Planned Parenthood

Six Rivers

HIPAA

NOTICE OF HEALTH INFORMATION PRIVACY PRACTICES- Summary

PLEASE REVIEW THIS NOTICE CAREFULLY.
If you have any questions about this notice, please contact Six Rivers Planned Parenthood's Privacy Official at 707-442-5700.

OUR PLEDGE REGARDING YOUR HEALTH INFORMATION
We understand that health information about you and your healthcare is personal. We are committed to protecting health information about you. We will create a record of the care and services you receive from us. We do so to provide you with quality care and to comply with any legal or regulatory requirements.

Our pledge regarding your health information is backed-up by Federal law. The privacy and security provisions of the Health Insurance Portability and Accountability Act ("HIPAA") require us to:
Make sure that health information that identifies you is kept private;
Make available this notice of our legal duties and privacy practices with respect to health information about you; and
Follow the terms of the notice that is currently in effect.

HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU
The following categories describe different ways that we may use or disclose health information about you. Unless otherwise noted each of these uses and disclosures may be made without your permission.

For Treatment. We may use health information about you to provide you with healthcare treatment and services.

For Payment: We may use and disclose health information about you so that the treatment and services you receive from us may be billed to and payment collected from you, an insurance company, a state Medicaid agency or a third party.

For Healthcare Operations: We may use and disclose health information about you for operations of our healthcare practice.

Appointment Reminders: We may use and disclose health information to contact you as a reminder that you have an appointment.

Research. There may be situations where we want to use and disclose health information about you for research purposes.

As Required By Law. We will disclose health information about you when required to do so by federal, state, or local law.

To Avert a Serious Threat to Health or Safety. We may use and disclose health information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.

Military and Veterans. If you are a member of the armed forces or are separated/discharged from military services, we may release health information about you as required by military command authorities or the Department of Veterans Affairs as may be applicable.

Workers' Compensation. We may release health information about you for workers' compensation or similar programs.

Public Health Risks. We may disclose health information about you for public health activities.

Health Oversight Activities. We may disclose health information to a health oversight agency for activities authorized by law.

Lawsuits and Disputes. If you are involved in a lawsuit or a dispute, we may disclose health information about you in response to an order issued by a court or administrative tribunal.

Law Enforcement. We may release health information if asked to do so by a law enforcement official.

Coroners, Health Examiners and Funeral Directors. We may release health information to a coroner or health examiner.

Inmates. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release health information about you to the correctional institution or law enforcement official.

YOUR RIGHTS REGARDING HEALTH INFORMATION ABOUT YOU
You have the following rights regarding health information we maintain about you:

Right to Inspect and Copy: You have certain rights to inspect and copy health information that may be used to make decisions about your care.

Right to Amend. If you feel that health information we have about you is incorrect or incomplete, you may ask us to amend the information.

Right to an Accounting of Disclosures. You have the right to request a list (accounting) of any disclosures of your health information we have made, except for uses and disclosures for treatment, payment, and health care operations, as previously described.

Right to Request Restrictions. You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or health care operations.

Right to Request Confidential Communications. You have the right to request that we communicate with you about health matters in a certain manner or at a certain location.

Right to a Paper Copy of This Notice. You have the right to obtain a paper copy of this Notice at any time upon request.

MINORS AND PERSONS WITH GUARDIANS
Minors have all the rights outlined in this Notice with respect to health information relating to reproductive healthcare or when the law requires reporting of abuse and neglect.

CHANGES TO THIS NOTICE
We reserve the right to change this Notice.

COMPLAINTS
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.

OTHER USES OF HEALTH INFORMATION
Other uses and disclosures of health information not covered by this Notice or the laws that apply to us will be made only with your written permission.

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HIPAA