Privacy Policy
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED BY THE CHRISTIAN COUNTY HEALTH DEPARTMENT (CCHD) AND HOW YOU MAY ACCESS YOUR INFORMATION. PLEASE READ CAREFULLY.
You will be asked to sign an acknowledgement form upon receipt of this notice.
PRIVACY POLICY
Your Rights
When it comes to your health information, you as the section below explains your rights regarding your medical information.
You may request a paper copy of this form, free of charge, at any time.You may also view it online at https://christiancountyhd.com/.
- We will provide a copy of your medical and health information within thirty
(30) days of your request. We reserve the right to charge a nominal fee for this service.
If you believe your record is incorrect or incomplete, you may fill out an amendment request and submit it to us with documentation of the error.
We can only modify records created by CCHD.
We reserve the right to deny this request if requirements are not met. We will notify you of a denial within thirty (60) days.
You may specify ways we may contact you (for example, only by phone or email or at a particular address).
You may ask us to limit information we use or share for treatment, payment, or in our operations.
We reserve the right to refuse this request if it would affect how we care for you or if it would keep us from sharing information as required by law.
When you want information shared with family, close friends, or others involved in your care.
During a disaster relief situation.
In very limited situations (for example, if you are unconscious at time of treatment), we may share information necessary to minimize threats to your health and safety.
Upon request, we will provide you a listing of where your information was shared, how often it was shared, and why it was shared. Information will be released in accordance with current U.S. Department of Health and Human Services (HHS) guidelines.
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The listing for the current year will be provided free of charge. A listing beyond the current year will be provided upon payment of a nominal administrative fee.
- You may choose an individual to whom you have given medical power of attorney or who serves as your legal guardian to act on your behalf regarding sharing your medical and health information. We must verify this status before sharing information on your behalf.
You may contact our Compliance Officer by phone at 270.887.4160 or by email at christiancountyhd@gmail.com.
You may contact the U.S. Department of Health and Human Services Office for Civil Rights (OCR) by phone at 1-868-368-1019, by email at OCRComplaint@hhs. gov, by visiting online at http://www.hhs.gov/hipaa/filing-a-complaint/ or by sending a letter to:
OCR, HHH Building, Room 509F,
200 Independence AVE S.W.,
Washington, DC 20201.You will not be retaliated against for filing a complaint.
PRIVACY POLICY
Our Uses & Disclosures
The section below explains ways we use your medical and health information.
We may share your information with professionals who are treating you (for example, if we are seeking a second opinion).
We may share your information to bill for services (for example, sending your billing information to your health insurer).
- We may share your information to improve care and to contact you (for example, to phone you after a missed appointment).
- We may share non-identifying information about you, as required by law, to ensure compliance and in prevention efforts (for example, supporting product recalls). More information regarding these requirements is available at: www.hhs. gov/ocr/privacy/hipaa/ understanding/consumers/index.html.
- We may share information about you, as required by law, to respond to organ and tissue donation requests, to provide information to a medical examiner or funeral director, or to address workers’ compensation claims, law enforcement and other governmental agency requests, and to respond to lawsuits and legal actions.
We may contact you regarding appointment scheduling, treatment and service options, and to inform you of health-related services, benefits, or products.
PRIVACY POLICY
Our Responsibilities
- We are required by law to maintain the privacy and security of your protected health information.
- We will notify you promptly in case of a breach of your medical and/or health information.
- We will follow the duties and practices detailed in this notice.
- We will not share your information other than as described in this notice unless you provide written permission to share your information in other ways. You may withdraw permission, in writing, at any time.
PRIVACY POLICY
Changes to the Terms of
This Notice
The terms of thisNotice of Privacy Practices may be changed at any time to comply with law. When changes are made, the new notice will be available upon request at Christian County Health Department sites and locations and online at https://christiancountyhd.com/.
The effective date of this Notice of Privacy Practices is September 2013. This notice applies to all Christian County Health Department sites and locations.
For more information about your rights, please visit: www.hhs.gov/ocr/privacy/hipaa/ understanding/consumers/noticepp.html.