NOTICE OF PRIVACY PRACTICES

Notice of Privacy Practices

As an essential part of our commitment to you, Hackensack Volunteer Ambulance Corps, Inc. (the Corps) maintains the privacy of certain confidential health care information about you, known as Protected Health Information (PHI). We are required by law to protect your health care information and to provide you with the attached Notice of Privacy Practices. The notice outlines our legal duties and privacy practices with respect to your PHI. It not only describes our privacy practices and your legal rights, but lets you know, among other things, how the Corps is permitted to use and disclose PHI about you, how you can access and copy that information, how you may request amendment of that information, and how you may request restrictions on our use and disclosure of your PHI. The Corps is also required to abide by the terms of the version of this Notice currently in effect. In most situations we may use this information as described in this Notice without your permission, but there are some situations where we may use it only after we obtain your written authorization, if we are required by law to do so. We respect your privacy, and treat all health care information about our patients with care under strict policies of confidentiality that all of our personnel/members are committed to following at all times. 

Purpose of This Notice:

The Corps is required by law to maintain the privacy of certain confidential health care information, known as PHI, and to provide you with a notice of our legal duties and privacy practices with respect to your PHI. This Notice describes your legal rights, advises you of our privacy practices, and lets you know how the Corps is permitted to use and disclose PHI about you. The Corps is also required to abide by the terms of the version of this Notice currently in effect. In most situations we may use this information as described in this Notice without your permission, but there are some situations where we may use it only after we obtain your written authorization, if we are required by law to do so. 

Uses and Disclosures of PHI:

The Corps may use PHI for the purposes of treatment, payment and health care operations, in most cases without your written permission. Examples include:

Use and Disclosure of PHI without Your Authorization:

The Corps is permitted to use PHI without your written authorization, or opportunity to object in certain situations, including:

Any other use or disclosure of PHI, other than those listed above will only be made with your written authorization, (the authorization must specifically identify the information we seek to use or disclose, as well as when and how we seek to use or disclose it). You may revoke your authorization at any time, in writing, except to the extent that we have already used or disclosed medical information in reliance on that authorization.

Patient Rights:

Revisions to the Notice:

The Corps reserves the right to change the terms of this Notice at any time, and the changes will be effective immediately and will apply to all protected health information that we maintain. Any material changes to the Notice will be promptly posted in our facilities and posted to our web site, if we maintain one.

Your Legal Rights and Complaints:

You have the right to complain to us, or to the Secretary of the United States Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against in any way for filing a complaint with us or the government.

If you have any questions or if you wish to file a complaint or exercise any rights listed in this Notice please contact:

For more information about HIPAA (the Heath Insurance Portability and Accountability Act) please contact:

For a PDF version of this notice, click HERE