Notice of Privacy

Notice of Privacy

We Value The Privacy of All of Our Patients.

When you walk through the doors of our facility you become a part of the Miracle Health family. We take your medical information privacy very seriously, and have all of the required procedures in place to ensure your information stays private.

This Notice of Privacy Practices (“Notice”) describes how we may use and disclose your health information to carry out
treatment, payment or health care operations and for other specified purposes that are permitted or required by law. The
Notice also describes your rights with respect to your health information. Below is a brief summary of our obligations and
your rights, followed by a more detailed description.

You have the right to:
• Get a copy of your paper or electronic medical record
• Correct your paper or electronic medical record
• Request confidential communication
• Ask us to limit the information we share
• Get a list of those with whom we’ve shared your information
• Get a copy of this privacy notice
• Choose someone to act for you
• File a complaint if you believe your privacy rights have been violated

You have some choices in the way that we use and share information as we:
• Tell family and friends about your condition
• Provide disaster relief
• Raise funds

We may use and share your information as we:
• Treat you
• Run our organization
• Bill for your services
• Help with public health and safety issues
• Do research
• Comply with the law
• Respond to organ and tissue donation requests
• Work with a medical examiner or funeral director
• Address workers’ compensation, law enforcement, and other government requests
• Respond to lawsuits and legal actions

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice
will be available upon request, in our office, and on our web site.