How Wilder Respects and Protects Your Privacy
Updated June 23, 2021
Your privacy is very important to us and value your support and the trust you place in us. We have created these Privacy Statements to address any concerns you may have about the way we use your personal information or your personal health information. We rely on the generosity and trust of our supporters, clients and participants and want to make sure that your experience with Wilder is as positive as possible.
If you have any concerns about this Privacy Statement or the way Wilder processes your personal information, please contact us by email at email@example.com or write us at:
Amherst H. Wilder Foundation
451 Lexington Parkway North
Saint Paul, MN 55104
Privacy Statement for Our Supporters & Visitors
This Privacy Statement May Change
This Privacy Statement describes Wilder’s current policies and practices with regard to the personal information we collect from our donors, volunteers, supporters and visitors to this web site. As our organization grows or laws change, we may need to update or revise this Privacy Statement. Accordingly, we reserve the right to update or modify this Privacy Statement at any time, without prior notice, by posting the revised version of this Privacy Statement on this web site. If we modify our Privacy Statement, the modifications will apply only to the personal information we collect after we have posted the revised Privacy Statement on this web site.
For your convenience, whenever this Privacy Statement is changed, we will alert you by posting a notice on our home page for 60 days. If more than 60 days goes by between your visits to this web site, be sure you review this Privacy Statement to see if it has been revised since your last visit.
Common Questions about Personal Information
We do want to keep you updated on the programs and services that Wilder offers, however not at the expense of any personal information concerns.
What is personal information?
“Personal information” is information about an identified or identifiable individual. Your personal information may include your name, address, e-mail address and/or phone number.
What personal information does Wilder collect?
Wilder collects the personal information you knowingly and voluntarily provide to us when you use this web site, for example, the personal information you provide when you make a donation, register for an Wilder event, volunteer your time, subscribe to our newsletter, or add your name to our mailing list.
How does Wilder use your personal information?
Wilder uses your personal information for the purposes for which it was provided. For example, if you subscribe to a newsletter, we use your contact information to mail or email the newsletter(s) to you. If you volunteer to help us, we use information about your interests and skills to help you find the right volunteer opportunity. We also use your personal information to compile statistics about our donors, volunteers and other supporters. These statistics do not identify you personally.
We add the names and contact information we receive to our general mailing list. For example, if you provide us with your name and address, you may receive periodic mailings from us with news and information about Wilder programs and events or containing requests for your support. If you do not wish to receive these mailings from us, please contact us by email at firstname.lastname@example.org or write us at:
Amherst H. Wilder Foundation
451 Lexington Parkway North
Saint Paul, MN 55104
Does Wilder share personal information with others?
Wilder shares the personal information it collects with third party vendors who act for or on behalf of Wilder. For example, when you make an online donation to Wilder, a third party processes your donation on our behalf. These third party vendors may need information about you in order to perform their functions. These companies are not authorized to use your personal information for any other purpose.
There may be some other, limited circumstances in which we may share or transfer information in our databases to an unrelated third party, for example, to comply with a legal requirement or court order; to investigate a possible crime, such as credit card fraud; to protect the security of our web site and the integrity of our databases; if we reorganize or merge with another organization, or in some similar event.
Wilder does not rent, sell or share its mailing lists with other organizations.
Access to Your Personal Information
If your personal information changes or if you would like to review the personal information we may have on file, please contact us by email at email@example.com or write us at Amherst H. Wilder Foundation at 451 Lexington Parkway North, Saint Paul, MN 55104. We will correct or delete the personal information we have on file at your request. Please give us your full name and contact information so that we can locate information about you in our files. It is also helpful if you let us know what led you to submit personal information to us so that we can efficiently locate your personal information in our files.
Technical Information Collected through Wilder.org
Wilder.org is physically hosted by a third party provider (Rackspace) and collects an IP address from all visitors to our site. An IP address is a number that is automatically assigned to your computer when you use the Internet. Wilder uses IP addresses to help diagnose problems with our server, administer our Site, analyze trends and deliver customized content. IP addresses are not linked to any of the user’s personal information.
Use of "Cookies"
Security for Payment Transactions
When you supply credit card information through our website, the transmission is protected by requirements as established by the Payment Card Industry (PCI). You must understand, however, that the Internet is inherently insecure and no website operator can guarantee that a website is completely secure. Wilder does not warrant that this website is secure or “hackerproof”; you use this website solely at your own risk.
Links to Other Websites
This Privacy Statement applies only to this website owned and operated by Wilder. Our website may contain links to websites that are not operated by Wilder. These links are provided as a service and do not imply any endorsement of the activities of these third-party websites nor any association with their operators. Wilder does not control these websites and is not responsible for their data practices. We urge you to review the Privacy Statement posted on any website you visit before using the web site or providing any personal information about yourself.
You can opt out of emails from us.
You have the option of not receiving additional information from us. If you do not want to receive additional information, please contact us by email at firstname.lastname@example.org or write us at:
Amherst H. Wilder Foundation
451 Lexington Parkway North
Saint Paul, MN 55104
This site has links to other Web sites whose privacy policies may differ from ours. Wilder is not responsible for the content or privacy practices of other Web sites.
Privacy Statement for Our Clients & Participants
Effective date of this Notice is July 1, 2017
This notice of privacy practices describes how medical (and health) information about you may be used and disclosed and how you can access to this information. Please review it carefully.
During the time you receive services at the Amherst H. Wilder Foundation (“Wilder”), medical staff, social workers, mental health or substance abuse professionals, counselors, and others may collect and create records related to your care, including medical, mental health, and drug and alcohol treatment. The law says we must:
- protect your health information,
- provide you with a copy of this Notice of Privacy Practices, and
- follow what this Notice says.
This Notice describes Wilder’s legal duties and privacy practices as well as your rights related to your information. Many of the clients served by Wilder are children. When we refer to “you” or “your” in this Notice, we refer to the client. When we refer to types of disclosures of information to “you,” we mean disclosures to the client or, when allowed by law, the client’s parent or guardian or the person legally authorized to receive information about the client. Reference to “we” or “us” is referring to Wilder.
How we may use and share (medical and health) information about you
Wilder uses both paper and electronic records systems to manage your care. We have safeguards in place to protect your information. We also have policies and training that limit the use of information to those who need it to do their jobs. Wilder primarily uses your medical information for treatment, payment, and business reasons and Minnesota law requires that you provide us with written permission to share this information. We will never sell or rent your personal information. However, we may share information about you for many reasons. Here are a few examples:
Read more on how we may use and share (medical/health) information about you
For Treatment: We may use and share information about you to coordinate and manage your care and treatment. For example, a Wilder healthcare or mental health professional may share your information with another Wilder healthcare or mental health professional for consultation or a referral. Under Minnesota law, your approval is required in order for us to share your information with another healthcare provider outside of Wilder, except as described in this Notice.
For Billing and Payment: With your approval, we may use and share your information so that we and others who have provided care to you can bill and collect payment for these services. For example, we may share your information with your health plan, Medicare or Medical Assistance to get approval before providing treatment and to ensure Wilder will get payment for the care you received.
For Business Reasons: We may use and share information about you for business reasons that could include: to follow laws and regulations, to train and educate, to improve care and service, to budget and plan, to audit, to maintain our computer systems, to evaluate staff, to decide if we should offer more services, and to find out how satisfied you are. If we share your information with someone else in order for them to do these tasks on our behalf, they must agree in writing to also protect and restrict the use of your information.
To Inform People Involved in or Paying for Your Care: Wilder will typically get your written approval before giving information to a family member or friend involved in your care. However, if you are not able to give your approval, we will decide what, if any, information to share. We may also share information with a person helping to pay for your care. In each of these cases, you may limit what health information we share. For example, we may provide limited medical information to allow a family member to pick up a prescription for you.
To Contact You about Appointments, Insurance, and Other Matters: Wilder may contact you by mail or phone (including leaving messages on a home answering machine or voice mail) for many reasons including to: remind you about an appointment, discuss your care, to ask about insurance, billing, or payment; follow up on your care, or ask how well we cared for you. If you object to a specific method of contact, please let us know so we may accommodate your request. With your consent, Wilder may be able to send you a text message for appointment reminders only.
For Research: We can use or share your information for health research if you do not object. To Comply with the Law & for Legal Proceedings: We will share information about you if state or federal laws require it, including with the U.S. Department of Health and Human Services if it want to see that we’re complying with federal privacy laws. We may disclose information about you to report suspected abuse, neglect, or domestic violence; for a legal proceeding in response to a court or protective order. Only in very limited circumstances will Wilder release information about you in response to a subpoena.
For Fundraising: Wilder may contact you for fundraising efforts, but you can tell us not to contact you again.
For Special Situations: These situations include when required by law; for public health activities, for health oversight activities; for law enforcement purposes or with a law enforcement official, as permitted or required by law; to coroners or medical examiners, as permitted by law; to avert a serious threat to health or safety (including Duty to Warn); for certain specialized government functions such as military, national security, and presidential protective services; for workers’ compensation purposes; or to government agencies or private disaster relief or assistance organizations engaged in disaster relief activities.
Other Uses of Your Information: Wilder will not use or share your information for reasons other than those described in this Notice unless you agree in writing. For example, you may want us to give your information to your employer or your child’s school. We will only do this with your written approval. Likewise, we would never sell your information, use it for marketing, or share psychotherapy notes without your written approval.
Your rights regarding your information
Right to Receive a Copy of this Notice: You have a right to receive a paper copy of this notice at any time.
Right to Review and Get a Copy of Your Information: You may ask to review or receive a copy of your medical records, unless the law otherwise protects the information you are requesting. If your information is maintained in an electronic format, you have the right to request an electronic copy. We will make every effort to provide your information in the format you request, if it is readily producible. This request should be made in writing using a form that Wilder will provide. If your request to review or receive a copy of your medical record is denied, you have the right to have the denial reviewed by a health care professional. Wilder reserves the right to charge you for copying or producing an electronic copy of your information consistent with limits established by state and federal law.
Right to Ask for a Change in Your Medical Record: If you think that our information about you is incorrect or incomplete, you may make a written request asking us to make the correction. You must indicate why you are asking for the correction. If we agree, we will tell you and correct your record. We cannot take anything out of the record and can only add new information to complete or correct existing information. With your help, we will notify others who have the incorrect or incomplete information. If we deny your request we will inform you why within 60 days. You may indicate in writing that you disagree with the denial and we will include this in your medical record and in future releases of your record.
Right to Ask for Confidential Communication: You have the right to ask us to contact or communicate with you in a certain way or at a certain place. For example, you can ask that we contact you only at work or only using a specific address. Your request must be in writing and must say how or where you wish to be contacted. You must provide an address to send bills for payment. We will accept all reasonable requests. However, if we are unable to contact you using the ways or locations you have requested, we may contact you using any information we have.
Right to Ask for Limits on the Use and Sharing of Your Information: You may request in writing that Wilder not use your information in certain ways or for certain purposes, including treatment, payment, or business reasons. You may also ask us to limit the information we share about you with someone involved in your care or paying for your care. However, Wilder has the right to refuse your request if we believe it would affect your care. If we do agree we will follow your request unless the information is needed to treat you in an emergency.
Right to Limit Sharing of Information with Health Plans: If you pay for a service out-of-pocket and in full, you can ask us not to share that information with your health plan or insurer. We will say “yes” unless a law requires us to share this information. To make this request, you must ask before you receive any services. Let us know you want to limit sharing with your health plan when you schedule your appointment. Any information shared before we receive payment in full, such as information for pre-authorizing your insurance, may be shared. Also, we can limit information only for an episode of care (services provided during a single visit). If you want to limit information beyond an episode of care, you must pay in full for each future visit.
Right to Ask for a List of When Your Medical Information Was Shared: Sometimes Wilder must share your medical information with others, usually because we are required by law to do so. To find out with whom, if anyone, we have shared your information, submit a request in writing, and indicate what period of time you want to know about. This period of time may not be longer than six years from your request. The list will not include information that we are not required to track, such as disclosures for treatment, payment, or business reasons; to you or someone representing you, that you authorized us to make; or made in an instance where the law does not require or permit it.
Right to Notice in Case of a Breach: You have a right to know if your information has been breached. We will follow what the law requires to let you know if your information has been shared in error.
Right to Take Back Your Written Permission: If you have given permission for use or sharing of your health information, you may take back that permission, in writing, at any time. If you take back your permission, Wilder will no longer use or share your health information for the reasons listed on your written authorization. Of course, we cannot take back information already shared with your permission.
Your rights related to substance use and disorder (recovery) services
If you are applying for or receiving services (including diagnosis, treatment, or referral) for drug or alcohol abuse your privacy rights are additionally protected by the Confidentiality of Alcohol and Drug Abuse Patient Records (42 CFR part 2). Generally if you are applying for or receiving services for drug or alcohol abuse, we may not disclose any information identifying you as receiving these services or as having a substance use disorder, unless:
- We obtain your written authorization;
- The disclosure is made to medical personnel in a medical emergency;
- The disclosure is made to qualified researchers without your written authorization under certain limited circumstances set forth in 42 C.F.R. Part 2. When required by law, we will obtain an agreement from the researcher to protect the privacy and confidentiality of your information;
- The disclosure is made to a qualified service organization that performs certain treatment services (such as lab analyses) or business operations (such as quality assurance) for us. Wilder will obtain the qualified service organization’s agreement in writing to protect the privacy and confidentiality of your information in accordance with Federal and State law;
- The disclosure is made to a government agency or other qualified non-government personnel to perform an audit or evaluation of us. Wilder will obtain an agreement in writing from any non-government personnel to protect the privacy and confidentiality of your information in accordance with Federal and State law;
- The disclosure is allowed by a court order and permitted under Federal and State confidentiality laws and regulations;
- The disclosure is made to report a crime committed by a client either at Wilder or against any person who works for Wilder or about any threat to commit such a crime; or
- The disclosure is made to report child abuse or neglect to appropriate State or local authorities.
For more information or to file a complaint
If you want more information about your privacy rights, wish to file a complaint because you believe your privacy rights have been violated, or you disagree with a decision that we made about access to or disclosure of your medical information, you may contact Wilder:
Director of Compliance/Privacy Officer
Amherst H. Wilder Foundation
451 Lexington Parkway North
St. Paul, Minnesota 55104
(651) 280-2477 | email@example.com
Filing a complaint will not affect the quality of the services you receive from Wilder and you will not be retaliated against for filing a complaint.
If you believe your privacy rights have been violated, you may also file a complaint with the:
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Violation of federal law and regulations on Confidentiality of Substance Use Disorder Records is a crime and suspected violations of 42 CFR Part 2 may be reported to the United States Attorney – District of Minnesota at 651-848-1950.
Changes to this Notice
We have a right to change this Notice at any time. Any change would apply to information we already have about you and information we receive about you in the future. You have the right to get a paper copy of this Notice and we will provide an updated Notice to you when you request one. We will also post the most current Notice in public areas and on Wilder’s Web site at www.wilder.org.
This Notice was written to comply with 45 CFR part 164, Subpart E - Privacy of Individually Identifiable Health Information, 42 CFR part 2 - Confidentiality of Alcohol and Drug Abuse Patient Records, and the Minnesota Health Records Act.