Privacy Practices

 

HIPAA Documents Available for Download

+ Authorization to Release Medical Records -- in PDF format

+ Authorization for Use and Disclosure -- in PDF format

+ Notice of Privacy Practices -- in PDF format

To view these documents, you will need Adobe® Reader®. Click here to get the software.

 

Did You Know?

+ In order for your spouse or guardian to receive information regarding your protected health information, you must sign an authorization for use and disclosure.

+ If a patient is 18 or older, an authorization for use and disclosure must be signed in order for a parent or guardian to receive any protected health information.

+ If a patient needs a copy of their medical records for personal use, lawyers, insurance companies and some other agencies, there is a per page charge.

+ If someone is a Power of Attorney for a patient, there must be a "medical clause" stated in order to receive protected health information.

 

Any questions regarding your protected health information, please contact our medical records department at (540) 678-2853 or the HIM supervisor at (540) 678-2814.
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