Your Rights as a Providence Patient

Privacy Home | Disclosure | Questions

The following information describes your rights with respect to your health information that we maintain.

Right to Request Restrictions: You have the right to ask us to place restrictions on the way we use or disclose your health information for treatment, payment, or healthcare operations. We are not required to agree to the restriction, but if we agree to a restriction, we will not use or disclose your health information in violation of that restriction, unless it is needed for an emergency. If a restriction is no longer feasible, we will notify you. You may contact the Health Information Management staff for further details.

View Document »


Confidential Communications: We will accommodate reasonable requests to communicate with you about your health information by different methods or alternative locations if you make your request in writing and give it to the registration staff. For example, if you are covered on a health plan but are not the subscriber, and would like your health information sent to a different address than the subscriber, we can usually do that for you.

Access to Your Health Information: You have the right to receive a copy of your health information that we maintain, with some limited exceptions. You may request access to those records in writing and provide us with information about the specific information you need and the format you need it in so that we can fulfill your request. We reserve the right to charge a reasonable fee for the cost of producing and mailing the copies. For more information about the cost, you may contact the Health Information Management Department.

View Document »


Amendment of Your Health Information: You have the right to ask us to change any of your health information. You need to request this amendment in writing and submit it to the Health Information Management Department. In certain situations we may have to deny your request, such as when the health information in your records was created by another provider. Any denials will be in writing. You have the right to appeal our denial by filing a written statement of disagreement. For more information about this process, contact the Health Information Management Department.

View Document »


Accounting of Certain Disclosures: You have a right to a listing of the disclosures we make of your health information, except for those disclosures made for treatment, payment, or healthcare operations, or those disclosures made pursuant to your authorization. The type of disclosures typically contained in a listing would be disclosures made for mandatory public health purposes, law enforcement, legal proceedings, or for other required reporting such as birth and death certificates.

View Document »


Authorization for Providence to Use and Disclose PHI:

View Document »