NOTICE: PATIENT PRIVACY
Date: 03/06/2003
We are committed to preserving the
privacy of your personal health information. In fact, we are required
by law to protect the privacy of your medical information and to
provide you with Notice describing:
HOW MEDICAL INFORMATION ABOUT YOU MAY
BE USED AND
DISCLOSED AND HOW YOU CAN ACCESS THIS
INFORMATION.
We may require your written consent
before we use or disclose to others your medical information for
purposes of providing or arranging for your health care, the payment
for or reimbursement of the care that we provide to you, and the
related administrative activities supporting your treatment.
We may be required or permitted by
certain laws to use and disclose your medical information for other
purposes without your consent or authorization.
As our patient, you have important
rights relating to inspecting and copying your medical information
that we maintain, amending or correcting that information, obtaining
an accounting of our disclosures of your medical information,
requesting that we communicate with you confidentially, requesting
that we restrict certain uses and disclosures of your health
information, and complaining if you think your rights have been
violated.
We have available a detailed Notice of
Privacy Practices which fully explains your rights and our obligations
under the law. We may revise our Notice from time to time. The
effective date at the top right hand side of this page indicates the
date of the most current Notice in effect.
You have the right to receive a copy of
our most current Notice in effect. If you have not yet reserved a copy
of our current Notice, please ask at the front desk and we will
provide you with a copy.
If you have any questions, concerns or
complaints about the Notice or your medical information, please
contact The Beach Park Fire Department Privacy Officer
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ISO
Class 4
