Terms Use of Privacy Notice


Your Health Information Rights:

 Although your health record is the physical property of the nursing facility, the information in your health record belongs to you.

 You may request restrictions on certain uses and disclosures of your health information. We will attempt to accommodate if we can; however, when it relates to your treatment or billing for care provided, we are not required to agree to the restriction.

 You may request to inspect your health records and obtain copies for a reasonable copying fee. If you request your records be sent somewhere else, we cannot ensure their privacy if we do not have a privacy agreement with that agency. You may also request written copies of electronic transmissions.

 You may request in writing that we correct a medical record if you feel the record is incorrect or information is missing.

 You may request a listing of the times we disclosed your health information to outside parties with your authorization.

 You may revoke in writing any prior written authorizations you made to disclose health information.

If you have any questions or concerns about your privacy rights or feel your privacy rights have been violated, ask to speak with the facility’s privacy officer. Contacting the privacy officer will in no way diminish the quality of care or services you receive at our facility. You may also file a complaint with the Secretary of the federal Department of Health and Human Services.

The administrator of your facility is your privacy officer.

You can reach your administrator at: 708-474-7330, Extension 215

If any terms of this notice change, we will provide a revised notice to all residents. In compliance will federal law, this notice is in effect as of January 1, 2003. I have received a copy of this Notice of Facility Privacy Practice