Choose someone to act for you Sample Clauses

Choose someone to act for you. ▪ If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights & make choices about your health information. ▪ We will make sure the person has this authority & can act for you before we take any action. File a complaint if you believe your privacy rights have been violated. ▪ If you believe your privacy rights have been violated, you may file a complaint with our office or with the US Department of Health & Human Services. ▪ To file a complaint with our office, contact our office for a HIPAA Complaint Form. You will not be penalized for filing a complaint. ▪ To file a complaint with the US Department of Health & Human Services, contact their office at 000 Xxxxxxxxxxxx Xxxxxx XX, Xxxxxxxxxx, XX 00000, calling 000-000-0000, or visiting xxx.xxx.xxx/xxx/xxxxxxx/xxxxx/xxxxxxxxx/. YOU HAVE SOME CHOICES IN THE WAY THAT WE USE AND SHARE INFORMATION: If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, & we will follow your instructions. ▪ Share information with your family, close friends, or others involved in your care. ▪ Share information in a disaster relief situation. If you are unable to tell us your preference, for example, if you are unconscious, we may go ahead & share your information if we believe it is in your best interest. We may also share information when needed to lessen a serious & imminent threat to health or safety. In the below-described instances we will never share your information unless you give us written permission: ▪ Marketing purposes ▪ Sale of your information ▪ Psychotherapy Notes
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Choose someone to act for you. If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.
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Choose someone to act for you. If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will check that that person has authority to act for you before we act on their request. File a complaint if you feel your rights are violated: You can complain if you feel we have violated your rights by contacting us (information below). You can file a complaint with the US Department of Health and Human Services Office for Civil Rights by sending a letter to 000 Xxxxxxxxxxxx Xxxxxx, X.X., Xxxxxxxxxx, X.X., 00000, calling 0-000-000-0000, or visiting xxx.xxx.xxx/xxx/xxxxxxx/xxxxx/xxxxxxxxxx/. We will not retaliate against you for filing a complaint. Xxxx Health PC 000 Xxxxxx Xx, Xxx 000 Xxxxxxxxx XX 00000 Phone: 000-000-0000 Email: xxxxxxx@xxxxxxxxxx.xxx YOUR CHOICES You have the right to tell us how to share your information: Please list who you would like us to share medical information with (friends, family, caregivers, etc.) We will only share with other healthcare providers directly involved with your care and those listed above. In the event of an emergency, where you cannot give us information on your preferences, we will share with others only if we believe it is in your best interest. We may also share your information when needed to lessen a serious or imminent threat to health or safety.
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Related to Choose someone to act for you

  • Convicted, Discriminatory, Antitrust Violator, and Suspended Vendor Lists In accordance with sections 287.133, 287.134, and 287.137, F.S., the Contractor is hereby informed of the provisions of sections 287.133(2)(a), 287.134(2)(a), and 287.137(2)(a), F.S. For purposes of this Contract, a person or affiliate who is on the Convicted Vendor List, the Discriminatory Vendor List, or the Antitrust Violator Vendor List may not perform work as a contractor, supplier, subcontractor, or consultant under the Contract. The Contractor must notify the Department if it or any of its suppliers, subcontractors, or consultants have been placed on the Convicted Vendor List, the Discriminatory Vendor List, or the Antitrust Violator Vendor List during the term of the Contract. In accordance with section 287.1351, F.S., a vendor placed on the Suspended Vendor List may not enter into or renew a contract to provide any goods or services to an agency after its placement on the Suspended Vendor List. A firm or individual placed on the Suspended Vendor List pursuant to section 287.1351, F.S., the Convicted Vendor List pursuant to section 287.133, F.S., the Antitrust Violator Vendor List pursuant to section 287.137, F.S., or the Discriminatory Vendor List pursuant to section 287.134, F.S., is immediately disqualified from Contract eligibility.

  • Handling Sensitive Personal Information and Breach Notification A. As part of its contract with HHSC Contractor may receive or create sensitive personal information, as section 521.002 of the Business and Commerce Code defines that phrase. Contractor must use appropriate safeguards to protect this sensitive personal information. These safeguards must include maintaining the sensitive personal information in a form that is unusable, unreadable, or indecipherable to unauthorized persons. Contractor may consult the “Guidance to Render Unsecured Protected Health Information Unusable, Unreadable, or Indecipherable to Unauthorized Individuals” issued by the U.S. Department of Health and Human Services to determine ways to meet this standard.

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