Hilton Head Island
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This notice describes how medical information about you may be used and disclosed and how you can get access to this information, as per the Health Insurance Portability and Accountability Act (HIPAA). Please review it carefully.
Hilton Head Island Fire Rescue Department is required by law to maintain the privacy of certain confidential health care information, known as Protected Health Information or PHI, and to provide you with a notice of our legal duties and privacy practices with respect to your PHI. Hilton Head Island Fire Rescue Department is also required to abide by the terms of the version of this Notice currently in effect.
Hilton Head Island Fire Rescue Department may use PHI for the purposes of treatment, payment, and health care operations, in most cases without your written permission. Examples of our use of your PHI:
Hilton Head Island Fire Rescue Department is permitted to use PHI without your written authorization, or opportunity to object, in certain situations, and unless prohibited by a more stringent state law, including:
Any other use or disclosure of PHI, other than those listed above will only be made with your written authorization. You may revoke your authorization at any time, in writing, except to the extent that we have already used or disclosed medical information in reliance on that authorization.
As a patient, you have several rights with respect to your PHI, including:
We maintain a website at www.hiltonheadislandsc.gov, and we will prominently post a copy of this Notice on our Web site.
If you allow us, we will forward you this Notice by electronic mail instead of on paper upon request and you may always request a paper copy of the Notice.
Hilton Head Island Fire Rescue Department reserves the right to change the terms of this Notice at any time, and the changes will be effective immediately and will apply to all protected health information that we maintain. Any material changes to the Notice will be promptly posted in our facilities and posted to our website, if we maintain one. You may get a copy of the latest version of this Notice by contacting our privacy officer.
You also have the right to complain to us, or to the Secretary of the United States Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against in any way for filing a complaint with us or to the government. Should you have any questions, comments or complaints you may direct all inquiries to our privacy officer.
Privacy Officer Contact Information
Name, Privacy Officer
Town of Hilton Head Island Fire Rescue
40 Summit Drive
Hilton Head Island, SC, 29928
Effective Date of the Notice: April 14, 2003