Your Health Information Rights
The health and billing records we maintain are the physical property of the office/hospital. The information in it, however, belongs to you. You have a right to:
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Request a restriction on certain uses and disclosures of your health information by delivering the request to our office — we will comply with any request granted;
Obtain a paper copy of the current Notice of Privacy Practices for Protected Health Information ("Notice") by making a request at our office/hospital;
Request that you be allowed to inspect and copy your health record and billing record - you may exercise this right by delivering the request to our office/hospital;
Appeal a denial of access to your protected health information, except in certain circumstances;
Request that your health care record be amended to correct incomplete or incorrect information by delivering a request to our office/hospital. We may deny your request if you ask us to amend information that: |
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Was not created by us, unless the person or entity that created the information is no longer available to make the amendment;
Is not part of the health information kept by or for the office/hospital;
Is not part of the information that you would be permitted to inspect and copy; or,
Is accurate and complete. |
If your request is denied, you will be informed of the reason for the denial and will have an opportunity to submit a statement of disagreement to be maintained with your records:
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Request that communication of your health information be made by alternative means or at an alternative location by delivering the request in writing to our office/hospital;
Obtain an accounting of disclosures of your health information as required to be maintained by law by delivering a request to our office/hospital. An accounting will not include uses and disclosures of information for treatment, payment, or operations; disclosures or uses made to you or made at your request; uses or disclosures made pursuant to an authorization signed by you; uses or disclosures made in a facility directory or to family members or friends relevant to that person's involvement in your care or in payment for such care; or, uses or disclosures to notify family or others responsible for your care of your location, condition, or your death.
Revoke authorizations that you made previously to use or disclose information by delivering a written revocation to our office/hospital, except to the extent information or action has already been taken. |
If you want to exercise any of the above rights, please contact our office manager and HIPPA compliance office, Karen Hawkins, in person or in writing, during regular, business hours. She will inform you of the steps that need to be taken to exercise your rights.
Karen Hawkins
Partners in Healing, LLC
10201 Wayzata Boulevard
Suite 350
Minnetonka, MN 55305
e-mail: info@partnersinpsych.com
phone: (763) 546-5797
fax: (763) 546-5754 |
