You may obtain a copy of this Notice at our website, www. uabmedicine. org. To obtain a paper copy of this Notice, contact the Entity Privacy Coordinator.
CHANGES TO THIS NOTICE
‣ We reserve the right to change this Notice. We reserve the right to make the revised or changed Notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice in UAB Health System facilities. The Notice will contain the effective date on the first page. In addition, each time you visit UAB Health System to receive services, we will make available a copy of the current Notice in effect.
FOR MORE INFORMATION OR TO REPORT A PROBLEM
If you have questions and would like additional information, you may contact the Entity Privacy Coordinator. If you believe your privacy rights have been violated, you may file a complaint with UAB Health System or with the Secretary of the Department of Health and Human Services. To file a complaint with UAB Health System, contact the Entity Privacy Coordinator. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
NOTICE EFFECTIVE DATE
The effective date of the Notice is April 14, 2003, amended on April 1, 2006, September 23, 2013, and March 1, 2014.
ENTITY PRIVACY COORDINATORS
UA Health Services Foundation( The Kirklin Clinic of UAB Hospital) Privacy Coordinator 500 22 nd Street South, Suite 504 Birmingham, AL 35233-2023 205-801-8029
UAB Hospital Privacy Coordinator Old Hillman Building, Room 225 619 19 th Street South Birmingham, AL 35249-6543 205-975-0585
32 UAB Home Infusion Therapy