YOUR RIGHTS REGARDING YOUR MEDICAL INFORMATION
- Right to Inspect and Copy: You have the right to inspect and have a copy made of the medical information contained in your designated record set. A "designated record set" contains medical and billing records and any other records that Provider uses for making decisions about you. Usually, you have the right to access medical and billing records, subject to certain limitations. For example, you do not have the right to obtain information if its disclosure would have an adverse effect on you or if the information is compiled by Provider in reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding.
To inspect and copy medical information that may be used to make decisions about you, you must submit your request in writing to the UHHS Privacy Officer. If you request a copy of the information, Provider may charge a reasonable, cost-based fee to cover the costs associated with your request.
Provider may deny your request in very limited circumstances. If you are denied access to your medical information, you may request that the denial be reviewed. Another licensed health care professional chosen by Provider will review your request and the denial. The person conducting the review will not be the person who denied your request. Provider will comply with the outcome of the review.
- Right to Amend: If you feel that the medical information in the designated record set which Provider maintains about you is incorrect or incomplete, you may ask Provider to amend the information. You have the right to request an amendment for as long as the information is kept by or for Provider.
To request an amendment, you must make the request in writing and submit it to the UHHS Privacy Officer. In addition, you must provide a reason that supports your request.
Provider may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, Provider may deny your request if you ask Provider to amend information that:
was not created by Provider, unless the person or entity that created the information is longer available to make the amendment;
is not part of the medical information kept by or for Provider;
is not part of the information which you would be permitted to inspect and copy; or
is accurate and complete.- Right to an Accounting of Certain Disclosures:You have the right to request an accounting of certain disclosures which Provider made of your medical information within the six years prior to your request. This right applies to disclosures for purposes other than treatment, payment or health care operations as described in this Notice. It excludes disclosures we may have made to you, with your authorization, for a facility directory, to family members or friends involved in your care, or for notification purposes.
The right to receive this information is subject to certain exceptions, restrictions and limitations.
To request this list or an accounting of the disclosures of your medical information, you must submit your request in writing to the UHHS Privacy Officer. Your request must state a time period which may not be longer than six years and may not include dates before April 14, 2003. Your request should indicate in what form you want the list (for example, on paper or electronically). The first list you request within a 12-month period will be free. For additional lists, Provider may charge you a reasonable, cost-based fee for the cost of providing the list. Provider will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
- Right to Request Restrictions: You have the right to request a restriction or limitation on the medical information Provider uses or discloses about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information Provider discloses about you to someone who is involved in your care or the payment for your care, like a family member or friend. For example, you could ask that Provider not use or disclose information about a surgery you had.
Provider is NOT required to agree to your request. If Provider does agree, Provider will comply with your request unless the information is needed to provide you with emergency treatment.
To request restrictions, you must make your request in writing to the UHHS Privacy Officer. In your request, you must tell the UHHS Privacy Officer: (i) what information you want to limit; (ii) whether you want to limit Provider's use, disclosure or both; and (iii) to whom you want the limits to apply, for example, disclosure to your spouse or your former clergy.
- Right to Request Change in Communications: You have the right to request that Provider communicate with you about your medical information in a certain way or at a certain location. For example, you can ask that Provider only contact you at work or by mail.
To request a change in the manner or method of how Provider communicates with you about your medical information, you must make your request in writing to the UHHS Privacy Officer. Provider will not ask you the reason for your request. Provider will use reasonable efforts to accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.
- Right to a Paper Copy of This Notice: You have the right to receive a paper copy of this Notice. You may ask Provider to give you a copy of this Notice at any time.
You may obtain a copy of this Notice at www.uhhs.com/hipaa.
To obtain a paper copy of this Notice, please contact the UHHS Privacy Officer.