Your Rights/Our Duties

Your Rights

The law grants you certain rights with respect to your PHI. These rights are as follows:

  • You have the right to request both a paper and an electronic copy of this Notice of Privacy Practices (NPP).
  • You have the right to inspect and copy your PHI. This means that you may inspect and obtain a copy of your PHI that is contained in a designated record set for as long as we maintain your PHI. A "designated record set" contains medical and billing records and other records that we use for making decisions about you. Under federal law, however, you may not inspect or copy the following records: Psychotherapy notes; information related to a civil, criminal, or administrative action or proceeding; and information that is subject to law that prohibits access to PHI. Depending on the circumstances, a decision to deny access may be reviewed. Please contact our Privacy Officer if you have questions about access to your PHI. 
  • You have the right to request a restriction on certain uses and disclosures of your PHI. You may request that we do not use or disclose your PHI for the purposes of treatment, payment, or health care operations. You may also request that any part of your PHI not be disclosed to family members or others involved in your care. Your request must state the specific restriction requested, and to whom you want the restriction to apply. We are not required to agree to a requested restriction unless an exception applies. If we believe that it is in your best interest to permit the use and disclosure of your PHI, then this information will not be restricted. If we agree to the requested restriction, we may not use or disclose your PHI in violation of that restriction unless it is needed to provide emergency treatment. Please discuss any restriction that you wish to request with your physician. You may request a restriction by contacting our Privacy Officer. 
  • You have a right to restrict certain disclosures of PHI to your health plan for payment or health care operations purposes if (1) you have paid out of pocket in full for the healthcare item or service (at the time of service or within timeframes specified by our written policies) and (2) the disclosure is not otherwise required by law. This type of restriction will only apply to records that relate specifically to the service which you paid for in full. We are required to agree to this restriction and will do so until the restriction is cancelled by you in writing.
  • You have the right to request communications from us by alternative means or at an alternative location.  You have the right to request to be contacted at a different location or by a different method. We may contact you by telephone or mail to provide appointment or test results. If you wish for us to contact you at a specific address or telephone number, or if you wish for appointment reminders not to be left on voice mail, you should make this request known to us. The request must be in writing.  We will agree to any reasonable request. We will not request an explanation from you regarding the reason for the request. Please make this request to our Privacy Officer.
  • You have the right to request an amendment of your PHI. You have the right to ask us to amend (which means correct or add to) certain medical information about you as long as it is maintained by us. If you believe that we have information that is either inaccurate or incomplete, we may amend the information and notify others who have copies of the inaccurate or incomplete information. The request must be made in writing and you must provide a reason why you are requesting the amendment. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to dispute this decision. You will have the opportunity to send us a statement explaining why you disagree with our decision to deny your amendment and we will share your statement whenever we disclose the information in the future. Please contact our Privacy Officer if you have questions about amending your PHI.
  • You have the right to receive an accounting of certain disclosures of your PHI. You have the right to receive a list of certain disclosures of your health information made by us or our business associates during the previous six (6) years. This right does not apply to disclosures for treatment, payment, or health care operations (as described below). It also does not include disclosures made to you or that you authorized, to be included in a facility directory, to those involved in your care, or to certain other disclosures made by us. Requests must be made in writing. If you request an accounting more than once every twelve (12) months, we may charge you a fee to cover the costs of preparing the list. Please contact our Privacy Officer if you have questions about an accounting of your PHI. 
  • You have the right to be notified if a breach of your medical information occurs. You have the right to be notified in the event of a breach of your medical information. A breach is when your unsecured medical information has been accessed, used, or disclosed inappropriately as defined by HIPAA and such access, use, or disclosure compromises the security or privacy of your unsecured PHI. 

Our Duties

A record of the care and services that we provide to you is created and maintained by Pella Regional. This Notice of Privacy Practices applies to all of those records of your care.

  • We are required to maintain the privacy of your PHI and to provide you with this Notice of our privacy practices.
  • We are required to abide by the terms of our Privacy Notice that is currently in effect. We may change the terms of our notice at any time to reflect applicable laws and our current business practices. If this happens, the new notice will be effective for all PHI that we maintain at that time. We will provide you with a revised Notice: 1) upon your request, 2) electronically via our website or via other electronic communications, and 3) as posted in our place of business.
  • In addition, we have a duty to respond to your requests corresponding to your rights in a timely and appropriate manner. We support and value your right to privacy. We understand that your PHI is personal and we are committed to protecting it with proper processes and practices. 

Want more information?

Call 641-621-2216.