Your Rights Regarding Your Health Information Sample Clauses

Your Rights Regarding Your Health Information. You have the following rights regarding your health information:
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Your Rights Regarding Your Health Information. The following describes your rights regarding the health information we maintain about you. To exercise your rights, you must submit your request in writing to our Privacy Officer at 000 Xxxxxxx Xxxxx E., Suite 400, Roswell, GA 30076.
Your Rights Regarding Your Health Information. You have the right to view and obtain copies of your health information within our clinic. You must make this request in writing. Under certain circumstances, we may deny your request. If this occurs, we will provide you with the reasons for this denial. You will not be charged more than $ .25 per page for a copy of your health information. You have the right to request limits on the uses and disclosures of your health information. If we do not agree on these limitations, a rationale will be provided to you in writing. You can choose how your health information is sent to you. Some individuals prefer regular mail. Others prefer email or alternative delivery options. You have a right to know to whom I have made disclosures about your health information. You have a right to amend your health information. You have a right to complain about our Privacy Practices. You may contact the Secretary of the U. S. Department of Health and Human Services @ 000 Xxxxxxxxxxxx Xxx., X.X., Xxxxxxxxxx, X. X., 00000. What is Important to Know About Our Clinical Services: We see children, adolescents, and adults. We do evaluations and provide psychotherapy services. We will discuss our recommended course of care with you within the first sessions. Usually, evaluations are performed across two or three dates. Psychotherapy may occur weekly in 45-minute sessions. If you must reschedule your appointment, please try to do so 24 hours prior to the appointment. With the exception of unforeseen events or emergencies, appointments, which are missed or cancelled within 24 hours will be charged to you (one 45-minute session for therapy appointment; two hours for testing appointment). Insurance does not pay for missed appointments. Professional fees will be discussed with you prior to your first appointment. You or your insurance company will be charged according to an hourly rate if there is a need to speak to other professionals on your behalf, review records, or prepare reports. You will be billed at the end of a month. Unless other agreements are made in advance, you will be responsible of the prompt payment of whatever your insurance company does not cover. Contacting Us: Call our office phone number. Each of us has a different extension. We try to return routine phone calls within one business day. We each have various ways in which you can reach us during an emergency. These will be discussed with you during the first appointment. I have read the above office policies and General P...
Your Rights Regarding Your Health Information. The law gives you many rights regarding your health information. You can: • ask us to restrict our uses and disclosures for purposes of treatment (except emergency treatment), payment or health care operations. We do not have to agree to do this, but if we agree, we must honor the restrictions that you want. To ask for a restriction, send a written request to the office contact person at the address, fax or E Mail shown at the beginning of this Notice. • ask us to communicate with you in a confidential way, such as by phoning you at work rather than at home, by mailing health information to a different address, or by using E mail to your personal E Mail address. If you want to ask for confidential communications, send a written request to the office contact person at the address, fax or E mail shown at the beginning of t his Notice. Additional fees may apply. • ask to see or to get photocopies of your health information. By law, there are a few situations in which we can refuse to permit access of copying, however, you will be able to review or have a copy of your health information within 30 days. You may have to pay for photocopies in advance. If we deny your request, we will send you a written explanation, and instructions about how to get an impartial review of our denial if one is legally available. By law, we can have one 30-day extension of the time for us to give you access or photocopies if we send you a written notice of the extension. If you want to review or get photocopies of your health information, send a written request to the office contact person at the address, fax or Email shown at the beginning of t his Notice. • ask us to amend your health information if you think that it is incorrect or incomplete. If we agree, we will amend the information within 60 days from when you ask us. We will send the corrected information to persons who we know got the wrong information, and others that you specify. If you want to ask us to amend your health information, send a written request, including your reasons for the amendment, to the office contact person at the address, fax or Email shown at the beginning of this Notice. • get a list of the disclosures that we have made of your health information within the past six years (or a shorter period if you want) By law, the list will not include: disclosures for purposes of treatment, payment or health care operations; disclosures with your authorization, incidental disclosures; disclosures required by l...
Your Rights Regarding Your Health Information 

Related to Your Rights Regarding Your Health Information

  • Health Information Subject to all applicable privacy laws, the member irrevocably authorises any doctor or other person who may have, or may acquire, any information concerning their health to disclose such information to Specialty Emergency Services, and that this authority shall remain in force for a period of not less than 12 (twelve) months following the expiry date of this Membership Agreement.

  • Protected Health Information “Protected Health Information” shall have the same meaning as the term “protected health information” in Section 160.103 and is limited to the information created or received by Contractor from or on behalf of County.

  • Health Information System i. As required by 42 CFR 438.242(a), the MCP shall maintain a health information system that collects, analyzes, integrates, and reports data. The system shall provide information on areas including, but not limited to, utilization, grievances and appeals, and MCP membership terminations for other than loss of Medicaid eligibility.

  • Data Protection and Privacy: Protected Health Information Party shall maintain the privacy and security of all individually identifiable health information acquired by or provided to it as a part of the performance of this Agreement. Party shall follow federal and state law relating to privacy and security of individually identifiable health information as applicable, including the Health Insurance Portability and Accountability Act (HIPAA) and its federal regulations.

  • Access to Protected Health Information 7.1 To the extent Covered Entity determines that Protected Health Information is maintained by Business Associate or its agents or Subcontractors in a Designated Record Set, Business Associate shall, within two (2) business days after receipt of a request from Covered Entity, make the Protected Health Information specified by Covered Entity available to the Individual(s) identified by Covered Entity as being entitled to access and shall provide such Individuals(s) or other person(s) designated by Covered Entity with a copy the specified Protected Health Information, in order for Covered Entity to meet the requirements of 45 C.F.R. § 164.524.

  • Confidentiality of Health Information (a) A Nurse shall not be required to provide her or his manager/supervisor specific information regarding the nature of her or his illness or injury during a period of absence. However, the Employer may require the Nurse to provide such information to persons responsible for occupational health.

  • Use and Disclosure of Protected Health Information The Business Associate must not use or further disclose protected health information other than as permitted or required by the Contract or as required by law. The Business Associate must not use or further disclose protected health information in a manner that would violate the requirements of HIPAA Regulations.

  • Amendment of Protected Health Information 8.1 To the extent Covered Entity determines that any Protected Health Information is maintained by Business Associate or its agents or Subcontractors in a Designated Record Set, Business Associate shall, within ten (10) business days after receipt of a written request from Covered Entity, make any amendments to such Protected Health Information that are requested by Covered Entity, in order for Covered Entity to meet the requirements of 45 C.F.R. § 164.526.

  • Electronic Protected Health Information “Electronic Protected Health Information” means individually identifiable health information that is transmitted by or maintained in electronic media.

  • Information Technology Accessibility Standards Any information technology related products or services purchased, used or maintained through this Grant must be compatible with the principles and goals contained in the Electronic and Information Technology Accessibility Standards adopted by the Architectural and Transportation Barriers Compliance Board under Section 508 of the federal Rehabilitation Act of 1973 (29 U.S.C. §794d), as amended. The federal Electronic and Information Technology Accessibility Standards can be found at: xxxx://xxx.xxxxxx-xxxxx.xxx/508.htm.

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