Your Rights. As a patient, you have certain rights regarding your access to, and the accuracy of, your Protected Health Information. These rights include: You have the right to request a restriction on certain uses and disclosures of your Protected Health Information. This means that you may ask us not to use or disclose any part of your Protected Health Information for purposes of treatment, payment, or health care operations. You may also request that any part of your Protected Health Information not be disclosed to family members or friends who may be involved in your care. Your request must state the specific restrictions requested and to whom you want the restrictions to apply. East and West Physical Therapy LLC is not required to agree to such a restriction. If we do agree, we will abide by your restriction unless we need to use your Protected Health Information to provide emergency treatment. In addition, we may elect to terminate the restriction at any time. You have the right to request to receive information from us by alternative means or at an alternative location if you believe it would enhance your privacy. You have the right to inspect and copy your Protected Health Information. You have the right to amend your Protected Health Information. You have the right to receive an accounting of certain disclosures we have made of your Protected Health Information.
Your Rights. If you receive a notice that you owe money to the Court or did not complete community service, you have the following legal rights: You have the right to a court hearing before the court can jail you. The court will NOT put you in jail if you are not able to pay. You MUST appear in court. You could be jailed if you do not. You have the right to have a lawyer help you at the hearing. A lawyer can help you avoid jail. A lawyer can help you explain that you do not have the money to pay or could not complete community service. You have the right to ask the Judge to appoint a lawyer to help you at the hearing. You can ask the Judge to make you pay nothing for the lawyer.
Your Rights. It is our responsibility to supply you with services that meet your consumer rights. If you have any concerns that we have not met our legal obligations please contact us, our contact details are given at the bottom of the page. If you are unclear about your rights or require advice, you can contact the Citizens Advice Consumer Service on 03454 040506 or xxx.xxxxxxxxxxx.xxx.xx ACCESS: It is your responsibility to let us into your property. If you do not allow us access to your property to perform the services as arranged (and you do not have a good reason for this) we may charge you additional costs incurred by us as a result. If, despite our reasonable efforts, we are unable to contact you or re-arrange access to your property we may end the contract.
Examples of Your Rights in a sentence
Client acknowledges that it has received a copy of “A Summary of Your Rights Under the Fair Credit Reporting Act” and “Notice to Users of Consumer Reports,” which are attached as Exhibit C and D to this Agreement.
More Definitions of Your Rights
Your Rights. While the records we maintain belong to us, you have a variety of rights with respect to the information in those records. For instance, you have the right to: • Correct, but not delete, the information • Choose where and how the information is sent to you, and • Obtain a list of non-routine disclosures made of this information. All of these rights are subject to some exceptions that are described in the attached Notice. Our Obligations: We are required to provide you with our Privacy Notice and abide by its terms. We can amend the Notice from time to time. We reserve the right to make the amended or changed notice effective for medical information we already have about you as well as any information we receive in the future. After reviewing the Notice if you have any questions or require additional information, please call the Affiliate Hospital designated Privacy Officer at the telephone number below or contact the Lifespan Privacy Officer. Rhode Island Hospital 000-000-0000 The Xxxxxx Hospital 000-000-0000 Lifespan Physician Group 000-000-0000 Newport Hospital 000-000-0000 or 000-0000 Xxxxxxx Hospital 000-000-0000 Gateway Healthcare 000-000-0000 Lifespan Privacy Officer 000-000-0000 Lifespan Effective Date – August 3, 2020 Joint Privacy Notice THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE READ IT CAREFULLY. This Notice describes the types of medical information we gather about you (or your minor child or xxxx), with whom that information may be shared and the safeguards we have in place to protect it. You have the right to the confidentiality of your healthcare information. If you have any questions about this Notice, please contact the Lifespan Privacy Officer or one of the Lifespan Affiliate Privacy Officers at the telephone numbers and/or addresses listed at the end of this Notice.
Your Rights. You have the right to inspect and copy your PHI. Under federal law, however, you may not inspect or copy the following records: psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding; and PHI that is subject to law that prohibits access to PHI. You have the right to request a restriction of your PHI. This means you may ask us not to use or disclose any part of your PHI for the purposes of treatment, payment or healthcare operations. You may also request that any part of your PHI not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested and to whom you want the restriction to apply. Our organization is not required to agree to a restriction that you may request. If our organization believes it is in your best interest to permit use and disclosure of your PHI, your PHI will not be restricted. You then have the right to use another Healthcare Professional. You have the right to request to receive confidential communications from us by alternative means or at an alternative location. You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice alternatively, e.g., electronically. You may have the right to have our organization amend your PHI. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. You have the right to receive an accounting of certain disclosures we have made, if any, of your PHI. We reserve the right to change the terms of this notice and will inform you by mail, text or email of any changes. You then have the right to object or withdraw as provided in this notice. Complaints: You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our privacy contact of your complaint. We will not retaliate against you for filing a complaint. We are required by law to maintain the privacy of, and provide individuals with, this notice of our legal duties and privacy practices with respect to PHI. Associated companies with whom we may do business, such as an answering service or delivery ...
Your Rights if You Are
Your Rights. As a client, you have the right to terminate treatment at any time and request appropriate referrals from Xx. Xxxxxxxxx. If at any time you want waisnh other p to consult with another therapist, Xx. Xxxxxxxxx will assist you in finding someone qualified. And if he has your written consent, he will provide him or her with the essential information needed. You have the right to review or receive a copy of your records, except in limited legal or emergency circumstances or when Xx. Xxxxxxxxx assesses that releasing such information might be harmful in any way. In such a case, Xx. Xxxxxxxxx will provide the records to an appropriate and legitimate mental health professional of your choice. Note that in cases where clients are participating in conjoint therapy sessions any release of information (including lrvees)lweill aresqueire worfittenrecords to consent from both participating clients, except where required by law. PAYMENTS AND INSURANCE REIMBURSEMENT: Clients are expected to pay the standard fee of $220.00 per hour for couple therapy and $180.00 per hour for individual therapy at the end of each session unless other arrangements have been made. Telephone conversations, site visits, report writing and reading, consultation with other professionals, release of information, reading records, longer sessions, travel time, etc. may be charged at the same rate as indicated above. Please notify Xx. Xxxxxxxxx if any problem arise regarding your ability to make timely payments. Xx. Xxxxxxxxx does not accept insurance. At your request Xx. Xxxxxxxxx will provide you with a copy of a receipt as needed so that you can submit it to your insurance company for possible reimbursement. Not all issues/conditions/problems/diagnoses are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage. Xx. Xxxxxxxxx is not responsible for denied insurance claims. Requests for refunds must be submitted in writing within thirty days of services being rendered. THE PROCESS OF THERAPY AND EVALUATION: Participation in therapy can result in a number of benefits to you, including improving resolution of the specific concerns that led you to seek therapy. Working toward these benefits requires effort on your part. Psychotherapy requires your active involvement, honesty, and openness. Client’s should also be aware that no desired changes can be guaranteed, but Xx. Xxxxxxxxx will make every effort to help you meet your goals. Initials:
Your Rights. As an individual enrolled in the Disaster Registry, you have the right to: Examine your enrollment information to ensure it is accurate and up-‐to-‐date. Be informed of any unauthorized violation of privacy. Know of any changes in policy related to the privacy of your information. Withdraw from the Disaster Registry at any time and have all your enrollment information completely removed. If you have any questions regarding your privacy or the Disaster Registry, please contact: Two Rivers Public Health Department Buffalo County Emergency Management: 308-‐233-‐3225 000 0xx Xxxxxx, Xxxxx 0 Xxxxxx Xxxxxx Emergency Management: 308-‐324-‐2070 Holdrege, NE 68949 Franklin County Emergency Management: 308-‐425-‐6231 308-‐995-‐4778 Xxxxxx County Emergency Management: 308-‐928-‐2147 Xxxxxxx County Emergency Management: 308-‐743-‐2442 Region 15 Emergency Management: 308-‐995-‐2250 Enrollment Form Register online at: xxxx://xxxxxxxxx.xx.xxx/emergency/needs/index.htm or mail to Two Rivers Public Health Department; 000 0xx Xxxxxx, Xxxxx 0; Xxxxxxxx, XX 00000 I. Identifying Information Last Name: First Name: Middle Initial: Gender: ❑ Male ❑ Female Date of Birth (m\d\yr) : \ \ Age: Address: Unit # Apt # City: County: Zip: Phone: Work: Home: Cell: E-‐mail: Email:
Your Rights. Attachment means Contractor’s written notice sent to the Member that explains the Member’s rights to challenge, free of charge, Contractor’s action, and the Member’s right to file an Appeal with Contractor, a Deemed Exhaustion, and the right to request a State Hearing or an Independent Medical Review (IMR).
Your Rights. Pamphlet (Publication 13) E. Department of Labor, Employment and Training Xxxxxxxxxxxxxx, 00 XXX Parts 603,651,652, et al., WIOA Final Rule