Medical Records Requests Fax:
Please fax us for your updated medical records. Our friendly staff is here to serve you.
We help create a care plan that addresses your specific condition and we are here to answer all of your questions & acknowledge your concerns. Shawnee Family Health Center not only provides outstanding care and treatment, but strives to improve the outcomes and lives of our patients.
Together we can make a positive impact by serving the community and improve the quality of life through better health and care.
Shawnee Family Health Center Community Partners
Community Partners is a non-profit organization dedicated to improving the quality of life for people with behavioral health care needs by raising and granting funds to support the communities of Adams, Lawrence and Scioto Counties.
Funds raised by Community Partners help people impacted with mental illness lead more enjoyable and comfortable lives.
Your contribution can help improve the quality of life of people with mental illness.
Community Partners Board of DirectorsG. R. Hamm, Chair
Diana Musick, Secretary
Jill Cottrill, Treasurer
Anonymous (In Memory of Tara Bowman)
Dr. & Mrs. Ken Maffett
Eustace “Matt” Matthews
Kris & Amanda Blanton
Steven A. Conley
Monumental Life Insurance Company
Barbara Schmidlapp & Joe Napora
Gaylene St. Leger-Cox
Wal-Mart – South Point
Jim & Susie Wayne
John & Anita Bowman
Karen Sue Evans
Jim & Janie Haas
G. R. Hamm
John & Sondra Hash (In Memory of Dr. Villarreal)
Jay Hash (In Memory of Derek McCowan)
Beth Normand (In Memory of Jonna Hitchcock)
Portsmouth Business & Professional Women’s Club
David W. Swick
James D. Kricker
Jim & Diana Musick
Bill & Kim Schwab
Very Special Arts Ohio Scioto County
Cynthia Holstein & Greg Casto
Don & Glenda Thacker
The Dow Chemical Foundation
The Kroger Company Foundation
Wal-Mart Foundation – New Boston
The Glockner Family Foundation, Inc.
Fifth Third Foundation
United Way of Scioto County
Portsmouth Eagles Aerie #4285
Contributions are tax deductible (please consult your tax advisor)
Learn more details about giving!
You can help The Community Partners of Shawnee Mental Health Center, Inc. endowments grow each year by making a tax deductible contribution to one of our endowments: Community Partners of Shawnee Mental Health Center, Inc.
P.O. Box 911
Community Partners of Shawnee Mental Health Center, Inc.
Foundation for the Tri-State Community
1999 Winchester Avenue
P.O. Box 2096
Ashland, KY 41105-2096
You must specify Community Partners of Shawnee Mental Health Center, Inc. as the recipient of your donation to either of the two above foundations to ensure credit to our endowment. Thank you.
- Any health care professional authorized to enter information into your medical record.
- All departments and units of the mental health center that you may visit.
- Any member of a volunteer group that we allow to help you while you are a client of the mental health center.
- All employees, staff, and other personnel who may need access to your information.
- All entities, sites and locations of the mental health center follow the terms of this notice and may share medical information with each other for treatment, payment or health care operations as described in this notice.
- Our Pledge Regarding Medical Information
We understand that medical information about you and your health is personal. Protecting medical information about you is important. We create a record of the care and services that you receive. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by SMHC, Inc., whether made by health care professionals or other personnel. This notice will tell you about the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information.
- Maintain the privacy of protected health information;
- Keep medical records that identify private information about you;
- Give you this notice of our legal duties and privacy practices with respect to medical information about you; and
- Follow the terms of the notice that is currently in effect.
Anything from the past, present, or future about your mental or physical health or condition that is spoken, written, or electronically recorded, and is created by or given to anyone providing care to you, such as, a health plan, a public health authority, your employer, your insurance company, your school or university, or anyone who processes health information about you.
What can be done with my information if I authorize its discolsure for other purposes
With your permission, we can share you Protected Health Information for reasons other than to diagnose you and to administer and pay for your treatment. For example, you might agree to allow us to share your Protected Health Information with a drug company so that your eligibility for reduced cost medications or free medication samples may be determined.
Yes. You can revoke your authorization. You must do this in writing and bring it to us so that we can stop sharing your Protected Health Information. We are permittedto share your Protected Health Information until we receive your revocation in writing.
Yes. Your Protected Health Information can be shared without your prior written authorization
1. With other medical and mental health providers if the sharing is for the purpose of facilitating continuity of care for you;
2. In an emergency;
3. When required by law according to specific requirements;
- For public health activities
- To protect victims of abuse, neglect or domestic violence
- For health oversight activities
- For judicial and administrative proceedings
- For law enforcement purposes
- To a coroner/medical examiner
- To a funeral director
- For organ/eye/tissue donation
- For research purposes
- To avert serious threats to health or safety
- To facilitate specialized government functions
- To correctional institutions for specific reasons
- For Workers Compensation
Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time.If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission and that we are required to retain our records of the care that we provide you.
We will maintain the privacy of your Protected Health Information as required by law. At your request, we will provide you with a Privacy Notice containing our legal responsibilities and privacy practices regarding Protected Health Information.
We will follow the terms of the Privacy Notice currently in effect.
We reserve the right to change the terms contained in this Privacy Notice. If we do this, it will affect all Protected Health Information maintained by us. We will notify you that we have changed the Privacy Notice by posting it at our offices and by providing a copy to you at your request. The effective date of the Privacy Notice is listed on the front page of the notice at the top.
All questions or comments concerning our privacy policies may be sent to:
Katy Lewis, Client Rights Officer
901 Washington Street, Portsmouth, OH 45662
Secretary of U.S. Department of Health and Human Services
200 Independence Avenue, S.W., Washington, D.C. 20201
Shawnee Family Health Center, Inc. is not responsible for the misuse or re-release of your Protected Health Information by another individual, agency or entity.