Access: You have the right to look at or get copies of your health information, with limited exceptions. You must make a request in writing to obtain access to your health information. A form will be provided to you for this request. We will charge you a reasonable cost-based fee for expenses such as copies, staff time, and postage.
Disclosure Accounting: You have the right to receive a list of instances in which we disclosed your health information for other than treatment, payment, healthcare operations, and certain other activities for at least six years, but not before 4/14/03.
Restriction: You have the right to request that we placed additional restrictions on our use and disclosure of your health information. We are not required to agree to these additional restrictions, but if so, we will abide by our agreement (except in an emergency
Amendment: You have the right to request in writing that we amend your health information. We may deny your request in certain situations.
Alternative Communication: You have the right to request that we communicate with you about your health information by alternative locations. This request must be in writing and spell out the means and/or locations.
Uses and Disclosures of Health Information: We use and disclose health information about you for treatment, payment, and healthcare operations.
Treatment: We may use or disclose your health information to a physician or other healthcare provider treating you.
Payment: We may use and disclose your healthcare information to obtain payment for the services we provide you.