Privacy Officer Name and Contact Information: Jennifer Hoskins, APRN, FNP-BC, jennifer@lcmedicalcenter.org Effective Date of Notice: 12/01/2021, updated 01/22/2025

 

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.
 

Your Rights

You have the right to:

• Get a copy of your paper or electronic medical record

• Correct your paper or electronic medical record

• Request confidential communication

• Ask us to limit the information we share

• Get a list of those with whom we’ve shared your information

• Get a copy of this privacy notice

• Choose someone to act for you

• Complaints can be filed with our Privacy Officer if you believe your privacy rights have been violated. All complaints will be investigated in a timely manner.
   

Your Choices

You have some choices in the way that we use and share information as we:

• Tell family and friends about your condition

• Provide disaster relief

• Provide mental health care

• Market our services

• Raise funds
   

Our Uses and Disclosures

We may use and share your information as we:

• Treat you

• Run our organization

• Help with public health and safety issues

• Do research

• Comply with the law

• Address workers’ compensation, law enforcement, and other government  requests

• Respond to lawsuits and legal actions
   

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you. 

• You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.

• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
   

You have the right to ask us to correct your medical record

• You can ask us to correct health information about you that you think is incorrect or incomplete. 

• We may say “no” to your request, but we’ll tell you why in writing within 60 days.
   

You have the right to request confidential communications

• You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.

• We will say “yes” to all reasonable requests.
   

You have the right to ask us to limit what we use or share

• You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
   

You have the right to get a list of those with whom we’ve shared information

• You can ask for a list of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.

• We will include all the disclosures except for those about treatment, health care operations, and certain other disclosures (such as any you asked us to make). We'll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
   

You have the right to get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
 

You have the right to choose someone to act for you

• If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.

• We will make sure the person has this authority and can act for you before we take any action.

You have the right to file a complaint if you feel your rights have been violated

• You can complain if you feel we have violated your rights by contacting us.

• You can file a complaint by contacting our privacy officer by phone, email, or in person at the center.

• We will not retaliate against you for filing a complaint.
   

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

• Share information with your family, close friends, or others involved in your care

• Share information in a disaster relief situation

If you are not able to tell us your preference, for example if you are unconscious, we may share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases, we never share your information unless you give us written permission:

• Marketing purposes

• Most sharing of psychotherapy notes

In the case of fundraising:

• We may contact you for fundraising efforts, but you can tell us not to contact you again.
   

Our Uses and Disclosures

How do we typically use or share your health information?

We use or share your health information in the following ways:

To treat you

We use your health information and share it with other professionals who are treating you.

Example: A doctor treating you for an injury asks another doctor about your overall health condition.

To run our organization

We use and share your health information to run our practice, improve your care, and contact you

when necessary.

Example: We use health information about you to manage your treatment and services.

For advertising & promotion

For advertising and promotion, we may use your story and ultrasound images with all identifying information removed or de-identified to protect your privacy. We will always have you sign a release of information form before sharing your information for advertising and promotion.

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To help with public health and safety issues

We can share health information about you for certain situations such as:

• Preventing disease

• Helping with product recalls

• Reporting adverse reactions to medications

• Reporting suspected abuse, neglect, or domestic violence

• Preventing or reducing a serious threat to anyone’s health or safety
   

To do research

We can use or share your information for health research.

To comply with the law

We will share information about you if state or federal laws require it.

To address workers’ compensation, law enforcement, and other government requests

We can use or share health information about you:

• For workers’ compensation claims

• For law enforcement purposes or with a law enforcement official

• With health oversight agencies for activities authorized by law

• For special government functions such as military, national security, and presidential protective services

To respond to lawsuits and legal actions

We can share health information about you in response to a court or administrative order, or in response to a subpoena.
 

Our Responsibilities:

• Client information is held in strict and absolute confidence.

• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

• We must follow the duties and privacy practices described in this notice and give you a copy of it as requested by you.

• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

 

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.