIPAA you have the right to request restrictions on certain uses and disclosures of your health information. ADAP is not required to agree to any restrictions you request, but if it does agree then it is bound by that agreement and may not use or disclose any information which you have restricted except as necessary in a medical emergency. You have the right to request that we communicate with you by alternative means or at an alternative location. ADAP will accommodate such requests that are reasonable and will not request an explanation from you. Under HIPAA you also have the right to inspect and copy your own health information maintained by ADAP, except to the extent that the information contains psychotherapy notes or information compiled for use in a civil, criminal or administrative proceeding or in other limited circumstances. Under HIPAA you also have the right, with some exceptions, to amend health care information maintained in ADAP's records, and to request and receive an accounting of disclosures of your health related information made by ADAP during the six years prior to your request. You also have the right to receive a paper copy of this notice.
ADAP is required by law to maintain the privacy of your health information and to provide you with notice of its legal duties and privacy practices with respect to your health information. ADAP is required by law to abide by the terms of this notice. ADAP reserves the right to change the terms of this notice and to make new notice provisions effective for all protected health information it maintains. A copy of this notice is available from our web site http://www.state.vt.us/adap/ , at any location where services are provided, or from our Privacy Coordinator by calling (802) 651-1550 or by writing to Vermont Department of Health, Drawer 27, 108 Cherry St., P.O. Box 70, Burlington, VT 05402 Attention: Privacy Coordinator. You may also address questions regarding our privacy practices, your privacy rights, or requests for additional information regarding your privacy to this person.
Complaints and Reporting Violations
You may complain to ADAP and the Secretary of the United States Department of Health and Human Services if you believe that your privacy rights have been violated under HIPAA. If you believe that we have violated your privacy rights, you may file a complaint directly with us using the contact information above under ADAP's Duties. You may also file a complaint with the Secretary of the Department of Health and Human Services. You will not be retaliated against for filing such a complaint.
Violation of the Confidentiality Law by a program is a crime. Suspected violations of the Confidentiality Law may be reported to the United States Attorney in the district where the violation occurs.
For further information, contact the
ADAP Privacy Coordinator
Vermont Department of Health
108 Cherry St.
P.O. Box 70, Drawer 27
Burlington, VT 05402
Attention: Privacy Coordinator