HIPPA NOTICE OF PRIVACY PRACTICES 1. THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO OUR NOTICE OF PRIVACY PRACTICES. 2. How we may use and disclose your health information. We use health
information about you for treatment, to get paid for treatment, for
administrative purposes, and to evaluate the quality of care that you receive.
For example, your health information may be shared with other providers to
whom you are referred to. Information may be shared by paper, mail, electronic
mail, fax, or other methods. We may use or disclose your health information
without your authorization for several reasons. But beyond those situations, we
will ask for your written authorization before using or disclosing your health
information. If you sign an authorization to disclose information, you can later
revoke it to stop any future uses and disclosures. 3. Your rights. In most cases, you have the right to look at or get a copy of your
health information that we use to make decisions about you. If you request
copies, we may charge you a cost-based fee. You also have the right to request a
list of certain types of disclosures of your information that we have made. If you
believe your health information is incorrect or information is missing, you have
the right to request that we correct the existing information or add the missing
information. 4. Our legal duty. We are required by law to protect the privacy of your health
information, provide this notice about our privacy practices, follow the privacy
practices that are described in this notice, and seek your acknowledgment of
receipt of this notice. We may change our privacy policies at any time. Before
we make a significant change in our policies, we will change our notice and post
the new notice in the waiting area. You can also request a copy of our notice at
any time. For more information about our privacy policies, you can get
information by asking at the reception desk for a copy or by logging onto our
web site at www.osceolamedicalcenter.com or by contacting the person listed
below. 5. Privacy complaints. If you are concerned that we have violated your privacy
rights, or if you disagree with a decision we made about access to your health
information, you may contact the person listed below. You also may send a
written complaint to the U.S. Department of Health and Human Services. The
person listed below can provide you with the appropriate address upon request. If you have any questions or complaints, please contact: The Privacy Officer, at
P.O. Box 218. Osceola WI. 54020 or by calling 715-294-5722
Click here to download a PDF of the HIPPA Notice of Privacy.
