COLUMBUS DIVISION OF FIRE—NOTICE OF PRIVACY PRACTICES
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.
The Columbus Division of Fire is required by the Health Insurance Portability and Accountability Act to maintain the privacy of protected health information (PHI), to provide you with notice of its legal duties and privacy practices with respect to PHI, and to notify you following a breach of your unsecured PHI. The Division is required to abide by the terms of this notice. The Division reserves the right to change the terms of its notice and to make new notice provisions effective for all PHI that it maintains. A revised notice may be obtained from the Division.
USES AND DISCLOSURES:
USES AND DISCLOSURES WITHOUT YOUR AUTHORIZATION: The Division is permitted to use PHI, without your written authorization or opportunity to object, in certain situations and unless prohibited by more stringent state or other federal law, including:
PATIENT RIGHTS: As a patient you have certain rights regarding your PHI. You have the right to:
COMPLAINTS: You have the right to complain to the Division or to the Secretary of the United States Department of Health and Human Services if you believe your privacy rights have been violated. You may direct all questions, comments, or complaints to the Division’s Privacy Officer as indicated below. You will not be retaliated against in any way for filing a complaint with the Division or the Secretary.
CONTACT INFORMATION:
Columbus Division of Fire Privacy Officer
3639 Parsons Avenue
Columbus, OH 43207
614-645-7384