Surry County Health and Nutrition Center

Surry County Health & Nutrition Center
118 Hamby Rd. Dobson, NC 27017
336-401-8400

		NOTICE OF PRIVACY PRACTICES This notice will tell you how we may use and disclose protected health information about you. Protected health information means any health information about you that identifies you or for which there is a reasonable basis to believe the information can be used to identify you. This notice also will tell you about your rights and our duties with respect to medical information about you. How We May Use and Disclose Medical Information About You Unless you tell us otherwise in writing, we may contact you by either telephone or by mail at either your home or your office. We use and disclose medical information about you for different purposes, including: · for treatment, payment & health care operations · health related benefits and services · to individuals involved in your care · as required by law · victims of abuse, neglect or domestic violence · judicial proceedings or disclosures for law enforcement purposes · other activities, such as health oversight activities, fundraising, treatment alternatives, disaster relief or appointment reminders Your Rights With Respect to Medical Information About You You have the following rights with respect to medical information that we maintain about you: · the right to request that we restrict the uses or disclosures of medical information about you · the right to request that we communicate to you in a certain way or at a certain location · the right to inspect and obtain a copy of medical information about you · the right to ask us to amend medical information about you. · the right to receive a listing of disclosures of medical information about you · the right to obtain a paper copy of our Notice of Privacy Practices Our Duties We are required to abide by the terms of our Notice of Privacy Practices in effect at the time. We reserve the right to change this Notice of Privacy Practices. A copy of our current Notice of Privacy Practices will be posted. You may obtain a copy of the current Notice of Privacy Practices at any time. Complaints If you believe your privacy rights have been violated by us, you may file a complaint with us by contacting: Susan Rhodes 118 Hamby Rd. Dobson, NC 27017. All complaints should be submitted in writing. Questions and Information If you have any questions or want more information concerning this Notice of Privacy Practices, please contact: Susan Rhodes 118 Hamby Rd. Dobson, NC 27017