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Your Rights as a Patient

YOUR RIGHTS AS A PATIENT OF Golden Gate Medical Supplies

In accordance with HIPAA, you have the following rights in relation to your protected health information:

  1. You may request, in writing, additional restrictions to the use or disclosure of your protected health information; however, Golden Gate Medical Supplies is not required to agree to the request for restrictions.
  2. You have the right to request amendments to your medical record.
  3. You have the right to obtain a copy of the Notice of Uses.
  4. You have the right of access to inspect and obtain a copy of your medical record, subject to certain limitations.
  5. You have the right to obtain an accounting of disclosures of your medical record for purposes other than treatment, payment, and healthcare operations.
  6. You have the right to request communication of your medical record by alternative means (i.e., electronically) or at alternative locations.
  7. You have the right to revoke authorization to use or disclose your protected health information except to the extent that action has already occurred.

RESPONSIBILITIES OF Golden Gate Medical Supplies

In accordance with HIPAA, Golden Gate Medical Supplies is required to:

  1. Maintain the confidentiality of your protected health information. Your state laws may provide more protection than the federal laws and, in that case, we will abide by the more restrictive statute.
  2. Provide you with the notice of our legal obligations and privacy practices regarding information it may accumulate about you and is obligated to abide by the terms of this notice.
  3. Notify you if it is unable to agree to a requested restriction and make every effort to accommodate reasonable requests for communication of health information by alternative means.
  4. Post its Notice of Uses on its website, which is at https://golden​​gate​medical​supply.com/pages/notice-of-uses.

Please Note: In addition to these responsibilities, Golden Gate Medical Supplies reserves the right to change the terms of the Notice of Uses and make those changes applicable to all protected health information maintained at that time. If there is a change to the Notice of Uses, a revised version notice will be provided to you at the current address supplied to Golden Gate Medical Supplies.

Golden Gate Medical Supplies will not use or disclose your protected health information without your authorization, except as described in this notice.

FOR MORE INFORMATION OR TO REPORT A PROBLEM

If you have questions, would like additional information, or, if you suspect misuse of your protected health information and believe that your rights have been violated, you may, without fear of retaliation, use the contact information listed below.

The Office of Civil Rights

U.S. Department of Health & Human Services (HHS)

200 Independence Avenue

Room 509F HHH Building

Washington D.C., 20201

1(800) 368-1019

Golden Gate Medical Supplies

612 South Union Avenue

Pueblo, CO, 81004

(719) 569-7361