Ransom Memorial Hospital

Description

We may disclose health information about you to doctors with Facility privileges, nurses, technicians, medical students, and nurse anesthetists or other Facility staff or personnel who are involved in taking care of you at the Facility. Different departments of the Facility also may share health information about you in order to coordinate the different services you need, such as prescriptions, lab work and x-rays.

You may request that communication of your health information be made by alternative means or at an alternative location by delivering the request in writing to our hospital (at the time of registration, or by completing the form and sending it to the HIM Director/Privacy Officer using the form we provide to you upon request. We will consider your request and follow your wishes whenever reasonable and possible.

We, and the Ransom Memorial Hospital Charitable Association, may use information about you such as your name, address, and phone number, insurance status, age and gender and the dates you received services here in order to contact you in the future to raise money for our organization. The money raised through these activities is used to expand and support the healthcare services and educational programs we provide to the community. No information about your health or health care may be used or disclosed for fundraising purposes.

You have the right to inspect and obtain a copy of your health /medical record and billing record. You may exercise this right by delivering your request in writing to the HIM/Medical Records Department in the hospital or to the Business Office at the Gollier Center by using the form we provide to you upon request. Please note that by law we have 30 business days to process your request and may assess a charge not to exceed that allowed by Federal and State Law. If you request this information electronically, we will comply with that request.

You have the right to request, in writing, that your health record be amended to correct incomplete or inaccurate information by delivering a written request to our hospital using the form we provide to you upon request. All amendment requests should be directed to the HIM Director/Privacy Officer listed on page 1. Your request may be fulfilled so long as the records are still kept by our facility. You must include in your request the reason for the amendment.

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