County of Chester
HIPAA NOTICE OF
Effective Date April 14, 2003
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.
This Notice is provided to you pursuant to the Health Insurance Portability and
Accountability Act of 1996 and its implementing regulations (“HIPAA”). It is
designed to tell you how we may, under federal law, use or disclose your Health
I. We May Use or Disclose Your Health Information for Purposes of Treatment,
Payment or Healthcare Operations without Obtaining Your Prior Authorization
and Here is One Example of Each:
We may provide your Health Information to other health care professionals –
including doctors, nurses and technicians -- for purposes of providing you with care.
Our billing department may access your information – and send relevant parts – to
other insurance companies or government programs to allow us to be paid for the
services we render to you.
We may access or send your information to our attorneys or accountants in the event
we need the information in order to address one of our own business functions.
II. We May Also Use or Disclose Your Health Information Under the Following
Circumstances without Obtaining Your Prior Authorization:
To Notify and/or Communicate with your Family. Unless you tell us you object,
we may use or disclose your Health Information in order to notify your family or
assist in notifying your family, your personal representative or another person
responsible for your care about your location, your general condition or in the event
of your death. If you are unable or unavailable to agree or object, our health
professionals will use their best judgment in any communications with your family