Sharing of Information Without Your Permission
Military & Veterans
If you are a member of the armed forces, Harper County may release health information about you as required by military command authorities.
Harper County may release health information about you for workers' compensation or similar programs. These programs provide benefits for work-related injuries or illness.
Public Health Activities
Harper County may disclose health information about you without your permission for public health activities. These activities generally include the following:
- To prevent or control disease, injury or disability
- To report births and deaths
- To report child abuse or neglect
- To report adverse events, reactions to medications, or problems with foods or products
- To notify people of recalls of products they may be using
- To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition
- To notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect, or domestic violence; we will only make this disclosure if you agree or when required or authorized by law
Health Oversight Activities
Harper County may disclose health information without your permission to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, licensing functions, and compliance with civil rights laws.
Lawsuits & Disputes
If you are involved in a lawsuit or in a dispute, Harper County may disclose health information about you in response to a court or administrative order. We may also disclose health information about you in response to a court or administrative order even if you are not involved in the lawsuit or dispute.
Health information about you may be disclosed in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested or as otherwise permitted by law.
Unless state law is more restrictive than HIPAA with regard to disclosure of certain records, Harper County may release health information if asked to do so by law enforcement officials:
- In response to a court order, subpoena, warrant, summons, or similar process
- To identify or locate a suspect, fugitive, material witness, or missing person
- About the victim of a crime if, under certain limited circumstances, we are unable to obtain the person's agreement
- In emergency circumstances to report a crime, the location of a crime or victims, or the identity, description, or location of the person who committed the crime
Coroners, Medical Examiners & Funeral Directors
Harper County may release health information to a coroner or medical examiner (e.g., to determine the cause of death).
National Security & Intelligence Activities
Harper County may release health information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.
If you are an inmate of a correctional institution or under the custody of a law enforcement official, Harper County may release health information about you to the correctional institution. This release would be necessary:
- For the institution to provide you with health care
- To protect your health and safety or the health and safety of others
- For the safety and security of the correctional institution