HIPAA - Your Rights Regarding Medical Information About You

You have the following rights regarding medical information we maintain about you:

Right to Inspect and Copy: You have the right to inspect and request a copy of your medical information that may be used to make decisions about your care. Usually, this includes medical records, but does not include psychotherapy notes. To inspect and request a copy of your medical information that may be used to make decisions about you, you must submit your request in writing. We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed. Another health care professional will review your request and the denial. The person conducting the review will not be the person who denied your request. The Health Center will comply with the outcome of the review.

Right to Amend: If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for the Health Center. To request an amendment, your request must be made in writing and submitted to the Health Center. In addition, you must provide a reason that supports your request. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:

  • Was not created by us;
  • Is not part of the medical information kept by or for us;
  • Is not part of the information which you would be permitted to inspect and copy.

Right to an Accounting of Disclosures: You have the right to request an “accounting of disclosures.” This is a list of the disclosures we made of medical information about you. HIPAA defines disclosure as “the release, transfer, provision of access to, or divulging in any manner of information outside the entity holding the information.” This includes disclosures to or by business associates of the covered entity. Exclusions that do not require tracking include:

  • Disclosures made for treatment, payment and health care operation purposes;
  • Disclosures made to the individual;
  • Disclosures made to persons involved in the individual’s care;
  • Disclosures made for national security or intelligence purposes;
  • Disclosures to law enforcement officials;
  • Disclosures made prior to the date of compliance with the privacy standards.

To request this list or accounting of disclosures, you must submit your request in writing to the Health Center. Your request must state a time period which may not be longer than six years and may not include dates before the HIPA effective date (1996). Your request should indicate in what form you want the list (e.g., on paper, electronically) and where the list is to be sent.

Right to Request Restrictions: You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care, like a family member or friend. For example, you could ask that we not use or disclose information about a test you had.

We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment. To request restrictions, you must make your request in writing to the Health Center. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply, for example, disclosures to your parents.

Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we contact you only by phone, SMC or at home. To request confidential communications, you must make your request in writing to the Health Center. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.

Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time.