Health Insurance Portability & Accountability Act


RIGHT TO ACCESS – You have the right to inspect and obtain a copy of your health information.


RIGHT TO AN ACCOUNTING OF DISCLOSURES – You have the right to request information about how your information is being shared with others.


RIGHT TO AMENDMENT – You have the right to request the information we have about you be changed if you believe it to be incorrect or incomplete.


RIGHT TO REQUEST CONFIDENTIAL COMMUNICATIONS – You have the right to request that we communicate with you about your health information in a certain way or at a certain location.  For example, you can request that we only communicate with you by phone at work or by mail sent to your home address.


RIGHT TO RESTRICTIONS – You have the right to restrict certain disclosures and releases of your health information.  For example, you have a right to request a limit on the health information we disclose about you to someone who is involved in your care or the payment of your care, such as a family member or friend.


RIGHT TO RESTRICT DISCLOSURE TO HEALTH PLANS – You have the right to request restrictions on the health information we release to your health plan when you paid for services out of pocket and in full.


RIGHT TO COMPLAIN FOR PRIVACY RIGHTS VIOLATIONS – You have the right to complain if you feel that we have used or released your health information inappropriately.


USING AND DISCLOSING YOUR HEALTH INFORMATION – You have the right to be informed on how we use and disclose your health information for treatment, payment and health care operations.  These disclosures may include laboratories while placing lab orders and pharmacies to prescribe medication for you.  Other disclosures may include health oversight activities authorized by law during audits and inspections, law enforcement in response to a court order or subpoena, coroners and medical examiners to assist in the identification of a deceased individual or to determine the cause of death, to health officials when necessary to prevent a serious threat to your health and safety or that of the public or another person.


lt: 2018