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OUTLINE OF NOTICE OF PRIVACY PRACTICES |
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| 1. | With your consent, we may use and disclose your personal health information (PHI) for treatment, payment, and health care operations. |
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| 2. | We may use and disclose personal health information about you for other specific purposes. | |
| A. |
Posted facility directory | |
| B. |
Individuals involved in your care or payment for your care. | |
| C. | Disaster relief | |
| D. | As required by law | |
| E. | Public Health Activities | |
| F. | Reporting victims of abuse, neglect, or exploitation | |
| G. | Health oversight activities | |
| H. | Judicial and administrative proceedings | |
| I. |
Law enforcement | |
| J. | Research | |
| K. | Coroners, Medical Examiners, Funeral Director, Organ Procurement organizations | |
| L. | To avert a serious threat to health or safety | |
| M. | Military and veterans | |
| N. | Workers Compensation | |
| O. | Fundraising activities | |
| P. | Appointment reminders | |
| Q. | Treatment alternatives | |
| R. | Health-related benefits and services | |
| 3. | Your authorization is required for other uses of personal health information | |
| 4. | Your rights regarding your personal health information | |
| A. | Right to request restrictions | |
| B. | Right to access to personal health information | |
| C. | Right to request amendment | |
| D. | Right to an accounting of disclosures | |
| E. | Right to a paper copy of this notice | |
| F. | Right to request confidential communications | |
| 5. | Complaints |
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| 6. | Changes to this notice | |
| 7. | For further information please contact our Corporate Compliance officer at 620-543-2251 |
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