- Memorial Health System may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
- Memorial Health System may contact you to raise funds for the Health System.
- Memorial Health System may disclose medical information when required by the United States Department of Health and Human Services as part of an investigation or determination of the Health System's compliance with relevant laws.
- Unless you object, Memorial Hospital will include general information (good, fair, etc.) including your name, location in the Hospital, your condition described in general terms and your religious affiliation in a directory of individuals located in the Hospital. The directory information, except for your religious affiliation, will be released to people who ask for you by name. Your religious affiliation may be given to members of the clergy, even if they do not ask for you by name.
- Unless you object, Memorial Hospital may disclose to family members, other relatives or close personal friends the medical information directly relevant to such person's involvement with your care.
- Unless you object, Memorial Hospital may use or disclose your medical information to notify a family member, a personal representative or another person responsible for your care, of your location, general condition or death.
- Unless you object, Memorial Health System may disclose your medical information to a public or private entity for the purpose of coordinating with that entity to assist in disaster relief efforts.
- Memorial Health System may use or disclose your medical information for public health activities including the reporting of disease, injury, vital events and the conduct of public health surveillance, investigation and/or intervention. Memorial Health System may disclose your medical information to a health oversight agency for oversight activities authorized by law including audits, investigations, inspections, licensure or disciplinary actions, administrative and/or legal proceedings.
- Memorial Health System may disclose your medical information in the course of certain judicial or administrative proceedings.
- Memorial Health System may disclose your medical information for law enforcement purposes or other specialized governmental functions.
- Memorial Health System may disclose your medical information to a coroner, medical examiner or a funeral director.
- If you are an organ donor, Memorial Hospital may disclose your medical information to an organ donation and procurement organization.
- Memorial Health System may use or disclose your medical information for certain research purposes.
- Memorial Health System may use or disclose your medical information to prevent or lessen a serious threat to the health or safety of another person or the public.
- Memorial Health System may disclose your medical information authorized by laws relating to workers' compensation or similar programs.
- Memorial Health System may disclose your medical information when required by law.
- Memorial Health System may disclose medical information to report information regarding victims of abuse, neglect or domestic violence.
- Memorial Health System will not use or disclose your medical information for any other purpose than stated above without your written authorization. Once given, you may revoke your authorization in writing at any time.
- Your Rights Regarding Your Medical Information
- You have the following rights with respect to your medical information:
- The right to request restrictions on certain uses and disclosures of your medical information. Memorial Health System is not required to agree to your requested restriction.
- The right to receive communications from Memorial Health System in a confidential manner.
- The right to inspect and/or copy your medical information. This right is subject to certain specific exceptions, and you may be charged a fee for any copies of your records. If we deny your request to review or obtain a copy of your medical information, you may submit, to the Privacy Officer, a written request for a review of that decision.
- The right to request an amendment of your medical information. Such request must be in writing. Memorial Health System may deny your request for certain specific reasons and, if denied, the Health System will provide you with a written explanation for the denial and information regarding further rights you would have at that point.
- The right to receive an accounting of the disclosures of your medical information made by Memorial Health System in the six years prior to your request except for disclosures for treatment, payment or Health System operational purposes, where you specifically authorized a disclosure, incidental disclosures, disclosures to individuals of their own information, disclosures for which an opportunity to object was provided, disclosures to correctional institutions or for national security purposes, disclosures as part of a limited data set and/or disclosures that occurred prior to April 14, 2003. The first disclosure list request in a 12-month period is free; other requests will be charged according to our cost of producing the list.
- The right to obtain a paper copy of this Notice of Privacy Practices for Protected Health Information.
- The right to complain to Memorial Health System and/or to the United States Department of Health and Human Services if you believe that the Hospital has violated your privacy rights. To complain to Memorial Health System, please contact the Health System's Director of Quality at (717) 849-5336 or by writing to the Director of Quality at P.O. Box 15118, York, PA 17405. Under no circumstance will you be penalized or retaliated against for filing a complaint.
