William R. Sharpe, Jr. Hospital
Weston, W.Va.
NOTICE
OF PRIVACY PRACTICES
Behavioral
Health and Health Facilities (BHHF)
William
R. Sharpe, Jr. Hospital
936
Sharpe Hospital Road
Weston,
WV 26452
(304)
269-1210
Fax (304)
269-6235
Effective date of
this notice
:
4 / 14 / 2003
If
you have questions about this notice
, please contact the person listed under
“Whom to Contact” at the end of this notice.
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.
In
the course of receiving services from Sharpe Hospital, you will provide us with
personal information about your
health, with the understanding that this information will be kept confidential.
We may also obtain information about your health from examinations,
tests, or from others who have provided you with care.
This notice of our privacy practices is intended to inform you of the ways
we may use your information and the occasions on which we may disclose this
information to others.
You
will be asked to sign a consent form to allow us to use or disclose your health
information for treatment, payment or health care operations at the time you
receive this privacy notice.
Kinds Of Information That This Notice Applies To
Who
Must Abide by This Notice
Our
Legal Duties
How We May
Use or Disclose Your Health Information
Your
Rights
Our
Right to Change This Notice
Whom to Contact
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