|
NOTICE OF
PATIENT PRIVACY PRACTICES
|
 |
|
|
|
|
 |
|
 |
|
|
|
|
|
|
|
Although we keep your PHI information, it belongs to you and you
have the right to:
- Ask that Saxonburg VFC Ambulance tell you about your PHI in
the way you like and place you want.
- Ask that we only use or tell others about your PHI so that
we can take care of you, get paid, or manage our services.
- Request copies or look at your PHI, including the medical records,
treatment, and billing records that we maintain. You must make
this request in the form of a written request and we may charge
a fee for copies.
- Request changes to your PHI if you think it's wrong or not
complete. We may not make the change if we think your PHI is accurate
and complete or if the requested change is not about your PHI
or is about PHI that we did not create. We will not charge a fee
for changes to PHI.
- Ask for disclosures of your PHI. This is a list of whom Saxonburg
VFC Ambulance told you PHI to and what we told them. This list
will not include disclosures made during routine treatment or
care, billing, or our business management. You must make this
request in a form of a written request and we may charge a fee
for the list.
- File a complaint if you think your privacy rights have not
been followed.
- Give authorization for other uses and disclosures. You may take
back any authorizations at any time. You may also authorize us
to provide PHI to others you wish to have the information. This
authorization must be in writing.
|
|
|
|
|
|
Saxonburg VFC Ambulance will use and disclose your PHI in these
ways:
- We will use your PHI
to take care of you and provide information to the hospital or
doctor that will provide treatment beyond our care and transport.
- We will use and disclose
your PHI in order to bill your insurance company and get paid
for the services and supplies we use during your care and/or transport.
- We will use and disclose
your PHI in order to manage our operations including quality review,
infection or disease control, cost management, and business planning.
- We
will disclose your PHI when required to do so by federal, state,
or local law.
- We may disclose
PHI if asked to do so by a law enforcement official regarding
a crime or criminal behavior; a warrant, summons, court order,
subpoena, or similar legal process; to identify a suspect, witness,
fugitive, or missing person; or in an emergency to report a crime
or help in an investigation.
-
We may use and/or disclose your PHI when necessary to reduce or
prevent a serious threat to your health and safety or the health
and safety of another individual or the public. Under these conditions,
we will only tell your PHI to the person or organization able
to help prevent the threat.
- . We may use and disclose
certain portions of your PHI in the course of training our medical
staff to improve their knowledge and abilities as pre-hospital
providers.
|
|
|
|
|
|
If you have a question or want more information, you
may contact us at Saxonburg VFC Ambulance, P.O. Box 530, Saxonburg,
PA 16056, (724) 352-3300.
|
|
|
|
|
|