Patient Privacy/HIPAA Rights

Catholic Health is committed to ensuring that your health and other private information is maintained in a confidential and secure manner. Catholic Health is responsible for, among other things, ensuring the confidentiality and integrity of your health information as well as providing access to your health information in accordance with various federal and state laws including the Health Insurance Portability and Accountability Act of 1996 (HIPAA). By doing so, we also promote trust between our patients and their health care providers.

Notice of Privacy Practices

You are entitled to know how Catholic Health uses and discloses your information. Catholic Health maintains a Notice of Privacy Practices that describes the ways in which we may use and disclose your protected health information as well as how you can obtain access to such. A copy of the Notice of Privacy Practices is available for you to download and view:

Catholic Health Notice of Privacy Practices - English

Catholic Health Notice of Privacy Practices - Spanish

Prohibiting Information Blocking

Catholic Health is obligated under federal law, with limited exception, to provide you with unrestricted access to your health information. Catholic Health is also prohibited from engaging in practices or discriminatory behaviors that forbid, limit or restrict the access, exchange or disclosure of one’s health information; commonly referred to as “Information Blocking.” Get more information on Information Blocking.
 

Accessing Your Health Information/Medical Records

You are entitled to access your health information as well as entitled to request that a copy of your medical record be released to you or a personal representative of yours by downloading, completing and submitting an “Authorization for Release of Health Information Pursuant to HIPAA”. A copy of this form is provided below:

Authorization for Release of Health Information Pursuant to HIPAA

Please visit Catholic Health’s Health Information Management for more information on accessing or requesting your health information electronically or visit Catholic Health MyChart, our secure online patient portal.

Requesting an Amendment to Your Medical Record

You are entitled to request an amendment (often referred to as a correction) be made to your medical record by downloading, completing and submitting a “Patient Request for Amendment/Correction of Protected Health Information”. A copy of this form is provided below:

Patient Request for Amendment of Records

This form must be submitted by mail or in person to the Health Information Management (HIM) Department of the specific Catholic Health facility or practice that treats or has treated you. 

Requesting Confidential Communications or Restrictions of Health Information

You are entitled to request a restriction on the use or disclosure of your health information that Catholic Health routinely uses or discloses for treatment, payment or health care operations (such as payment, billing, quality assurance) purposes. Please note, Catholic Health is under is under no obligation to agree to a request but if we do, we must comply with the restrictions, except for purposes of treating you in an emergency. You may request a restriction by downloading, completing and submitting a “Request for Confidential Communications and/or Restrictions on Access, Use or Disclosure of Protected Health Information.” A copy of this form is provided below:

Request for Confidential Communications and/or Restrictions on Access, Use or Disclosure of Protected Health Information 

This form must be submitted by mail or in person to the Health Information Management (HIM) Department of the specific Catholic Health facility or practice that treats or has treated you.