Patient Privacy

 

SUMMARY NOTICE OF PRIVACY PRACTICES FOR PROTECTION OF INDIVIDUAL HEALTH INFORMATION

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

This notice is a summary of your rights. The complete Notice of Privacy Practices is Available at the Registration or Admission Office

 

RESPONSIBILITIES OF Roy Lester Schneider Hospital, Myrah Keating Smith Community Health Center and Charlotte Kimelman Cancer Institute

Schneider Regional Medical Center is required by law to maintain the privacy of your protected health information and to give you notices of our duties and privacy practices.  This Notice describes how we may use and disclose your individually identifiable health information.  This Notice also describes your right to access and control your health information.

We must follow the terms of this Notice.  We reserve the right to change this Notice consistent with the law.  If we change this Notice, we will post a revised Notice and will make paper copies of the complete Notice available upon request.  The terms of this Notice of Privacy Practices are consistent with the federal HIPAA Privacy Regulations.”  Any term not defined in this Notice have the same meaning as it has in the HIPAA Privacy Regulations.

 

USES AND DISCLOSURES OF YOUR PROTECTED HEALTH INFORMATION

We are legally permitted, without further notice to or consent from you, to use and/or disclose your protected health information in the following circumstances.

For treatment, Payment or Healthcare Operations or to Others Involved in Your Care To Business Associates
To Other Covered entities or for Public Health Activities For Abuse or Neglect Reporting or as Otherwise Required by Law
To the Food and Drug Administration (FDA) Health-Related Benefit Information
For Workers’ Compensation or in Other Legal Proceedings To Law Enforcement Personnel or for Inmates of Prison Facilities
To Coroners, Medical Examiners, Funeral Directors, Organ Donation Military Activity and National Security, Protective Services
For Approved research Prevention of a Serious Threat to health or Safety
For Disaster Relief Programs or health Oversight Activities Limited Information for a facility Directory and to Clergy


We are required by law to disclose health information to the following people:

  • To You or Your Personal Representative
  • To the Secretary of the U.S. Department of Health and Human Services upon request

Other uses or disclosures of your health information may by made with your written authorization.

Please complete the Privacy Rights Form, print, and bring it with you to your appointment.

Note: If you have already completed the Admitting Package Form, you will not need to complete this form.