Your Health Information Rights. Although your health record is the physical property of the healthcare practitioner or facility that compiled it, the information belongs to you. Privacy Rules (PR) specify that you have the right to: • request a restriction on certain uses and disclosures of your information as provided by PR 164.522 • obtain a paper copy of the notice of information practices upon request • inspect and copy your health record as provided for in PR 164.524 • amend your health record as provided in PR 164.528 • obtain an accounting of disclosures of your health information as provided in PR 164.528 • request communications of your health information by alternative means or at alternative locations • revoke your authorization to use or disclose health information except to the extent that action has already been taken. Our Responsibilities: This organization is required to: • maintain the privacy of your health information • provide you with a notice as to our legal duties and privacy practices with respect to information we collect and maintain about you • abide by the terms of this notice • notify you if we are unable to agree to a requested restriction • accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations. We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, we will mail a revised notice to the address you've supplied us. We will not use or disclose your health information without your authorization, except as described in this notice.
Appears in 5 contracts
Samples: Adult Counseling Services Agreement, Counseling Services Agreement, Counseling Services Agreement
