Notice of Privacy Practices
Premier Community HealthCare Group, Inc.
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.
Your Health Information Rights
When it comes to your health information, you have the right to:
- Have your health information maintained privately and securely
- Inspect, copy, and request copies of your protected health information
- Receive requested information in the format and delivery method of your choice
- Request correction or amendment of your health information
- Obtain an accounting of disclosures of your health information
- Request restriction on certain uses and disclosures of your information
- Request communications by alternative means or at alternative locations
- Receive notification if there is a breach of your unsecured protected health information
- Revoke any authorization to use or disclose health information (except where action has already been taken)
How We May Use and Disclose Your Information
We may use and disclose your health information for the following purposes:
- Treatment: To provide, coordinate, or manage your health care and related services
- Payment: To obtain payment for services provided to you
- Health Care Operations: For quality assessment, employee review, training, accreditation, and other operational activities
- As Required by Law: When required by federal, state, or local law
- Public Health Activities: For disease prevention, injury reporting, and FDA-related activities
- Abuse, Neglect, or Domestic Violence: To government authorities as authorized by law
- Health Oversight Activities: For audits, investigations, inspections, and licensure activities
- Legal Proceedings: In response to a court or administrative order, or subpoena
Your Right to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with Premier Community HealthCare Group or with the Secretary of the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
Contact Information
Privacy Officer: (352) 518-2000
Address: 37912 Church Avenue, Dade City, Florida 33525
Website: www.PremierHC.org
Need help? Call (352) 518-2000 for assistance. Phone requests may experience longer wait times.