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Savannah Care Center's Privacy Practices

 Privacy Officer Name and Contact Information:  Jennifer Thornton, RN  (912) 236-0916                                                 


 Effective Date of Notice:    01/01/2020




 This notice describes how medical information about you may be used and disclosed and how you can get access to this i   information. Please review it carefully.


 Your Rights

 You have the right to:

  • Get a copy of your paper or electronic medical record

  • Correct your paper or electronic medical record

  • Request confidential communication

  • Ask us to limit the information we share

  • Get a list of those with whom we’ve shared your information

  • Get a copy of this privacy notice

  • Choose someone to act for you

  • File a complaint if you believe your privacy rights have been violated


 Your Choices


 You have some choices in the way that we use and share information as we:

  • Tell family and friends about your condition

  • Provide disaster relief

  • Provide mental health care

  • Market our services and sell your information

  • Raise funds


 Our Uses and Disclosures


 We may use and share your information as we:

  • Treat you

  • Run our organization

  • Bill for your services

  • Help with public health and safety issues

  • Do research

  • Comply with the law

  • Respond to organ and tissue donation requests

  • Work with a medical examiner or funeral director

  • Address workers’ compensation, law enforcement, and other government  requests

  • Respond to lawsuits and legal actions


 Your Rights


 When it comes to your health information, you have certain rights. This section explains your rights and some of our              responsibilities to help you.  Get an electronic or paper copy of your medical record.

  • You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.

  • We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.


 Ask us to correct your medical record

  • You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.

  • We may say “no” to your request, but we’ll tell you why in writing within 60 days.


 Request confidential communications

  • You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.

  • We will say “yes” to all reasonable requests.


 Ask us to limit what we use or share

  • You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.

  • If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health provider. We will say “yes” unless a law requires us to share that information


 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, whom 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.


 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

  • You can complain if you feel we have violated your rights by contacting us.

  • 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

  • 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:

  • Share information with your family, close friends, or others involved in your care

  • Share information in a disaster relief situation

  • Include your information in a hospital directory


 If you are not able to tell us your preference, for example, if you are unconscious, we may share your information if   we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent   threat to health or safety.


 In these cases, we never share your information unless you give us written permission:

  • Marketing purposes

  • Sale of your information

  • Most sharing of psychotherapy notes


 In the case of fundraising:

  • We may contact you for fundraising efforts, but you can tell us not to contact you again.


 Our Uses and Disclosures


 How do we typically use or share your health information?


 We use or share your health information in the following ways:


 Treat you

 We use your health information and share it with other professionals who are treating you.

 Example: A doctor treating you for an injury asks another doctor about your overall health condition.


 Run our organization

 We use and share your health information to run our practice, improve your care, and contact you when necessary.

 Example: We use health information about you to manage your treatment and services.


 Advertising & Promotion

 For advertising and promotion, we may use your story and ultrasound images with all identifying information removed or   de-identified to protect your privacy.


 Help with public health and safety issues

 We can share health information about you for certain situations such as:

  • Preventing disease

  • Helping with product recalls

  • Reporting adverse reactions to medications

  • Reporting suspected abuse, neglect, or domestic violence

  • Preventing or reducing a serious threat to anyone’s health or safety


 Do research

 We can use or share your information for health research.


 Comply with the law

 We will share information about you if state or federal laws require it, including with the Department of Health and   Human Services if it wants to see that we’re complying with federal privacy law.


 Respond to organ and tissue donation requests

 We can share health information about you with organ procurement organizations.

 Work with a medical examiner or funeral director

 We can share health information with a coroner, medical examiner, or funeral director when an individual person dies.


 Address workers’ compensation, law enforcement, and other government requests

 We can use or share health information about you:

  • For workers’ compensation claims

  • For law enforcement purposes or with a law enforcement official

  • With health oversight agencies for activities authorized by law

  • For special government functions such as military, national security, and presidential protective services


 Respond to lawsuits and legal actions

 We can share health information about you in response to a court or administrative order, or in response to a subpoena.


 Our Responsibilities:

  • We are required by law to maintain the privacy and security of your protected health information.

  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

  • We must follow the duties and privacy practices described in this notice and give you a copy of it.

  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.


 For more information:


 Changes to the Terms of this Notice

 We can change the terms of this notice, and the changes will apply to all the information we have about you. The new   notice will be available upon request, in our office, and on our website.



 [1] HHS Model Form,

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