![]() We may also share your information when needed to lessen a serious and imminent threat to health or safety. If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe ii is in your best interest. Share information in a disaster relief situation.Share information with your family, close friends, or others involved in your care.In these cases, you have both the right and choice to tell us to: Tell us what you want us to do, and we will follow your instructions. If you have a clear preference for how we share your information in the situations described below, talk to us. We will not retaliate against you for filing a complaint.įor certain health information, you can tell us your choices about what we share.20201, calling 1-87, or visiting HHS.gov/HIPAA Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, SW., Washington, D.C. You can file a complaint with the U.S.You can complain if you feel we have violated your rights by contacting our privacy official using the information on page 5.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.If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.We will provide you with a paper copy promptly. You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months. We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). ![]() 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, who we shared it with, and why.Get a list of those with whom we’ve shared information We will say “yes” unless a law requires us to share that information. 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 of payment or our operations with your health insurer.We are not required 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 may charge a reasonable, cost-based fee. We will provide a copy or a summary of your health information within 10 business days of your request and our receipt of your authorization.You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you.Get an electronic or paper copy of your medical record This section explains your rights and some of our responsibilities to help you. When it comes to your health information, you have certain rights. See pages 3 and 4 for more information on these uses and disclosures 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: See page 3 for more information on these choices and how to exercise them 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: See page 2 for more information on these rights and how to exercise them 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 information. Chattanooga Urgent Care Notice of Privacy Practices
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