If you ask our contact person in writing, you have the right to receive a written list of certain disclosures we have made of PHI about you. You may ask for disclosures made up to six years before your request (not including disclosures made prior to April 14, 2003). We are required to provide a listing of all disclosures, except disclosures that were made:
- For your medical treatment.
- For billing and collection of payment for your treatment.
- For our health care operations.
- By your request or authorization.
- As a byproduct of permitted uses and disclosures.
- To individuals involved in your care, for directory or notification purposes or for other purposes as described above.
- In relation to certain specialized government functions or correctional institutions and/or other law enforcement custodial situations, as allowed by law.
- As part of a limited set of information that does not contain information that would identify you.
The list will include the date of the disclosure, the name (and address, if available) of the person or organization receiving the information, a brief description of the information disclosed and the purpose of the disclosure. If, under permitted circumstances, PHI about you has been disclosed for certain types of research projects, the list may include different types of information.
If you request a list of disclosures more than once in 12 months, we may charge you a reasonable fee. You may request a listing of disclosures by contacting the Pleasant Valley Hospital privacy officer at 304.675.4340, ext. 1161.