West View Manor

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Notice of Privacy Practices will be provided on or before day of admission to WVM. -A signed copy of the Privacy Practices will be maintained in the Resident Financial File. -A copy of the Privacy Practices will be posted on a bulletin board or boards located thought the facility for public display. -The Privacy Practices policy will be posted on the WVM web-site. NOTICE OF PRIVACY PRACTICES 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. We have summarized our responsibilities and your rights on this first page. For a complete description of our privacy practices, please review this entire notice. Our Responsibilities Our nursing facility is required to: Your Rights As a resident of our nursing facility, you have several rights with regard to your health information, including the following: - location. - - We reserve the right to change our policy practices and to make the new provisions effective for all health information we maintain. Should our privacy practices change, we will post the changes on the bulletin board in our facility, as well as our web site. A copy of the revised notice will be available after the effective date of the changes upon request. We will not disclose your health information without your authorization, except as described in this notice. If have questions and would like additional information, you may contact our facility’s Privacy Officer at 330-264-8640. Understanding Your Health Record/Information Each time you visit a nursing facility, a record of your visit is made, typically, this record contains your symptoms, examination and test results, diagnosis, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a: - - actually provide

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