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Privacy Practices Notice

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Do you have any questions or complaints related to this Law?

You may visit our Compliance and Privacy Office

Entity: Camuy Health Services, Inc.
Address: PO Box 660 Camuy PR 00627
Phone: (787) 898-3325 (787) 898-2660
Fax: (787) 262-3789

Your Information Your Rights Our Responsibilities

This Privacy Practices Notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.

YOUR RIGHTS

You have the right to:

  • Obtain a copy of your electronic medical record or health documents.
  • Correct or amend documents in your electronic medical record.
  • Request confidential communications.
  • Ask how to limit the information we share.
  • Obtain a list of those with whom we have shared your information.
  • Receive a copy of this Privacy Notice.
  • Choose someone to act on your behalf.
  • File a complaint or grievance if you believe your privacy rights have been violated.

YOUR CHOICES

You have some choices in how we use and share your information, such as:

  • Telling family and friends about your condition.
  • Providing disaster relief assistance.
  • Including you in a hospital directory (if applicable).
  • Providing mental health services.
  • Marketing our services and selling information.
  • Fundraising.

OUR USES AND DISCLOSURES

We may use and share your information for:

  • Your treatment.
  • Running our facility.
  • Billing for services.
  • Helping with public health and safety issues.
  • Conducting research.
  • Complying with the law.
  • Responding to organ and tissue donation requests.
  • Working with a coroner, medical examiner, or funeral director.
  • Handling workers’ compensation, law enforcement, and other governmental requests.
  • Responding 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.

Get an electronic or paper copy of your medical record

  • You can request, view, or obtain a paper or electronic 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 summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
  • Ask us about how to correct or amend your medical record.
  • You may request that we correct information you believe is incorrect or incomplete. Ask us how to do this.
  • We may say “no” to your request, but we will explain why in writing within 60 days.

Request confidential communications

  • You may ask us to contact you in a specific way (for example, at home or office phone) or to send mail to a different address.
  • We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

Tell us how we may limit the use or sharing of your health information for treatment, payment, or health care operations.

  • We are not required to agree to your request, and we may say “no” if it would affect your care.
  • If you pay out of pocket in full for a service or item, you can ask us not to share that information for payment purposes with your health insurer.
  • We will say “yes” unless the law requires us to share that information.

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

You can request an accounting of the disclosures of your health information made in the six years prior to your request, including who we shared it with and why.

  • We will include all disclosures except those for treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make).
  • We will provide one accounting per year free of charge, but may charge a reasonable, cost-based fee for additional requests within a 12-month period.

Get a copy of this notice

You may request a copy of this notice at any time, even if you have agreed to receive it electronically. We will promptly provide you with a copy.

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 verify that the person has authority and can act on your behalf before taking any action.

File a complaint if you believe your rights are violated

  • You may file a complaint if you believe we have violated your rights by contacting us using the information in this notice.
  • You may 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, SW, Washington, DC 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
  • We will not retaliate against you for filing a complaint.

YOUR OPTIONS AND/OR CHOICES

To obtain certain health information, you may 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 the right and choice to tell us:

  • What information to share with family, friends, or others involved in your care.
  • What information to share in an emergency.
  • What information to include in a hospital directory.

If you are unable 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 do not share your information unless you give us written permission to do so for:

  • Marketing purposes
  • Sale of information
  • Psychotherapy notes

For fundraising purposes: We may contact you for fundraising, 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 normally use or share your health information in the following ways:

Treatment

  • We may use and share your health information with other professionals who are treating you.
  • Example: A doctor treating you for an injury may ask another doctor about your overall health condition.

Running our organization

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

Billing

We may use and share your health information to bill and receive payment from health plans or other entities.

Example: We give information about you to your health insurance plan so it will pay for services provided to you.

Other ways we may use or share your information

We may share your information for public health and safety, and research purposes, subject to legal requirements. For more information, visit www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

Public health and safety issues

We may use or share your information in 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 health or safety

Research

We may use or share your information for health research.

Complying with the law

We will share information about you when required by state or federal law. The Department of Health and Human Services may require us to comply with federal privacy laws.

Organ and tissue donation requests

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

Coroners, medical examiners, and funeral directors

  • We may share health information with a coroner, medical examiner, or funeral director when an individual dies.

Workers’ compensation, law enforcement, and other government requests

We may use or share health information about you for:

  • Workers’ compensation claims
  • Law enforcement purposes or with a law enforcement official
  • Health oversight activities
  • Special government functions such as military, national security, and presidential protective services
  • Responding to lawsuits and legal actions
  • Responding to a court or administrative order, or a subpoena

OUR RESPONSIBILITIES

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will notify you 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 provide you with a copy.
  • 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 this Notice

  • We may 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.