Notice of Privacy Practices
IMPORTANT: 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.
As an essential part of our commitment to you, Belchertown EMS maintains the
Privacy of certain confidential health care information about you, known as
Protected Health Information or PHI. We are required by law to protect your
health care information and to provide you with the attached Notice of Privacy
Practices.
The Notice outlines our legal duties and privacy practices respect to your
PHI. It not only describes our privacy practices and your legal rights, but
lets you know, among other things, how Belchertown EMS is permitted to use
and disclose PHI about you, how you can access and copy that information,
how you may request amendment of that information, and how you may request
restrictions on our use and disclosure of your PHI.
Belchertown EMS is also required to abide by the terms of the version of this
Notice currently in effect. In most situations we may use this information
as described in this Notice without your permission, but there are some situations
where we may use it only after we obtain your written authorization, if we
are required by law to do so.
We respect your privacy, and treat all health care information about our patients
with care under strict policies of confidentiality that all of our staff are
committed to following at all times.
IF YOU HAVE ANY QUESTIONS ABOUT IT, PLEASE CONTACT OUR PRIVACY OFFICER.
J. Searle
P.O. Box 1372
Belchertown, Ma. 01007
413-323-0454
or via email at
PrivacyOfficer email: privacyofficer@belchertownems.com
