Notice of Privacy Practices - English | Page 3

Get a list of those with whom we ’ ve shared information
• You can ask for a list ( accounting ) of the times we ’ ve shared your health information for six years prior to the date you ask , who we shared it with , and why .
• We will include all the disclosures except for those about treatment , payment , and health care operations , and certain other disclosures ( such as any you asked us to make ).
• We ’ ll provide one accounting a year for free but will charge a reasonable , cost-based fee if you ask for another one within 12 months .
Get a copy of this privacy notice You can ask for a paper copy of this notice at any time , even if you have agreed to receive the notice electronically . We will provide you with a paper copy promptly . You may obtain a current copy of this notice at https :// www . renown . org / about / notice-of-privacy-practices /.
• To make a request for inspection of your health record , accounting of disclosures , restrictions on information we may release , or confidential communications , please submit your request in writing to :
Renown Health Chief Compliance / Privacy Officer 1155 Mill St , Mailstop N-14 Reno , NV 89502
Choose someone to act for you
• If you have given someone medical power of attorney or if someone is your legal guardian , that person can exercise your rights and make choices about your health information .
• We will make sure the person has this authority and can act for you before we take any action .
File a complaint if you feel your rights are violated
• If you believe your privacy rights have been violated , you may file a complaint with us by contacting 775-982-8300 . You may also file a complaint in writing to :
Renown Health Compliance / Privacy Officer 1155 Mill St , Mailstop N-14 Reno , NV 89502
• You can file a complaint with the U . S . Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue , S . W ., Washington , D . C . 20201 , calling 1-877-696-6775 , or visiting hhs . gov / hipaa / filing-a-complaint .
We will not retaliate against you for filing a complaint .
Your Choices
For certain health information , you can tell us your choices about what we share . If you have a clear preference for how we share your information in the situations described below , talk to us . Tell us what you want us to do , and we will follow your instructions . In these cases , you have both the right and choice to tell us to :
Effective April 2004 Revision History : 1 / 2023 ; 6 / 2022 ; 1 / 2021 ; 3 / 2018 ; 7 / 2015 ; 3 / 2007