Privacy Notice

For the complete privacy notice, please click here.

For Patient Rights, please click here.

 

EAST ALABAMA HEALTH CARE AUTHORITY

d/b/a

AUBURN UNIVERSITY MEDICAL CLINIC

 

PRIVACY 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.

            The Auburn University Medical Clinic ("Facility," "we" or "us") is required under the federal health care privacy rules (the "Privacy Rules"), to protect the privacy of your health information, which includes information about your health history, symptoms, test results, diagnoses, treatment, and claims and payment history (collectively, "Health Information").  We are also required to provide you with this Privacy Notice regarding our legal duties, policies and procedures to protect and maintain the privacy of your Health Information.  We are required to follow the terms of this Privacy Notice unless (and until) it is revised.  We reserve the right to change the terms of this Privacy Notice and to make the new notice provisions effective for the Health Information that we maintain and use, as well as for any Health Information that we may receive in the future.  Should the terms of this Privacy Notice change, we will make a revised copy of the notice available to you.  Revised Privacy Notices will be available at our Facility for individuals to take with them, and we will post a copy of revised Privacy Notices in a prominent location in our Facility.  This Privacy Notice will also be posted and made available electronically on our web site.

 

Contact Information and How to Report a Privacy Rights Violation.

If you have questions and/or would like additional information regarding the uses and disclosures of your Health Information, you may contact our Privacy Officer at:

Address:           Privacy Officer

2000 Pepperell Parkway

Opelika, Alabama 36801

Telephone:        (334) 705-1322

Fax:                  (334) 705-1509

            If you believe that your privacy rights have been violated or that we have violated our own privacy practices, you may file a complaint with us.  You may also file a complaint with the Secretary of DHHS at Region IV, Office of Civil Rights, U.S. Department of Health and Human Services at Atlanta Federal Center, Suite 3B70, 61 Forsyth Street, S.W., Atlanta, Georgia 30303-8909, voice phone (404) 562-7886, Fax (404) 562-7881, TDD (404) 331-2867. Complaints filed directly with the Secretary must be made in writing, name us, describe the acts or omissions in violation of the Privacy Rules or our privacy practices, and must be filed within 180 days of the time you knew or should have known of the violation.  Complaints submitted directly to us must be in writing and to the attention of our Privacy Officer.  There will be no retaliation for filing a complaint.

The Effective Date of this Privacy Notice is April 14, 2003.

 

 

Auburn University Medical Clinic | 400 Lem Morrison Drive | Auburn, Alabama 36849 | (334) 844-4416 | Fax: (334) 844-6126
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