SUMMARY OF OUR PRIVACY PRACTICES:

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Note: the detailed Policy is viewable by clicking here and will be provided to you in person and is posted in our reception areas.

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Your Information. Your Rights. Our Responsibilities.

Notice of Privacy Practices of Alabama Institute for Sleep Health: When it comes to your health information, you have certain rights.

 

Your Rights

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• Get an electronic or paper copy of your medical record- You can ask to see or get an electronic or paper copy of your medical record at a reasonable cost

• Ask us to correct your medical record You can ask us to correct health information about you that you think is incorrect or incomplete

• Request confidential communications- You can ask us to contact you in a specific way

• Ask us to limit what we use or share. You can ask us not to use or share certain health info for treatment, payment, or our operations

• Get a list of those with whom we’ve shared information for 6 years prior

• Get a copy of this privacy notice paper copy at any time

• Choose someone to act for you as medical power of attorney or legal guardian who can exercise your rights and make choices

• File a complaint if you feel your rights are violated by contacting us: Alabama Institute for Sleep Health 1803 Park View Dr Cullman AL 35058 Attn: Tina Warner 256-739-7050. tina@chestmedicine.us. • You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-6966775, or visiting www.hhs.gov/ocr/privacy/hipaa/ complaints/.  We will not retaliate against you for filing a complaint.

 

Your Choices

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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 ;

• Include your information in a hospital directory

In these cases we never share your information unless you give us written permission:  Marketing purposes; Sale of your information; Most sharing of psychotherapy notes.

 

Our Uses and Disclosures

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How do we typically use or share your health information? We typically use or share your health information in the following ways:

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• Treat you -We can use your health information and share it  with other professionals who are treating you; We can share health information with a coroner, medical examiner, or funeral director when an individual dies. Address workers’ compensation, law enforcement, and other government requests; 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 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.

• Run our organization - We can use and share your health information to run our practice, improve your care, and contact you when necessary.

• Bill for your services - We can use and share your health information to bill and get payment from health plans or other entities.

• 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 ;  

• We can use or share your information for health research.

•  We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law;

• We can share health information about you with organ procurement organizations.

 

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Our Responsibilities

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We are required by law to maintain the privacy and security of your protected health information.   

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• 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. 

• 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.

For more information see: www.hhs.gov/ocr/privacy/hipaa/ understanding/consumers/noticepp.html. 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 web site-www.ALSleepHealth.com

This Notice of Privacy Practices applies to Alabama Institute for Sleep Health and Traveler’s Health Clinic of North Alabama.

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NOTICE OF NON-DISCRIMINATION:

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Alabama Institute for Sleep Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.  Alabama Institute for Sleep Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

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Alabama Institute for Sleep Health:

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• Provides free aids and services to people with disabilities to communicate effectively with us, such as:

○ Qualified sign language interpreters

○ Written information in other formats (large print, audio, accessible electronic formats, other formats)

• Provides free language services to people whose primary language is not English, such as:

○ Qualified interpreters

○ Information written in other languages

If you need these services, contact Tina Warner

 

Spanish – ¿Necesita ayuda? Por favor háganos saber si tiene dificultades para comunicarse con nosotros o para entender esta información porque no habla inglés o tiene una discapacidad. Se le puede proporcionar asistencia idiomática gratuita u otros tipos de servicios o asistencias si lo solicita. Llame al 1-800-252-1818.

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Chinese - 需要帮助吗？如果你因为不会说英语或有残疾而难以与我们沟通或理解这些信息，请告诉
我们。我们可应要求提供免费的语言协助或其他辅助工具和服务。请致电 1-800-252-1818

 

If you believe that Alabama Institute for Sleep Health has failed to provide these services or discriminated in another way on the basis of race, color, You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Tina Warner is available to help you.

 

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD)