GRAND VIEW HOSPITAL - Sellersville PA

SUMMARY NOTICE OF PRIVACY PRACTICES

We are required by federal law to provide a Notice of Privacy Practices that describes how health information we obtain about you may be used or disclosed. The Notice describes each use and disclosure that we are permitted to make and provides a description of your rights and our obligations under federal and state privacy laws.

USES AND DISCLOSURES

We are permitted to use and disclose your health information under a variety of circumstances. Sometimes we must obtain your authorization before we use or disclose that information, but in other circumstances we may use your information without your authorization and without informing you of the use or disclosure. The reasons we may use or disclose your information include:

• To provide information about your health condition to others who may treat you To provide information about the treatment provided in order to obtain payment from your health plan To report a communicable disease, domestic violence or criminal activity
• To comply with a court order requiring the disclosure of your medical record

These examples are merely illustrative. For a full description of the uses and disclosures that we are permitted to make, consult the Notice of Privacy Practices.

YOUR RIGHTS

While the records that we maintain about you belong to us, under the federal privacy law you have a variety of rights with respect to the information maintained in those records. For instance, you have the right to access and copy the health information we maintain about you and to request that we amend any of the information you believe is incomplete or incorrect. Also, you may request we provide you with a list of each disclosure we have made of your health information. All of these rights are subject to some exceptions that are described fully in the Notice.

OUR OBLIGATIONS

We are required to provide you with our Notice of Privacy Practices and to abide by its terms. We may amend the Notice from time to time. All amendments apply retroactively.

Our full Notice of Privacy Practices is available upon request to the Privacy Officer. If you have any questions or require additional information, please contact the Privacy Officer, Grand View Hospital, 700 Lawn Avenue, Sellersville, PA 18960.