You’re probably asking, "What is this? " Believe me; it’s not as complicated as it appears. This notice talks about the privacy of your health information. That’s nothing new - we’ve always taken great care to guard your privacy. What is new is a government regulation requiring us to spell out your rights. That’s what you’ll find on the following pages, and that’s why Home Health Pavilion asked for a signature that indicates this notice was received.
We’ve appreciate your trust in our company. Thank you for being a Home Health Pavilion customer. We take the faith you’ve placed in us very seriously.
Home Health Pavilion is required by law to maintain the privacy of Protected Health Information ("PHI") and to provide you with notice of our legal duties and privacy practices with respect to PHI. PHI is information that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services. Notice of Privacy Practices ("Notice") describes how we may use and disclose PHI to carry our treatment, payment or health care operations and for other specified purposes that are permitted or required by law. The Notice also describes your rights with respect to your PHI. We are required to provide this notice to you by the Health Insurance Portability and Accountability Act ("HIPAA").
Home Health Pavilion is required to follow the terms of this Notice. We will not use or disclose your PHI without your written authorization, except as described or otherwise permitted by this Notice. We reserve the right to change our practices and this Notice and to make the new Notice effective for all PHI we maintain. Upon request, we will provide any revised Notice to you.
Examples of How We Use and Disclose Protected Health Information About You:
The following categories describe different ways that we use and disclose your protected health information however, not every use or closure in a category will be listed.
We are permitted to use or disclose your PHI for the following purposes. However, Home Health Pavilion may never have reason to make some of these disclosures.
To Communicate with Individuals Involved in Your Care or Payment for Your Care: We may disclose to a family member, other relative, close personal friend or any other person you identify, PHI directly relevant to that person’s involvement in your care or payment related to your care.
Your Health Information Rights
You may request a copy of our current Notice at any time. Even if you have agreed to receive the Notice electronically, you are still entitled to a paper copy. You may obtain a paper copy from Home Health Pavilion, mail service location or the Privacy Office.
You have the right to request additional restrictions on our use or disclosure of PHI by sending a written request to the Privacy Office. We are not required to agree to those restrictions. We cannot agree to restrictions on use or disclosures that are legally required, or which are necessary to administer our business.
In most cases, you have the right to access and copy the PHI that we maintain about you. To inspect or copy your PHI you must send a written request to the Privacy Office. We may charge you a fee for the costs of copying, mailing and supplies that are necessary to fulfill your request. We may deny your request to inspect and copy in certain limited circumstances.
If you feel the PHI we maintain about you is incomplete or incorrect, you may request that we amend it.To request an amendment, you must send a written request to the Privacy Office. You must include a reason that supports your request. In certain cases, we may deny your request for amendment.
You have the right to receive an accounting of the disclosures we have made of your PHI after March 25th, 2003, for most purposes other than equipment service, payment, or health care operations. The right to receive an accounting is subject to certain exceptions, restrictions, and limitations. To request an accounting, you must submit a request in writing to the Privacy Office. Your request must specify the time period. The time period may not be longer than six years and may not include dates before March 25th, 2003.
For instance, you may request that we contact you at a different residence or post office box. To request confidential communication of your PHI, you must submit a request in writing to the Privacy Office. Your request must tell us how or where you would like to be contacted. We will accommodate all reasonable requests.
Where to obtain forms for submitting written requests
You may obtain forms for submitting written requests from any Home Health Pavilion location or by contacting the Privacy Officer at Home Health Pavilion:
Privacy Officer,
Home Health Pavilion Inc,5027 Route 9W,
Newburgh, NY 12550
Phone (845) 569-1250.
Email: Privacy@homehealthpavilion.com
Incidental Disclosures:Home Health Pavilion will make reasonable efforts to avoid incidental disclosures of protected health information.
Minors:If you are a minor who has lawfully provided consent for treatment and you wish for Home Health Pavilion to treat you as an adult for purposes of access to and disclosure of records related to such treatment, please notify the Privacy Office. For More Information or To Report a Problem
If you have questions or would like additional information about Home Health Pavilion privacy practices, you may contact our Privacy Officer at Home Health Pavilion.
Privacy Officer,
Home Health Pavilion Inc,5027 Route 9W,
Newburgh, NY 12550
Phone (845) 569-1250.
Email: Privacy@homehealthpavilion.com
If you believe your privacy rights have been violated, you can file a complaint with us. We will pursue the complaint diligently and we take this very seriously as it pertains to your health rights.
Effective Date: This Notice is effective as of March 25th, 2003.
Office for Civil Rights - HIPAA
Medical Privacy - National Standards to Protect the Privacy of Personal Health Information
This privacy policy sets out how this website (hereafter "the Store"e;) uses and protects any information that you give the Store while using this website. The Store is committed to ensuring that your privacy is protected. Should we ask you to provide certain information by which you can be identified when using this website, then you can be assured that it will only be used in accordance with this privacy statement. The Store may change this policy from time to time by updating this page. You should check this page from time to time to ensure that you are happy with any changes.
What we collect
We may collect the following information: