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HIPAA Information
Uses and Disclosures of Protected Health Information Requiring Your Permission
In some circumstances, you have the opportunity to agree or object to the use or disclosure of all or part of your protected health information. Following are examples in which your agreement or objection is required.
Unless you object, we will use and disclose in our USMD Hospital at Arlington in-patient directory your name, the location at which you are receiving care, your condition (in general terms) and your religious affiliation. All of this information, except religious affiliation, will be disclosed to people who ask for you by name. Only members of the clergy will be told your religious affiliation.
Right to Request Confidential Communications
You may request that we communicate with you using alternative means or at an alternative location. We will not ask you the reason for your request. We will accommodate reasonable requests when possible.
Right to Request Amendment
If you believe that the information we have about you is incorrect or incomplete, you may request an amendment to your protected health information as long as we maintain this information. While we will accept requests for amendment, we are not required to agree to the amendment
Right to an Accounting of Disclosures
You may request that we provide you with an accounting of the disclosures we have made of your protected health information. This right applies to disclosures made for purposes other than treatment, payment or health care operations as described in this Notice of Privacy Practices. The disclosure must have been made after April 14, 2003, and no more than six years from the date of request. This right excludes disclosures made to you, for a USMD Hospital at Arlington directory; to family members or friends involved in your care or notification. The right to receive this information is subject to additional exceptions, restrictions and limitations as described earlier in this notice.
Right to Obtain a Copy of this Notice
You may obtain a paper copy of this notice from USMD Hospital at Arlington or view it electronically at the Department of Health and Human Services website: http://www.os.dhhs.gov/ocr/hipaa
Federal Privacy Laws
This Notice of Privacy Practices is provided to you as a requirement of the Health Insurance Portability and Accountability Act (HIPAA.) There are several other privacy laws that also apply including the Freedom of Information Act, the Privacy Act and the Alcohol, Drug Abuse and Mental Health Administration Reorganization Act. These laws have not been superseded and have been taken into consideration in developing our policies and this notice of how we will use and disclose your protected health information.
Complaints
If you believe these privacy rights have been violated, you may file a written complaint with the USMD Hospital at Arlington Privacy Officer, the TMA Privacy Officer, or the Department of Health and Human Services. No retaliation will occur against you for filing a complaint.
Contact Information
You may contact you local USMD Hospital at Arlington Privacy Officer for further information about the complaint process or for further explanation of this document. The USMD Hospital at Arlington Privacy Officer may be contacted at:
USMD Hospital at Arlington
801 West I-20
Arlington, TX 76017
817-472-3400
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© USMD Hospital 2008 •
USMD Hospital at Arlington •
801 West Interstate 20 •
Arlington, Texas 76017 •
Phone (817) 472-3400 •
Notice of Privacy Practices
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This Web site presents information to educate consumers on various health topics. It is NOT intended to provide instruction on medical diagnosis or treatment. The information contained on this site is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. You should NOT rely on this information to determine a diagnosis or course of treatment. The information should NOT be used in place of an individual consultation, examination, visit or call with your physician or other qualified health care provider. You should never disregard the advice of your physician or other qualified health care provider because of any information you read on this site or on any Web sites you visit as a result of using this site. If you have any health care questions, please consult your physician or other qualified health care provider promptly. Always consult your physician or other qualified health care provider before you begin any new treatment, diet or fitness program.
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