Tell us what you want us to do, and we will follow your We share your information in the situations described below, talk to us. Visiting We will not retaliate against you for filing a complaint.įor certain health information, you can tell us your choices about what we share. To 200 Independence Avenue, S.W., Washington, D.C. Department of Health and Human Services Office for Civil Rights by sending a letter You may alsoĭeliver a written complaint to the Compliance Officer at Northwest Asthma & Allergy Center. If you believe your privacy rights have been violated, you may discuss your concerns with any staff member. We will make sure the person has this authority and can act for you before we take any action.įile a complaint if you feel your rights are violated Rights and make choices about your health information. If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.
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We will provide one accounting per year for free but will charge a reasonable, cost-based fee if you ask for another one We will include all the disclosures except for those about treatment, payment, and health care operations, or disclosures you 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, Get a list of those with whom we’ve shared information We will say “yes” unless a law requires us to share that information. Of payment or our operations with your health insurer. 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 To agree to your request, and we may say “no” if it would affect your care. You can ask us not to use or share certain health information for treatment, payment, or our operations. We will say “yes” to all reasonable requests. 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 may say “no” to your request, but we’ll tell you why in writing within 60 days. You can ask us to correct health information about you that you think is incorrect or incomplete. We will provide a copy or a summary of your health information, usually within 30 days of your request. You can ask to see or get an electronic or paper copy of your medical record and other health information we have about Get an electronic or paper copy of your medical record This section explains your rights and some of our When it comes to your health information, you have certain rights. Address workers’ compensation, law enforcement, and other government requests Work with a medical examiner or funeral director Respond to organ and tissue donation requests Help with public health and safety issues We may use and share your information as we: Market our services and sell your information Tell family and friends about your condition You have some choices in the way that we use and share information as we: File a complaint if you believe your privacy rights have been violated Get a list of those with whom we’ve shared your information
Ask us to limit the information we share Correct your paper or electronic medical record Get a copy of your paper or electronic medical record This notice describes how medical information about you may be used and disclosed and how you can get access to this Providers, and billing and payment information relating to health care services. Your protected information includes your symptoms, test results, diagnoses, treatment plan, health information from other The law protects the privacy of the health information we create and obtain in providing care and services to you. We understand that your personal health information is Northwest Asthma & Allergy Center (NAAC) respects your privacy.
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