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At Premier Source we respect the privacy of your health information
but in the course of our day to day operations realize that we may
need to use such information for the purposes of securing reimbursement.
This notice describes your rights and also Premier Source's requirements
of the law.
Patients have the right to:
- Request a restriction on certain uses and disclosures of
their protected health information
- Inspect and obtain a copy of their health information upon
request
- Request an amendment to this health information if something
is incorrect or incomplete
- To receive an account of disclosures made of their health
information
- To request communication of their health information by alternative
means or at an alternative location
Premier Source is required by law to:
- Maintain the privacy of patient protected health information
- Abide by the terms of this notice and notify patients if
we make changes to this notice
- Notify patients if we are unable to agree to a requested
restriction on how their health information is used or disclosed
- Accommodate reasonable requests to convey health information
by alternative methods
- Obtain written authorization to use or disclose health information
for reasons other than those permitted under law
Contact Information
For questions, comments or complaints related to protected health
information and this notice, please contact Premier Source at 101
Haskins Way, South San Francisco, CA 94080. |
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