| YOUR RIGHTS (continued) |
| Ask us to limit what we use or share | • You can ask us not to use or share certain health information for treatment, payment or our operations.
• We are not required to agree to your request and we may say “no” if it would affect your care.
• We will say “yes” unless a law requires us to share that information. |
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| Get a list of those with whom we’ve shared information | • You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with and why.
• We will include all the disclosures except for those about treatment, health care operations and certain other disclosures (such as any you asked us to make). |
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| Get a copy of this privacy notice | • You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy |
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| Choose someone to act for you | • If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
• We will make sure the person has this authority and can |
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