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Please contact our Privacy Officer if you have questions about access to your medical record.

  B. The right to request a restriction on uses and disclosures of your protected
health information. You may ask us not to use or disclose certain parts of your protected health information for the purposes of treatment, payment or health care operations. You may also request that we not disclose your health information to family members or friends who may be involved in your care or for notification purposes as described in this Privacy Notice. Your request must state the specific restriction requested and to whom you want the restriction to apply.

We are not required to agree to a restriction that you may request. We will notify you if we deny your request to a restriction. If the facility does agree to the requested restriction, we may not use or disclose your protected health information in violation of that restriction unless it is needed to provide emergency treatment. Under certain circumstances, we may terminate our agreement to a restriction. You may request a restriction by contacting the Privacy Officer.

  C. The right to request to receive confidential communications from us by
alternative means or at an alternative location. As part of our operations, we may choose to contact you by phone or by leaving a message on your answering machine or voicemail. However, you have the right to request that we communicate with you in certain ways. We will accommodate reasonable requests. We may condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. We will not require you to provide an explanation for your request. Requests must be made in writing to our Privacy Officer.

  D. The right to request amendments to your protected health information. If you feel that your medical information is incorrect or incomplete, you have the right to request that we amend your health information. Your request must be made in a writing directed to our Privacy Officer and must state the reason for the requested amendment. We may deny your request for amendment if the information: (i) was not created by us, unless you provide reasonable information that the originator of the information is no longer available to act on your request; (ii) is not part of the health information maintained by us; (iii) is information to which you do not have a right of access; or (iv) is already accurate and complete, as determined by us.

If we deny your request for amendment, we will give you a written denial notice, including the reasons for the denial. In that event, you have the right to submit a written statement disagreeing with the denial. Your letter of disagreement will be attached to your medical record.

  E. The right to receive an accounting. You have the right to request an accounting of certain disclosures of your protected health information made by us. This right applies to disclosures for purposes other than treatment, payment or health care operations as described in this Privacy Notice. We are also not required to account for disclosures that you requested, disclosures that you agreed to by signing an authorization form, disclosures for a facility directory, to friends or family members involved in your care, or certain other disclosures we are

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