This is to inform you that under the Health Insurance Portability and Accountability Act of 1996 that all information given to this agency is considered confidential and private. You have the right to access your medical record and request the information at any time.

Clinical staff is allowed to review the entire medical record and share information freely with other clinicians directly caring for you. If information is required for purposes other than coordinating care, then a separate acknowledgement and agreement will be required to be signed.

  • Confidential information is prohibited to be sent by e-mail unless encrypted.
  • Each individual having access to computerized records will be secured by having their own password, which is not to be divulged to anyone.
  • All computerized records are logged off to the patient information system while not in use.
  • Computerized screens with patient information are out of view from general public.
  • Discussions regarding patient care are kept private.
  • All paper records no longer needed will be shredded or delivered to a recycling company that will shred the documents.
Confidential information will be released without authorization in the below instances:
  • State health agencies require providers to report when patients have certain communicable diseases.
  • The Food & Drug Administration requires providers to report certain information about medical devices that malfunction.
  • Some states require physicians and other caregivers to report to police cases of child abuse or domestic violence.
  • Police have the right to request certain information to determine whether they are suspects of criminal investigation.
  • The courts have the right to order providers to release patient information.
  • Providers must report cases of suspicious deaths or suspected crime victims.
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