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We may collect the following information:
We require this information to understand your needs and provide you with a better service, and in particular for the following reasons:
Internal record keeping.
We may use the information to improve our products and services.
We may periodically send promotional email about new products, special offers or other information which we think you may find interesting using the email address which you have provided.
We are committed to ensuring that your information is secure. In order to prevent unauthorized access or disclosure, we have put in place suitable physical, electronic, and managerial procedures to safeguard and secure the information we collect online.
Links to other websites
Our website may contain links to other websites of interest. However, once you have used these links to leave our site, you should note that we do not have any control over that other website. Therefore, we cannot be responsible for the protection and privacy of any information which you provide whilst visiting such sites and such sites are not governed by this privacy statement. You should exercise caution and look at the privacy statement applicable to the website in question.
Controlling your personal information
You may choose to restrict the collection or use of your personal information in the following ways:
if you have previously agreed to us using your personal information for direct marketing purposes, you may change your mind at any time by writing to or emailing us at firstname.lastname@example.org.
We will not sell, distribute or lease your personal information to third parties unless we have your permission or are required by law to do so. We may use your personal information to send you promotional information about third parties which we think you may find interesting if you tell us that you wish this to happen.
If you believe that any information we are holding on you is incorrect or incomplete, please write to or email us as soon as possible, at the above address. We will promptly correct any information found to be incorrect.
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.
We have summarized our responsibilities and your rights on this first page. For a complete description of our privacy practices, please refer to the pages that follow.
We are required to:
You have the right to:
Our Uses and Disclosures
We may use and disclose information in your medical record to:
You have the opportunity to prohibit or restrict how we use or disclose your information to:
If you have questions and would like additional information, you may contact our Privacy Officer at 1- 866-267-2609 or Legal@nationalchurchresidences.org.
Rev: JAN 17 / Rev: MAR 18
Understanding Your Health Record/Information
Each time you receive services from a health care provider, a record of your care is made. Typically, this record contains your symptoms, examination/test results, diagnoses, treatment, and care plan. This information, often referred to as your health or medical record, serves as a basis for planning your care and treatment, means of communication among health professionals who contribute to your care, and source of information for public oversight and quality assurance purposes.
We are required by law to maintain the privacy and security of your health information, to provide you with this notice as to our legal duties and privacy practices, and to abide by the terms of this notice.
We will not use or disclose your information without your authorization, except as described in this notice. If you authorize a disclosure, you may revoke that authorization at any time, except to the extent that action has already been taken. Requests to revoke an authorization must be made in writing.
We will notify you in the event a breach occurs that may compromise the privacy or security of your health information. We reserve the right to change our privacy practices and to make the new provisions effective for all protected health information we maintain. Should our privacy practices change, a revised Notice of Privacy Practices will be posted in our facility, as well as on our website, and will be made available upon request.
How We Will Use or Disclose Your Health Information
In some instances, you have the opportunity to prohibit or ask that we restrict the use of your information. If you have a preference for how we share your information in the following situations, please let us know. Note that if you are unable to tell us your preference, we may disclose your information if we believe it is in your best interest or to avert a threat to health or safety:
Your Health Information Rights
Although your health record is our physical property, the information in your health record belongs to you. You have the following rights:
Limit use or disclosure: You may request that we not use or disclose your health information for a particular reason related to treatment, payment, or our operations. We ask that such requests be made in writing on our standard form, available by contacting the applicable facility or agency. We will consider your request, but we are not required to abide by it, unless it is a request to prohibit disclosures to your health care plan relating to a service for which you have already paid in full out of pocket.
Confidential communications: You may request that we contact and provide you with information by alternative means or at alternative locations. We ask that such requests be made in writing on our standard form, available by contacting the applicable facility or agency. We will attempt to accommodate all reasonable requests.
Access to medical record: You may request to view or obtain a paper or electronic copy of your medical record, which will be provided to you in time frames established by law. You may make such requests orally or in writing; however, to better respond to your request, we ask that you make such requests in writing on our standard form, available by contacting the applicable facility or agency. We will charge you a reasonable, cost-based fee for paper or electronic copies.
Correct medical record: If you believe that any health information in your record is incorrect or incomplete, you may request that we correct the existing information or add the missing information. Such requests must be made in writing, and must provide a reason to support the amendment. We ask that such requests be made in writing on our standard form, available by contacting the applicable facility or agency. If we deny your request, we will tell you why it was denied.
Obtain accounting: You may request a written accounting of all disclosures of your information we have made during a specific time period (not to exceed 6 years). We ask that such requests be made in writing on our standard form, available by contacting the applicable facility or agency. Please note that the accounting will not include treatment, payment, health care operations, or certain other disclosures. You will not be charged for your first accounting request in any 12-month period, but for any requests that you make thereafter, you will be charged a reasonable, cost-based fee.
Copy of notice: You have the right to obtain a paper copy of this Notice of Privacy Practices upon request. You may also access and print a copy of our notice from our website at http://www.nationalchurchresidences.org.
File a complaint: If you believe your privacy rights have been violated, you may file a complaint by calling 1-866-267-2609 or by submitting a written complaint. The complaint form may be obtained from the applicable facility or agency, and when completed should be returned to the applicable facility or agency. You may also file a complaint with the Secretary of the Department of Health and Human Services. There will be no retaliation for filing a complaint.
For more information on your health information rights, see http://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html.
Effective Date: 1/30/2017