YOUR RIGHT TO PRIVACY
HIPAA is the Health Insurance Portability and Accountability Act of 1996, it is a federal law that protects a patient’s health records and defines what information is legally acceptable to disclose.
Summary Of Privacy Notice
It is meant to assist patients with a basic understanding of the privacy policies of this legislation. Signing this DOES NOT replace your signature for the entire privacy notice.
To view the complete HIPAA Privacy Notice, click here
HIPAA provides the patient with the right to request a restriction on the disclosure or usage of their PHI for any reason. All requests for restrictions must be made in writing to the facility’s Privacy Contact Person. However, a request for a restriction must not create an impediment to the care of the patient or the ability of the provider or facility to obtain payment for its services.
If a patient believes that there has been a violation of their privacy rights as defined by HIPAA, they have the right to file a complaint with the facility’s Privacy Contact, the Department of Health and Human Services (Office of Civil Rights), or both.