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Your Health Information
Rights The health and billing records we maintain are the physical property of the office/hospital. The information in it, however, belongs to you. You have a right to: · Request a restriction on certain
uses and disclosures of your health information by delivering the request
to our office/hospital -- we are not required to grant the request, but we will
comply with any request granted; ·
Obtain a paper copy
of the current Notice of Privacy Practices for Protected Health Information ("Notice")
by making a request at our office/hospital; ·
Request that you be
allowed to inspect and copy your health record and billing record – you
may exercise this right by delivering the request to our office/hospital; ·
Appeal a denial of
access to your protected health information, except in certain circumstances; ·
Request that your
health care record be amended to correct incomplete or incorrect information
by delivering a request to our office/hospital. We may deny your
request if you ask us to amend information that: ·
Was not created by
us, unless the person or entity that created the information is no longer available
to make the amendment; · Is
not part of the health information kept by or for the office/hospital; ·
Is
not part of the information that you would be permitted to inspect and copy;
or, ·
Is accurate
and complete. If your request is denied, you will be informed of the reason for the denial and will have an opportunity to submit a statement of disagreement to be maintained with your records; · Request
that communication of your health information be made by alternative means or
at an alternative location by delivering the request in writing to our office/hospital; ·
Obtain an accounting
of disclosures of your health information as required to be maintained by law
by delivering a request to our office/hospital. An accounting
will not include uses and disclosures of information for treatment, payment, or operations; disclosures
or uses made to you or made at your request; uses or disclosures made pursuant to an authorization signed by you; uses or
disclosures made in a facility directory or to family members or friends relevant to that person's involvement in your care
or in payment for such care; or, uses or disclosures to notify family or others responsible for your care of your location,
condition, or your death. · Revoke authorizations that you made previously to use or disclose information by delivering
a written revocation to our office/hospital, except to the extent information or action has already been taken. If you want to exercise any of the above rights, please contact the
Office Manager at Hampden Medical Group,
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