"Privacy Notice Page #1"
PO Box 159, 1033 Highway 45 South
Cofield, NC 27922-0159
(252) 356-1165 or (252)356-1121
Fax: (252) 356-2374
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.
USE AND DISCLOSURE OF HEALTH INFORMATION:
Victory of Faith Home Healthcare, Inc. (Agency) may use your health information, that constitutes protected health information as defined in the Privacy Rule of the Health Insurance Portabitility and Accountability Act of 1996, for the purposes of providing your treatment, obtaining payment for your care and conducting health care operations. The Agency has established policies to guard against unneccessary diclosure of your health information.
THE FOLLOWING IS A SUMMARY OF THE CIRCUMSTANCES UNDER WHICH AND PRUPOSES FOR WHICH YOUR HEALTH INFORMATION WILL BE USED AND DISCLOSED:
To Provide Treatment: The Agency may use your health information to coordinate services within the Agency and with the Agency and with others involved in your care, such as other healthcare professionals who have agreed to assist the Agency in coordinating care.
To Conduct Health Care Operations: The Agency may use and disclose health information for its own operations in order to facilitate the function of the Agency and as necessary to provide quality care to all the Agency's patients.
THE FOLLOWING IS A SUMMARY OF THE CIRCUMSTANCES UNDER WHICH AND PUPOSES UNDER WHICH FOR YOUR HEALTH INFORMATION MAY ALSO BE DISCLOSED:
When Legally Required. The Agency will disclose your health information when it is required to do so by any Federal, State or local law.
Notify a person who has been exposed to a communicable disease or who may be at risk of contracting or spreading disease.
To Report Abuse, Neglect or Domestic Violence. The Agency is required to notify government authorities if the Agency believes a patient is the victim of abuse, neglect or domestic violence.
To Conduct Health Oversight Activities. The Agency may disclose your health information to a health oversight agency. The Agency will disclose information for activities including audits, civil, administrative or criminal investigatiom, inspections, licensure or disciplinary action. The Agency, however, may not disclose your health information if you are subject of an investigation and your health information is not directly related to your receipt of health care or public benefits.
Hattie A. Powell, President
PO Box 159, 1033 Highway 45 South
Cofield, NC 27922-0159
