"Privacy Notice Page #3"
PO Box 159, 1033 Highway 45 South
Cofield, NC 27922-0159
(252) 356-1165 or (252) 356-1121
Fax: (252) 356-2374
Rights to a paper copy of this notice: You or your representative have a right to a separate paper copy of this Notice at any time even if you or your representative have received this Notice previously. To obtain a separate paper copy, please contact the Agency Administrator. This notice is also available online at www.oocities.org/victoryoffaithhhc.
DUTIES OF THE AGENCY:
The Agency is required by law to maintain the privacy of health information and to provide to you and your representative this Notice of its duties and privacy practices. The Agency is required to abide by the terms of this Notice. The Agency reserves the right to change the terms of this Notice and to make the new Notice provisions effective for all health information that it maintains. If the Agency changes its Notice, the Agency will provide a copy of the revised Notice to you and your representative. You or your personal representative have the right to express complaints to the Agency and to the Secretary of the Department of Health & Human Services if you believe that your privacy rights have been violated. Any complaints to the Agency should be made in writing to:
Agency Administrator
Victory of Faith Home-Healthcare, Inc.
1033 Hwy 45 South
PO Box 159
Cofield, NC 27922-0159
Phone: 252-356-1165
Email: victoryfaith@coastalnet.com
The Agency ecourages you to express any concerns you may have regarding the privacy of your information. You will not be realiated against in any way for filing a complaint.
Hattie A. Powell, President
PO Box 159, 1033 Highway 45 South
Cofield, NC 27922-0159
