Notice of Health Information Privacy Practices
This notice describes how information about you may be used and disclosed and how you can get access to this information.
Please review carefully
If you have any questions about this notice, please contact South Central Public Health District Privacy Officer at 208-737-5945 or the South Central Public Health District Compliance Officer 208-737-5936.
You may request a copy of this notice at any time. Copies of this notice are available at the District Health offices. This notice is also available on the District website at phd5.idaho.gov.
Purpose of this Notice
This Notice of Privacy Practices describes how South Central Public Health District (the District) handles confidential information, following state and federal requirements. All programs in the District may share your confidential information with each other as needed to provide you benefits or services, and for normal business purposes. The District may also share your confidential information with others outside of the District as needed to provide you benefits or services.
We are dedicated to protecting your confidential information. We create records of the benefits or services you receive from the District. We need these records to give you quality care and services. We also need these records to follow various local, state and federal laws.
We are required to:
Use and disclose confidential information as required by law;
- Maintain the privacy of your information;
- Give you this notice of our legal duties and privacy practices for your information; and
- Follow the terms of the notice that is currently in effect.
This Notice of Practices does not affect your eligibility for benefits or services.
Your Rights About Your Confidential Information
- Right to Review and Copy
- You have the right to ask to review and copy your information as allowed by law.
- If you would like to review and copy your information, document your request in writing and deliver it to the District office. The District will respond to your request within 10 working days of receipt of your request. The District may extend the response time up to 10 additional working days if the information you have requested cannot be located within the original 10 days. You will be sent a notification of an extension and the reason for the extension.
- If you ask to receive a copy of the information, we may charge a fee. If you request 100 pages or more from our files, the fee will be 5 cents per page.
- You will be told if there is information we are legally prevented from disclosing to you.
You have the right to ask us to make changes to your health information if you feel that the information we have about you is wrong or not complete.
If you would like to ask the District to change your health information, document your request in writing and deliver it to the District office. The District will respond to your request within 20 working days.
We may deny your request if you ask us to change information that:
- Was not created by the District;
- Is not part of the information kept by or for the District;
- Is not part of the information which you would be allowed to review and copy; or
- We determine is correct and complete.
- You have the right to ask us not to use or share your health information for your treatment or services, or normal business purposes. You must tell us what information you do not want us to use or share and whom we should not share it with.
- If you would like to ask the District to not share your information, document your request in writing and deliver it to the District office. The District will respond to your request within 10 working days.
- If we agree to your request, we will comply unless the information is needed to give you emergency treatment or until you end the restriction.
- You have the right to ask that we deliver your information to you at a different mailing address or by a different method of communication.
- If you would like to ask for an alternate means of delivery for your information, notify the program staff at the District office. We will not ask you the reason for your request.
- All reasonable requests will be approved.
- You have the right to ask for a report of the disclosures of your health information. This report of disclosures will not include when we have shared your health information for treatment, payment for your treatment, or normal business purposes, or the times you authorized us to share your information.
- If you would like to request a report of your health information disclosures, document your request in writing and deliver it to the District office. The District will respond to your request within 20 working days.
- The first report you ask for and receive within a calendar year will be free of charge. For additional reports within the same calendar year, we may charge you for the costs of providing the report. We will tell you the cost and you may choose to remove or change your request at that time before any costs are charged to you.
How South Central Public Health District May Use and Share Your Information
Times when your permission is not needed:
- For Treatment.
We may use your information to give you benefits, treatment or services. We may share your information with a nurse, medical professional or other personnel who are giving you treatment or services. The programs in the District may also share your information in order to bring together the services that you may need. We also may share your information with people outside of the District who are involved in your care, such as family members, informal or legal representatives, or others that give you services as part of your care.
- For Payment.
We may use and share your information so that the treatment and services you receive through the District can be paid. For example, we may need to give your medical insurance company information about the treatment or services that you received so that your medical insurance can pay for the treatment or services.
- For Business Operations.
We may use and share your information for business operational purposes. This is necessary for the daily operation of the District and to make sure that all of our clients receive quality care. For example, we may use your information to review how well our staff provides services to you.
- For Individuals Who are Part of Your Care or Who Make Payment for Your Care.
We may give your information to a family member, legal representative, or someone you designate who is part of your care. We may also give your information to someone who helps pay for your care. If you are unable to agree to such a release, we may share such information as needed if we determine that it is in your best interest based on our professional opinion. Also, we may share your information in a disaster so that your family or legal representative can be told about your condition, status and location.
- For Appointment Reminders
- For Treatment Options
- As Required by Law
- For Public Health Risks
- To Law Enforcement
- For Lawsuits and Disputes
- To Coroners, Medical Examiners, Funeral Directors
- For Organ and Tissue Donation
- For Emergency Treatment
- To Prevent a Serious Threat to Health or Safety
- To Military and Veterans organizations
- For Health Oversight Activities
- For National Security and Intelligence Activities
- To Correctional Institutions
- For IRIS (Immunization Registry)
Times when your permission is needed:
- For reasons other than Treatment, Payment or Business Operations.
There may be times when the District needs to use and share your information for reasons other than for treatment, payment, and business operations as explained above. For example, if the District is asked for information from your employer or school that is not part of treatment, payment, or business operations, the District will ask you for a written consent permitting us to share that information.
If you give us permission to use or share your information, you may stop that permission at any time, if it is in writing. If you stop your permission, we will no longer use or share that information. You must understand that we are unable to take back any information already shared with your permission.
Changes to this Notice
The District has the right to change this notice. A copy of this notice is posted at our District offices. The effective date of this notice is shown in the top right-hand corner of each page. If the District makes any changes to this Notice of Privacy Practices, the District will follow the terms of the notice that is currently in effect.
If you believe your information privacy rights have been violated, you may file a written complaint with the District. All complaints turned in to the District must be in writing and submitted to the District office. To file a complaint with the District, send your completed Privacy Complaint form to:
- South Central Public Health District
1020 Washington Street North
Twin Falls, Idaho 83301-3156
If you believe your health information privacy rights have been violated, you may also file a complaint with the Secretary of Health and Human Services. Your complaint must be in writing, and you must name the organization that is the subject of your complaint and describe what you believe was violated. Send your written complaint to:
- Secretary of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
A complaint filed with either South Central District Health or the Secretary of Health and Human Services must be filed within 180 days of when you believe the privacy violation occurred. This time limit for filing complaints may be waived for good cause.
You will not be punished or retaliated against for filing a complaint.