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Privacy Policy
The terms of this Notice of Privacy Practices applies to Health
Life Screening (HLS) and our professional staff who perform health
screenings for our clients. The members of this health and
wellness team work and practice at Health Life Screening (HLS).
Only employees of HLS will share personal health information of
our clients as necessary to carry out screenings and health care
operations, as permitted by law.
We are required by law to maintain the privacy of our clients’
personal health information and to provide clients with notice of
our legal duties and privacy practices with respect to your
personal health information. We are required to abide by the terms
of this Notice so long as it remains in effect. We reserve the
right to change the terms of this Notice of Privacy Practices as
necessary and to make the new Notice effective for all personal
health information maintained by us. You may receive a copy of any
revised notices by requesting it in writing at:
Healthy Life Screening
61 N. Cleve-Mass Rd.
Akron, Ohio 44333
(T)330-670-0200
(F)330-670-0397
Attention: Privacy Officer
USES AND DISCLOSURES OF YOUR PERSONAL HEALTH INFORMATION
Healthy Life Screening values you, our client, and we are
committed to protecting your health information. We do not
disclose any health information that could be identified through
your specific Personal Health Information (PHI). Healthy
Life Screening will only provide a copy of your test results to a
physician or a recipient that you have authorized to receive this
information.
Medical Record Request / Email Communication Request
If you would like a copy of your test results to be shared with
your physician, a third party, or your immediate family, you must
provide authorization in writing. Healthy Life Screening
cannot share your results without your written authorization.
Business Associates
Certain aspects and components of our services are performed
through contracts with outside persons or organizations. At
times it may be necessary for us to provide certain components of
your personal health information to one or more of these outside
persons or organizations that assist us with our health care
operations. In all cases, we require these business associates to
appropriately safeguard the privacy of your information.
Health Products and Services
We may from time to time use your personal health information to
communicate with you about health products and/or services
necessary for your treatment, to advise you of new products and
services we offer, and to provide general health and wellness
information.
AGGREGATE DATA
In limited circumstances, we may use and disclose your personal
health information for aggregate data purposes.
YOUR RIGHTS & ACCESS TO YOUR PERSONAL HEALTH INFORMATION
You have the right to copy and/or inspect much of the personal
health information that we retain on your behalf. All requests for
access must be made in writing and signed by you or your
representative. We will charge you $2.59 per page for the first 10
pages, $0.53 per page for pages 11 through 50, and $0.21 per page
for all pages 51 and over. We will also charge for postage if you
request a mailed copy and will charge for preparing a summary of
the requested information if you request such summary. Send these
requests to:
Healthy Life Screening
61 N. Cleve-Mass Rd.
Akron, Ohio 44333
(T)330-670-0200
(F)330-670-0397
Attention: Privacy Officer
AMENDMENTS TO YOUR PERSONAL HEALTH INFORMATION
You have the right to request in writing that personal health
information that we maintain about you be amended or corrected. We
are not obligated to make all requested amendments but will give
each request careful consideration. All amendment requests, in
order to be considered by us, must be in writing, signed by you or
your representative, and must state the reasons for the
amendment/correction request. If an amendment or correction you
request is made by us, we may also notify others who work with us
and have copies of the uncorrected record if we believe that such
notification is necessary.
Restrictions on Use and Disclosure of Your Personal Health
Information
You have the right to request restrictions on certain of our uses
and disclosures of your personal health information. A restriction
request can be sent to:
Healthy Life Screening
61 N. Cleve-Mass Rd.
Akron, Ohio 44333
(T)330-670-0200
(F)330-670-0397
Attention: Privacy Officer
Complaints
If you believe your privacy rights have been violated you can file
a complaint with Healthy Life Screening Human Resources by calling
330-670-0200. You may also file a complaint with the Secretary of
the U.S. Department of Health and Human Services in Washington
D.C. in writing within 180 days of a violation of your rights.
There will be no retaliation for filing a complaint.
Acknowledgment of Receipt of Notice
You will be asked to sign the HLS Client Consent Agreement prior
to a health and wellness screening as proof that you received this
Notice of Practice. As a client, you retain the right to
obtain a paper copy of this Notice of Privacy Practices, even if
you have requested such copy by e-mail or other electronic means.
FOR FURTHER INFORMATION
If you have questions or need further assistance regarding this
Notice, you may contact us at:
Healthy Life Screening
61 N. Cleve-Mass Rd.
Akron, Ohio 44333
(T)330-670-0200
(F)330-670-0397Attention: Privacy Officer
Call 1-866-523-LIFE (5433) to get more information on Healthy Life Screening.
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