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 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.
We have summarized our responsibilities and your rights on this first page.
For a complete description of our privacy practices, please review this entire notice.
Our Responsibilities
Our agency is required to:
→ Maintain the privacy of your health information.
→ Provide you with this notice of our legal duties and privacy practices with respect to information we collect and maintain about you.
→ Abide by the terms of this notice.
→ Notify you following a breach of unsecured protected health information.
Your Rights
As a resident of our agency, you have several rights with regard to your health information, including the following:
→ The right to request that we do not use or disclose your health information in certain ways.
→ The right to request to receive communications in an alternative manner or location.
→ The right to access and obtain a copy of your health information.
→ The right to request an amendment to your health information.
→ The right to an accounting of disclosures of your health information.
We reserve the right to change our privacy practices and to make the new provisions effective for all health information we maintain. Should our privacy practices change, we will post the changes on the bulletin board in our agency, as well as on our website. A copy of the revised notice will be available after the effective date of the changes upon request.
We will not disclose your health information without your authorization, except as described in this notice. Thus, for example, we will require your authorization before we would use or disclose your protected health information for marketing purposes, and, we will not sell your health information without a specific authorization from you.
If you have questions and would like additional information, you may contact the Administrator, the agency’s privacy officer.
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