Notice of Privacy Practices
How we use and protect your medical information.
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Our Commitment to Your Privacy
Campbell Hall Rehabilitation Center is committed to safeguarding the privacy of your protected health information. This notice tells you about the ways in which we may use and disclose protected health information about you. It also describes your privacy rights and certain obligations we have regarding the use and disclosure of your protected health information.
For purposes of this Notice, the term "Campbell Hall Rehabilitation Center" encompasses all operations of Campbell Hall Rehabilitation Center and is required to abide by the terms of this Notice. This Notice applies to all Campbell Hall Rehabilitation Center records that contain your protected health information, including medical records and billing records, in whatever form those records may be maintained, whether on paper or in a computer system.
Your Rights Regarding Your Protected Health Information
Right to Inspect and Copy
You have the right to inspect and receive a copy of your protected health information, including information maintained in our medical and billing records. If you request a copy of your protected health information, we may charge a reasonable fee for the costs of copying. The standard fee is $0.75 per page for paper copies.
Right to Amend
If you feel that medical information we have about you is incorrect or incomplete, you may ask the Campbell Hall Rehabilitation Center to amend the information. To request an amendment, your request must be made in writing and submitted to the Privacy Officer.
Right to an Accounting of Disclosures
You have the right to request an "accounting of disclosures." An "accounting of disclosures" is a list of disclosures Campbell Hall Rehabilitation Center has made of your protected health information.
Right to Request Restrictions
You have the right to request a restriction or limitation on the protected health information we use or disclose about you for treatment, payment or health care operations.
Right to Request Confidential Means of Communication
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
Right to Receive a Paper Copy of This Notice
You have the right to request a paper copy of this Notice at any time.
How We May Use and Disclose Your Protected Health Information
Treatment
We may use protected health information to provide you with medical treatment or services.
Payment
We may use and disclose protected health information to bill and collect payment for services.
Health Care Operations
We may use and disclose protected health information to conduct our normal business operations.
Contact Information
Privacy Officer
Campbell Hall Rehabilitation Center
23 Kiernan Road
Campbell Hall, NY 10916
Phone: (845) 294-8154
Complaints
If you believe your privacy rights have been violated, you may file a complaint with the Campbell Hall Rehabilitation Center or with the Secretary of the Department of Health and Human Services. Submitting a complaint will not affect your status as a resident. We will not retaliate against you in any way for filing a complaint.