GRAND BROOK MEMORY CARE THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO GRAND BROOK IS PROVIDING THIS NOTICE OF PRIVACY PRACTICES BECAUSE THE PRIVACY OF YOUR HEALTH INFORMATION IS VERY IMPORTANT TO YOU AND TO US, AND IN COMPLIANCE WITH FEDERAL REGULATIONS. BY “YOUR HEALTH INFORMATION” WE MEAN THE INFORMATION THAT WE MAINTAIN THAT SPECIFICALLY IDENTIFIES YOU AND YOUR HEALTH STATUS.
This Notice describes how we use your health information with Grand Brook and disclose it outside Grand Brook, and why. The Notice covers:
Uses or disclosures which do not require your written authorization Treatment, Payment, and Health Care Operations
We use or disclose your health information to carry out your treatment, to obtain payment for your treatment, and to conduct health care operations. For example:
Uses or Disclosures
Required or Permitted. When we are required or permitted to do so, we may use or disclose your health information in the following circumstances without your written authorization.
Our Duties in Protecting Your Health Information
Complaints, Contact Person, Effective Date and Acknowledgement
You may complain to us and to the Secretary of Health and Human Services if you believe your privacy rights have been violated.
Secretary of Health and Human Services
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, DC 20201
For further information, you may write or call:
Grand Brook Privacy Officer
c/o Constant Care Management Company
PO Box 250989
Plano, TX 75025
This notice is effective November 2013.