St. Joseph Health System
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Your Rights Regarding Health Information About You

Your Individual Rights

Right to Inspect and Copy
You have the right to inspect and copy information in your medical record.  This right does not extend to any psychotherapy notes.  To inspect and/or get a copy of your medical record you must submit your request in writing to the Medical Records department at the applicable Affiliated Facility/Entity.  You may be required to pay copying costs.  You may request this information in a printed format, or if the information is maintained electronically you may request an electronic copy of the information.

Right to Amend
If you believe that information in your designated record set is incorrect or that information is missing, you have the right to request that we correct the records.  Your request must be submitted to the Medical Records department, in writing, and include the reason you are requesting the change.  We can deny your request to change a record if the information you are requesting to be changed was not created by us, is not part of the medical or billing information maintained by us, or if we determine that the record is accurate.

Right to Request Restrictions
You have the right to request a limit on medical information we disclose to someone who is involved in your care or the payment of your care, such as, a family member or friend.  For example, you could ask that we not disclose information about a surgery you had.  To request restrictions, the request must be made in writing to the Medical Records department at the applicable Affiliated Facility/Entity.  We are not required to agree to your request.  If we do agree, we will comply with your restrictions unless the information is needed to provide emergency treatment.

Right to Request Confidential Communications
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.  For example, you can ask that we only contact you at work or by mail.  Your request must specify how or where you wish to be contacted.  We will accommodate all reasonable requests.  To request restrictions, the request must be made in writing to the Medical Records department at the applicable Affiliated Facility/Entity. 

Right to Revoke your Authorization
If you provide us with authorization to use or disclose medical information about you, you may revoke that authorization, in writing, at any time.  If you revoke your authorization, we will no longer use or disclose medical information about you for the reasons covered by your written authorization.  We are unable to take back any disclosures we have already made with your permission and we are required to retain our records of the care that we provided to you.  A form of written revocation is available upon request from the Affiliated Facility/Entity’s Medical Records department.

Right to a Paper Copy of this Notice
If you view this Notice on our Web site or by electronic mail (e-mail), you are entitled to receive a copy of this Notice in written form. Please contact us as directed below to obtain this Notice in written form.

Breach Notification
In the event that we, one of our Business Associates, or subcontractors discover an inappropriate use or disclosure of your health information, you will receive a notification of breach of your unsecured PHI.

Disposal of Medical Records
You have the right to know that your medical records may be destroyed ten (10) years after you were last treated in the hospital, or until the patient’s 21st birthday, whichever is later.  St. Joseph may not destroy medical records that relate to any matter that is involved in litigation, if St. Joseph knows the litigation has not been fully resolved.  Such records may be destroyed upon final resolution of the litigation.

Right to an Accounting of Disclosures
You have the right to a list of those instances when we have disclosed medical, billing and personal information about you, for reasons other than treatment, payment, or health care operations without your authorization.  Your written request must identify a time period, which must be less than a six (6) year time period and after April 14, 2003.  You may receive the list in a printed format, or if available, in an electronic format.  There may be a cost associated with your request.  You will be informed of the cost before any charges are incurred.

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