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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. Effective date May 1, 2013.
UMMC creates a record of the care and services you receive from us. We call this record your health information. We are required by federal law to keep your health information private. We are also required to provide you with this Notice so that you will know how we use and release your health information. This Notice also lists the rights you have regarding your health information. We will abide by the terms of the Notice. This Notice covers your care provided at UMMC sites of service. We reserve the right to change the terms of this Notice and our privacy practices at any time. Any changes will apply to the health information we already have. When we make changes to our privacy practices, we will post an updated Notice in the places where you may get treatment from UMMC. You can also request a copy of this Notice at any time, and you may view a copy of the Notice on our web site at www.umc.edu.
Other uses and releases will be made, of your health information, only with your written permission. You may take back permission once you have given it and your refusal to provide permission will not be held against you; however, it may prevent us from completing a task you have requested, such as enrollment in a research study or to create a report for your attorney. The request to withdraw permission must be made to UMMC in writing. You cannot take back permission if UMMC has already acted in reliance of the permission and as needed to maintain the integrity of a research study.
You have the right to see and to get copies of your health information.With only a few exceptions, you have the right to look at, or get copies of your health information that we have. You must make the request in writing. If we do not have your health information, but we know who does, we will tell you how to get it. We will respond to you within 30 to 90 days after receiving your written request. In certain situations, we may deny your request. If we do, we will tell you, in writing, our reasons for the denial and explain your right to have the denial reviewed. If you request copies of your health information, we may charge you a fee based on our cost. Instead of providing the health information you requested, we may provide you with a summary or explanation of the health information as long as you agree to accept a summary and to the cost in advance.
If you would like more information on accessing, obtaining a copy or obtaining a listing of the releases that we have made of your health information, you may call the following number: 1-855-241-2575.
If you have any questions about this notice, complaints about our privacy practices or would like information on how to file a complaint with UMMC or the Secretary of the Department of Health and Human Services, please contact: the UMMC privacy officer at University of Mississippi Medical Center, 2500 N. State St., Jackson, MS 39216; or call the Compliance Hotline at (601) 984-4722. You will not be penalized or retaliated against for filing a complaint.
2500 North State Street
Jackson, MS 39216