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Notice of Privacy
Practices
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.
If you have any questions about
this notice please contact
Customer Service Manager
3494 Progress Drive, Unit H
Bensalem, PA 19020
215-244-6600
This notice of Privacy Practices
describes how American Mobility,
Inc. may use and disclose your
protected health information to
carry out treatment, payment,
health care operations and for
other purposes that are
permitted or required by law. It
also describes your rights to
access and control your
protected health information.
“Protected health information”
is information about you, that
may identify you and that
relates to your past, present or
future physical, medical and/or
mental health or condition and
related health care services.
We are required to abide by the
terms of this Notice of Privacy
Practices. We may change the
terms of our notice at any time
but will provide a new notice to
you upon treatment following the
change.
Your Health Information Rights
Although your health record is
the physical property of
American Mobility, Inc. the
information belongs to you.
You
have the right to:
· Request a restriction on
certain uses and disclosures of
your information
· Inspect and obtain a copy of
your health record unless access
is restricted by law
· Request an amendment of your
health record
· To receive an accounting of
disclosures of health
information
· Request communication of your
health information by
alternative means or at
alternative locations
· Obtain a paper copy of the
notice of information practices
upon request
Any request to amend or copy
your “protected health
information” must be made in
writing. Requests for
restrictions must be made in
writing and will not be accepted
if it has a negative impact on
the operational delivery of
care.
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