Your information. Your rights. Our responsibilities.

How to exercise your rights

Get a copy of your health information

You may ask to see or receive an electronic or paper copy of health information we maintain about you. We generally will provide a copy or summary within 30 days, as required by law, and may charge a reasonable cost-based fee.

Ask us to correct your information

You may ask us to correct health information you believe is inaccurate or incomplete. We may deny the request in some circumstances and will explain the reason in writing within the time required by law.

Request confidential communications

You may ask us to contact you in a particular way or at a different address. We will accommodate reasonable requests.

Ask us to limit use or disclosure

You may ask us not to use or share certain health information for treatment, payment or healthcare operations. We are not always required to agree. When you pay in full out of pocket, you may ask us not to disclose information about that item or service to your health plan, and we will honor the request unless disclosure is required by law.

Get a list of disclosures

You may request an accounting of certain disclosures made during the six years before your request. The list will not include disclosures for treatment, payment, healthcare operations and certain other disclosures permitted by law.

Choose a representative

If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your health information. We will verify that authority before acting.

File a complaint

You may complain to our Privacy Officer or to the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

How we may use and share your information

Treatment and care coordination

We may use and disclose your health information to coordinate your care, obtain prescriptions or clinical documentation, select appropriate supplies and communicate with healthcare professionals involved in your care.

Payment

We may use and disclose your information to verify benefits, request authorization, bill health plans, collect payment and respond to payment reviews or audits.

Healthcare operations

We may use and disclose your information to operate our business, improve quality, train staff, manage risk, conduct compliance activities and contact you about orders, delivery, resupply or service.

Business associates

We may share information with contractors that perform services for us when a written agreement requires them to safeguard the information and use it only as permitted.

Other uses permitted or required by law

We may use or disclose information for public health and safety activities, health oversight, workers’ compensation, law enforcement, judicial or administrative proceedings, organ and tissue donation, coroners or medical examiners, research approved or permitted by law, and other purposes required by law. Special legal protections may apply to certain records.

Uses requiring written authorization

Other uses and disclosures not described in this notice will be made only with your written authorization. You may revoke an authorization in writing, except to the extent we already relied on it.

Our responsibilities

• We are required by law to maintain the privacy and security of protected health information.
• We will notify affected individuals following a breach of unsecured protected health information when required by law.
• We must follow the duties and privacy practices described in the notice currently in effect.
• We will not use or share your information except as described here unless you authorize it in writing or the law permits or requires it.

We may change this notice and apply the revised notice to information we already have and information we receive in the future. The current notice will be available on this website and upon request.