HIPAA Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

We have summarized our responsibilities and your rights on this first page. For a complete description of our privacy practices, please refer to the pages that follow.

Our Responsibilities

We are required to:

• Maintain the privacy and security of your health information
• Provide you with this notice of our legal duties and privacy practices
• Abide by the terms of this notice
• Not use or disclose your information without your authorization, except as described in this notice
• Notify you following a breach of your health information

Your Rights

You have the right to:

• View or obtain a copy of your paper or electronic medical record
• Request a correction to information in your medical record
• Request that we not use or disclose your health information in certain ways
• Request confidential communications
• Receive a list of disclosures we have made of your health information
• Request a paper copy of this notice
• Choose a personal representative to act on your behalf
• File a complaint if you believe that your privacy rights have been violated

Our Uses and Disclosures

We may use and disclose information in your medical record to:

• Treat you
• Run our organization
• Bill for your services
• Help with public health and safety issues
• Do research
• Comply with the law
• Respond to organ and tissue donation requests;
• Work with a medical examiner or funeral director
• Address workers’ compensation, law enforcement, or other government requests
• Respond to lawsuits and legal actions

You have the opportunity to prohibit or restrict how we use or disclose your information to:

• Tell family and friends about your condition
• Include you in a facility directory
• Provide disaster relief
• Market our services and sell your information
• Raise funds

If you have questions and would like additional information, you may contact our Privacy Officer at 1-866-267-2609 or Legal@nationalchurchresidences.org.