Summary
This summary of our Notice of Privacy Practices informs you of how we may use or disclose your health information. It also explains your rights and our duties under the current privacy laws.
OUR RIGHTS
We may use and disclose your health information to:
- Provide patient care and treatment;
- Process claims to your health plan or insurance company;
- Comply with laws that require reporting of your health information;
- Review your records for quality of care;
- Remind you of appointments;
- Inform you of any health service or benefit that may interest you;
- Contact you to raise funds; or
- Include your name, location, religious affiliation and a general
statement of your condition in our facility directory, as appropriate.
YOUR RIGHTS
While the records we maintain about you belong to us, you have a number of rights with respect to those records. You have the right to:
- Request a copy of our full privacy notice;
- See your record and request a copy;
- Request we amend your record if you believe it is not complete or correct;
- Refuse to be listed in the hospital directory;
- Request we send information to you in a confidential manner;
- Complain to us and/or the US Department of Health and Human Services if you believe we have violated your privacy rights; and
- Request a list of any disclosures not required for treatment, payment and business operations for a period of up to six years back to April 14, 2003.
OUR DUTIES
We must provide you with our Notice of Privacy Practices and abide by its terms. We may:
- Charge a fee for copies of your medical information;
- Require up to 60 to 90 days to process your request for records;
- Deny your request to amend your records for certain reasons and if asked, give you a written reason; and
- Amend the Notice from time to time, post the revised notice, and make a copy for you upon request.
If you have questions, please contact our Privacy Officer.
Call: 479-463-7641
Write: Privacy Officer
3215 N. North Hills Blvd.
Fayetteville, AR 72703
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