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.

We have summarized our responsibilities and your rights on this first page. For a complete description of our privacy practices, please review this entire notice.

Our Responsibilities

American-Finnish Nursing Home is required to:

• Maintain the privacy of your health information
• Provide you with this notice of our legal duties and privacy practices with respect to information we collect and maintain about you
• Abide by the terms of this notice

Your Rights

As a resident of American-Finnish Nursing Home, you have several rights with regard to your health information, including the following:

• The right to request that we not use or disclose your health information in certain ways.
• The right to request to receive communications in an alternative manner or location.
• The right to access and obtain a copy of your health information.
• The right to request an amendment to your health information.
• The right to an accounting of disclosures of your health information.

We reserve the right to change our privacy practices and to make the new provisions effective for all health information we maintain. Should our privacy practices change, we will post the changes on the bulletin board in our facility, as well as on our web site. A copy of the revised notice will be available after the effective date of the changes upon request

We will not use or disclose your health information without your authorization, except as described in this notice.

If have questions and would like additional information, you may contact our Privacy Officer Mr. Owen Gustafson administrator@farh.org,
Tel: (561) 588-4333 ext. 29

Understanding Your Health Record/information