Common use of Right to a Paper Copy of This Notice Clause in Contracts

Right to a Paper Copy of This Notice. You have a right to obtain a paper copy of this notice. You may obtain a copy by notifying Transformations office at 502/899-5411 or mailing a request to 0000 Xxxxxx Xxxxxx, Xxxxx 000, Xxxxxxxxxx, XX 00000. Right to amend your/your child's health information You have the right to request the agency to amend the health information we maintain about you/your child if you feel it is incorrect or incomplete for as long as the information is kept by Transformations. To request an amendment, you must submit a request in writing and state the reason that supports your request. The disputed information will remain in the record along with the amended information. Transformation may deny your request if the request is not submitted in writing, does not contain a reason to support the request, the information that is being questioned was not originated by Transformations, it is not part of the information which you are permitted to inspect or copy, or it is currently accurate and complete. Right to an accounting of disclosures You have the right to obtain an accounting of the disclosures Transformations made of health information about you/your child. This does not include disclosures made for treatment, payment, or health care operations, made directly to you, made for national security reasons, or made to corrections or law enforcement personnel. Your request must state a time period that must be no longer than (6) six years and may not include dates before April 14, 2003. The first list requested within a (12) twelve month period will be free. For additional lists, you will be charged for the cost of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request before any costs are incurred. Right to request alternative means of communication Transformations’ staff may seek to communicate with you through general common practices such as your cell phone, text messages, email, voice mail, the U.S. Postal service, etc. It is our policy to take reasonable measures to secure electronic communications. You have the right to request communication of your/your child's health information by alternative means or alternative locations. For example, you could request Transformations only contact you at work or by mail. To request communications by alternative or restricted means, you must submit your request in writing. You will not be asked the reason for your request and your request will be accommodated. Your request must indicate how or where you want to be contacted. Right of access to protected health information You have the right to request, either verbally or in writing your/your child's health information with certain exceptions. Transformations will respond to you within (30) thirty days (or (60) sixty days if extra time is needed). If your request is denied you have the right to have the request reviewed by a reviewing official who did not participate in the original decision to deny access. In accordance with Kentucky State Law 422.317, Transformations will provide, without charge to the client, a copy of the client's medical record. There will be a charge for any additional copies after that based on cost.

Right to a Paper Copy of This Notice. You have a the right to obtain a paper copy of this notice. To obtain a paper copy of this Notice, contact the MSU Privacy Officer. You may also obtain a copy by notifying Transformations office of this Notice at 502/899-5411 our website, xxxx://xxxxxxx.xxxxxxxxxxxxx.xxx/hipaa/default.htm. Breach: In the event MSU improperly discloses or mailing uses your medical information in violation of federal or state law, we are required to notify you of such a request breach within 60 days of the event. Complaints: If you believe we have violated your privacy rights or have not adhered to 0000 Xxxxxx Xxxxxx, Xxxxx 000, Xxxxxxxxxx, XX 00000. Right to amend your/your child's health information You have the right to request the agency to amend the health information we maintain about you/your child if you feel it is incorrect or incomplete for as long as the information is kept by Transformations. To request an amendmentcontained in this Notice, you must submit may file a request complaint by putting it in writing and state sending it to the reason that supports your requestMSU’s Privacy Officer listed at the end of this document. The disputed information will remain in the record along You may also file a complaint with the amended information. Transformation may deny your request if the request is not submitted in writing, does not contain a reason to support the request, the information that is being questioned was not originated by Transformations, it is not part Secretary of the information which you are permitted to inspect U.S. Department of Health and Human Services at 0-000-000-0000 (any language) or copy0-000-000-0000 (TDD), or it is currently accurate and complete. Right to an accounting of disclosures You have view the right to obtain an accounting of the disclosures Transformations made of health information about you/your child. This does not include disclosures made for treatment, payment, or health care operations, made directly to you, made for national security reasons, or made to corrections or law enforcement personnel. Your request must state a time period that must be no longer than (6) six years and may not include dates before April 14, 2003. The first list requested within a (12) twelve month period will be free. For additional lists, you will be charged for the cost of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request before any costs are incurred. Right to request alternative means of communication Transformations’ staff may seek to communicate with you through general common practices such as your cell phone, text messages, email, voice mail, the U.S. Postal service, etc. It is our policy to take reasonable measures to secure electronic communications. You have the right to request communication of your/your child's health information by alternative means or alternative locations. For example, you could request Transformations only contact you at work or by mail. To request communications by alternative or restricted means, you must submit your request in writing. web-site: xxxx://xxx.xxx.xxx/ocr/privacy/hipaa/complaints/. You will not be asked retaliated against for filing a complaint with either MSU or the reason for your request U.S. Department of Health and your request will be accommodatedHuman Services. Your request must indicate how or where you want to be contacted. Right of access to protected health information You have CHANGES TO THIS NOTICE OF PRIVACY PRACTICES: We reserve the right to requestchange or modify the information contained in this Notice. Any changes will be effective for any medical information we have about you and any information we might obtain. Each time you receive services from MSU, either verbally or we will have available the most current copy of our Notice of Privacy Practices. The most recent version will be posted in writing your/your child's health information with certain exceptions. Transformations will respond to you within our building and our website (30) thirty days (or (60) sixty days if extra time is neededxxxx://xxxxxxx.xxxxxxxxxxxxx.xxx/hipaa/default.htm). Also, you can call or write our contact person, whose information is included in this Notice, to obtain the most recent version. If your request is denied you have the right to have the request reviewed by a reviewing official who did not participate in the original decision to deny access. In accordance with Kentucky State Law 422.317any questions about this Notice, Transformations will provide, without charge to the client, a copy of the client's medical record. There will be a charge for any additional copies after that based on cost.please contact: