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KIWI RECOVERY - Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Your Rights

You have the right to:

  • Get a copy of your paper or electronic medical record
  • Correct your paper or electronic medical record
  • Request confidential communication
  • Ask us to limit the information we share
  • Get a list of those with whom we’ve shared your information
  • Get a copy of this privacy notice
  • Choose someone to act for you
  • File a complaint if you believe your privacy rights have been violated

See Your Rights section below for more information on these rights and how to exercise them

Your Choices

You have some choices in the way that we use and share information as we:

  • Tell family and friends about your condition
  • Provide disaster relief
  • Include you in a hospital directory
  • Provide mental health care
  • Market our services and sell your information
  • Raise funds

See Your Choices section below for more information on these choices and how to exercise them

Our Uses and Disclosures

We may use and share your information as we:

  • Treat you
  • Run our organization
  • Bill for your services
  • Help with public health and safety issues
  • Do research
  • Comply with the law, lawsuits, and legal actions
  • Respond to organ and tissue donation requests
  • Work with a medical examiner or funeral director
  • Address workers’ compensation, law enforcement, and other government requests
  • Respond to lawsuits and legal actions

See Our Uses and Disclosures section below for more information on these uses and disclosures

Your Rights

When it comes to your health information, you have certain rights.

This section explains your rights and some of our responsibilities to help you.

The word “we” in the Notice of Privacy Practice refers to Kiwi Recovery (“Kiwi”), and the following individuals:

  • Any health care professional authorized to enter information into your chart.
  • Any health care provider who is a member of Kiwi Staff.
  • All Kiwi workforce members, including employees, staff, volunteers and other health center personnel.

Get an electronic or paper copy of your medical record

  • You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
  • We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

  • You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
  • We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

  • You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
  • We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

  • You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
  • If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

Get a list of those with whom we’ve shared information

  • You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
  • We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

  • You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

  • If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
  • We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

  • You can complain if you feel we have violated your rights by contacting us using the information on page 6.
  • You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/
  • We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share.

If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in your care.
  • Share information in a disaster relief situation.
  • Include your information in a hospital directory.

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases we never share your information unless you give us written permission or an attestation (if legally required):

  • Marketing purposes
  • Sale of your information
  • Most sharing of psychotherapy notes
  • Sharing of your reproductive health care information for:
  • Conducting an investigation into or imposing liability of a civil, criminal, or administrative nature against you for seeking, obtaining, or facilitating lawful reproductive health care (Example: An agency investigates if you traveled or transported someone from State A to State B to receive health care services. such as an abortion, and the services were lawful in State B); or
  • Identifying you for the purposes stated above.

In the case of fundraising:

  • We may contact you for fundraising efforts, but you can tell us not to contact you again.

Our Uses and Disclosures

How do we typically use or share your health information?

We typically use or share your health information in the following ways.

Treat you

  • We can use your health information and share it with other professionals who are treating you.
  • Example: A doctor treating you for an injury asks another doctor about your overall health condition.

Run our organization

  • We can use and share your health information to run our practice, improve your care, and contact you when necessary.
  • Example: We use health information about you to manage your treatment and services.

Bill for your services

  • We can use and share your health information to bill and get payment from health plans or other entities.
  • Example: We give information about you to your health insurance plan so it will pay for your services.

Contact you

  • We may use your health information to contact you with information about treatment and follow-up care instructions or with information about services we provide
  • Example: We may contact you about scheduled or cancelled appointments, registration or insurance updates, billing or payment matters, pre-procedure assessment, satisfaction surveys or test results.

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html

Help with public health and safety issues

We can share health information about you for certain situations such as:

  • Preventing disease
  • Helping with product recalls
  • Reporting adverse reactions to medications
  • Reporting suspected abuse, neglect, or domestic violence
  • Preventing or reducing a serious threat to anyone’s health or safety

Do research

  • We can use or share your information for health research.

Comply with the law

  • We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

Respond to organ and tissue donation requests

  • We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

  • We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers’ compensation, law enforcement, and other government requests

We can use or share health information about you:

  • For workers’ compensation claims
  • For law enforcement purposes or with a law enforcement official
  • With health oversight agencies for activities authorized by law
  • For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions

  • We can share health information about you in response to a court or administrative order, or in response to a subpoena (unless stricter state standards apply which prevent such disclosures).

We will generally ask you for your written consent or a judge’s order before we share certain sensitive information about you such as:

  • Alcohol and Substance Use Records - Please note that Federal law and regulations protect the confidentiality of substance use disorder patient records. See the NOTICE OF ADDITIONAL PROTECTIONS OF SUBSTANCE USE DISORDER RECORDS attached to this Notice.
  • AIDS, ARC or HIV related information, including but not limited to status or testing results, regardless of whether the test results are positive or negative.
  • Sexually Transmitted Diseases
  • Genetic Testing Results
  • Consent for Abortion
  • Victim’s Counseling for Domestic Violence or Sexual Assault
  • Certain psychotherapy documentation
  • Communications with Mental Health Providers and Social Workers

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html .

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website at www.kiwirecovery.com

Effective Date of this Notice: February 12th, 2026.

Contact Us

If you have any questions about this Notice of Privacy Practices, please contact Kiwi Recovery’s Privacy Officer at 617-751-6610

For medical records requests, contact The Program Director listed at the location below:

Concord: 617-751-6610

Brookline: 617-941-9077

NOTICE OF ADDITIONAL PROTECTIONS OF SUBSTANCE USE DISORDER RECORDS

Our HIPAA Notice of Privacy Practice (“HIPAA NPP”) applies to all our [clients]. If you receive treatment, diagnosis, or referral for treatment in one of our designated Substance Use Disorder Programs (“Part 2 Programs”), the confidentiality of your records in such programs (“Part 2 Records”) are subject to further protections under the federal law and regulations 42 U.S.C. § 290dd-2, 42 U.S.C. 290ee-3, and 42 C.F.R. Part 2 (“Part 2”).

THIS NOTICE SUPPLEMENTS THE HIPAA NPP AND DESCRIBES:

  • HOW YOUR PART 2 RECORDS MAY BE USED AND DISCLOSED,
  • YOUR RIGHTS WITH RESPECT TO PART 2 RECORDS, AND
  • HOW TO FILE A COMPLAINT CONCERNING A VIOLATION OF THE PRIVACY OR SECURITY OF YOUR PART 2 RECORDS, OR OF YOUR RIGHTS CONCERNING YOUR PART 2 RECORDS.

YOU HAVE A RIGHT TO A COPY OF THIS NOTICE (IN PAPER OR ELECTRONIC FORM) AND TO DISCUSS IT WITH Kiwi’s Privacy Officer AT 617-545.3344 IF YOU HAVE ANY QUESTIONS.

I. USES AND DISCLOSURES

Our Part 2 Programs may use and disclose your Part 2 Records only as described in this section or with your written consent.

(A) Permitted Uses and Disclosure of Part 2 Records Without Consent

  • To communicate with other staff within the Part 2 Program who have a need for the information in connection with their duties to provide diagnosis, treatment, or referral for treatment or persons/office with direct administrative control over the Part 2 Program.
  • To qualified service organizations providing services to us or on our behalf.
  • To law enforcement agencies or officials if you commit, or threaten to commit, a crime in our facilities or against our personnel.
  • To report suspected child abuse and neglect consistent with state laws.
  • To medical personnel in a medical emergency under certain conditions.
  • For research purposes if certain conditions are met.
  • To qualified personnel for management and financial audit or program evaluation purposes who agree in writing to comply with the limitations on use and redisclosure.
  • To a public health authority, if the information has been properly de-identified.

(B) Permitted Uses and Disclosures that Require Consent

  • For treatment, payment, and health care operations purposes. Our Part 2 Program will request that you provide a single written consent for all future uses or disclosures of your information for treatment, payment, and healthcare operations purposes in order to ensure you receive the highest level of coordinated care. If you do not sign this consent, we may not be able to treat you. This consent shall remain in effect until you revoke it in writing.
  • Records that are disclosed to us or to another Part 2 program, covered entity, or business associate pursuant to your written consent for treatment, payment, and health care operations may be further disclosed by us or that Part 2 program, covered entity, or business associate, without your written consent, to the extent the HIPAA regulations permit such disclosure.
  • Our Part 2 Program may make uses and disclosures not described in this notice only with your written consent.

(C) Right to Revoke or Withdraw a Consent

You may revoke or withdraw your written consent at any time by submitting a request to the Part 2 Program. We will no longer use or disclose your Part 2 Records after such time, except to the extent we have already acted in reliance upon it.

If you were mandated to treatment through the criminal legal system (including drug court, probation, or parole) and you sign a consent authorizing disclosures to elements of the criminal legal system such as the court, probation officers, parole officers, prosecutors, or other law enforcement, your right to revoke consent may be more limited and should be clearly explained on the consent you sign.

(D) Uses or Disclosures in Legal Proceedings

Your Part 2 Records, or testimony relaying the content of such records, shall not be used or disclosed in any civil, administrative, criminal, or legislative proceedings against you unless you provide specific written consent or a Part 2 compliant court order authorizes such disclosure.

Part 2 Records shall only be used or disclosed based on a court order after notice and an opportunity to be heard is provided to you and/or our Part 2 Program, where required by 42 U.S.C 290dd-2 and 42 CFR Part 2A court order authorizing use or disclosure must be accompanied by a subpoena or other similar legal mandate compelling disclosure before the record is used or disclosed.

II. Your Rights Related to Your Part 2 Records

As a client in our Part 2 Program, you have all the rights listed in the HIPAA NPP, including the right to request restrictions of disclosures made with prior consent for purposes of treatment, payment, and health care operations. You also have the right to an accounting of disclosures of electronic Part 2 Records made with your consent for the past 3 years, including disclosures for treatment, payment, and health care operations when such disclosures are made through an electronic health record.

III. Filing a Complaint

See HIPAA NPP for more information regarding filing a complaint.

The effective date of this Notice is February 16, 2026

Legal Disclaimer – Marketing Partner Website

This website is owned and operated by Falcon Marketing ("Marketing Partner"), a marketing partner that works in collaboration with Kiwi Recovery, a licensed provider of youth mental health and therapy services. Falcon Marketing is not a healthcare provider.

The purpose of this website is to provide general educational information and to help connect individuals and families with therapy options offered through Kiwi Recovery. This site is for informational and referral coordination purposes only and does not provide medical advice or therapeutic services.

All clinical evaluations, therapy services, and patient care are provided exclusively by licensed professionals employed or contracted by Kiwi Recovery.

Do not use this website for emergencies.

This website is not monitored 24/7. If you are experiencing an emergency, call 911 or go to the nearest emergency room.

Please do not submit sensitive medical, mental health, or substance use–related information through website forms. If you need to communicate private health information, please contact Kiwi Recovery directly or use any secure method they provide. Please provide only the information necessary for us to respond to your inquiry.

Information you submit through this website may be transmitted to Kiwi Recovery for the purpose of responding to your inquiry and coordinating scheduling. Submission of information through this website does not create a provider–patient relationship.

Serving the MetroWest Area

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