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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