u Uses
and disclosures of health information:
We use health information about you for treatment, to obtain
payment for treatment, for administrative purposes, and to
evaluate the quality of care that you receive.
We may use or
disclose identifiable health information about you without your
authorization for several other reasons. Subject to certain
requirements, we may give out health information without your
authorization for public health purposes, for auditing purposes,
for research studies, and for emergencies. We provide
information when otherwise required by law, such as for law
enforcement in specific circumstances. In any other situation,
we will ask for your written authorization before using or
disclosing any identifiable health information about you. If you
choose to sign an authorization to disclose information, you can
later revoke that authorization to stop any future uses and
disclosures.
We may
change our policies at any time. Before we make a significant
change in our policies, we will change our notice and post the
new notice in the waiting area and on our web site at
www.afulllife.org. For more
information about our privacy practices, contact the person
listed below.
u Individual
rights:
In most cases, you have the right to look at or get a copy of
health information about you that we use to make decisions about
you. If you request copies, we will charge you $0.05 (5 cents)
for each page. You also have the right to receive a list of
instances where we have disclosed health information about you
for reasons other than treatment, payment or related
administrative purposes. If you believe that information in your
record is incorrect or if important information is missing, you
have the right to request that we correct the existing
information or add the missing information.
You may request
in writing that we not use or disclose your information for
treatment, payment and administrative purposes except when
specifically authorized by you, when required by law, or in
emergency circumstances. We will consider your request but are
not legally required to accept it.
u Complaints:
If you are concerned that we have violated your privacy rights,
or you disagree with a decision we made about access to your
records, you may contact the person listed below. You also may
send a written complaint to the U.S. Department of Health and
Human Services. The person listed below can provide you with
appropriate address upon request.
u Our
legal duty:
We are required by law to protect the privacy of your
information, provide this notice about our information
practices, and follow the information practices that are
described in this notice.
If you
have any questions or comments, please contact:
Office Administrator
9297 North Government Way
Hayden, Idaho 83835
Phone: (208) 762-9835 |
