Get in Touch
Come! There is help for you
at St. Aloysius Faith Education & Community Center
Address: 7911 Admiral Peary Highway, Cresson, PA 16630
Tel. No. 814-505-7178
"For God all things are possible" Matt. 19:26
God bless us all!
NOTICE OF PRIVACY PRACTICES
Get an electronic or •You can ask to see or get an electronic or paper copy of your records.
paper copy of your •We will provide a copy or a summary of your health information, usually
medical record fee 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct • You can ask us to correct health information about you that you think is
medical record incorrect or incomplete.
• We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential • You can ask us to contact you in a specific way (for example, home or
office phone) or to send mail to a different address.
• We will say “yes” to all reasonable requests.
Ask us to limit what • You can ask us not to use or share certain health information for treatment,
we use or share payment, or our operations. • We are not required to agree to your request, and we may say “no” if it would affect your care. • If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer.
• We will say “yes” unless a law requires us to share that information.
Get a list of those • You can ask for a list (accounting) of the times we’ve shared your health with whom we’ve information for six years prior to the date you ask, who we shared it with,
shared information and why. • We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost- based fee if you ask for another one within 12 months.
Get a copy of this • You can ask for a paper copy of this notice at any time, even if you have
privacy notice agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone • If you have given someone medical power of attorney or if someone
to act for you is your legal guardian, that person can exercise your rights and make choices about your health information.
• We will make sure the person has this authority and can act for you before we take any action.
File a complaint if • You can complain if you feel we have violated your rights by
you feel your rights contacting us using the information above.
are violated • You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington,
D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
• We will not retaliate against you for filing a complaint.
For certain health information, you can tell us your choices about what we share. If you
have a clear preference on how we share your information in the situations described, please talk to us. Tell us what you want us to do, and we will follow your instructions.