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HIPAA Privacy Practices

Notice of Privacy Practices for Protected Health Information

Your Information. Your Rights and Choices. Our Responsibilities.

Alternate Translation Español

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review this notice carefully.

Understanding Your Medical Record Information

Each time you visit a hospital, doctor, or other healthcare provider, your visit is documented. Typically, such documentation contains information about your health signs and symptoms; results of your physical examination and diagnostic tests; an assessment of your current medical condition; and a plan for your future care or treatment. Often referred to as your health or medical record, this body of information is considered protected health information (PHI), and it also serves as a basis for planning and tracking your care and treatment, as well as a means of communication among the individual healthcare professionals who participate in your care. 

The medical record is a legal document, describing in detail the care you received and is the means by which you and your insurance carrier can verify that the services billed were actually provided. The medical record serves as a tool in educating health professionals and can provide a valuable source of data for medical research and for quality improvement initiatives. It may also be utilized by public health officials charged with improving the overall health of the community. Moreover, the medical record may be used as a resource for information needed in organization planning and service marketing. 

Therefore, understanding what is contained in your medical record and how your PHI is or may be used helps you (a) to examine and ensure its accuracy; (b) to understand more clearly how others may access your health information; and (c) to make more informed decisions when authorizing use or disclosure of that information to others.

While the medical record is the property of Sansum Clinic, the information contained therein belongs to you. Subsequent sections of this Notice delineate how the law permits us to use, share, or disclose your protected health information and define your rights and choices with respect to your PHI and our responsibilities as custodian and steward of your health record.

  1. Examples Of Uses And Disclosures Of PHI For Treatment, Payment, And Health Care Operations (TPO)
  2. Authorizations
  3. Your Health Information Rights
  4. Our Responsibilities
  5. For More Information, to Report a Problem or to File a Complaint
  6. Patient Rights & Responsibilities


Updated April 2016

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