Chosen by AESIPA (who will not be the same person that denied your request) and we will abide by the outcome of that review. You have the right to request restrictions on the use and disclosure of your personal and health information for purposes of treatment, payment or eldercare/childcare operations. You also have the right to limit the disclosure of your personal and health information to someone involved in your care or the payment for your care. AESIPA is not required to agree to any requested restriction if we believe that it is in your best interests to permit the use and disclosure of your information. Any restriction request shall be made in writing to the person listed below, and must specify the restriction requested and to whom it is to apply. Even if we agree to restriction, either you or AESIPA can later terminate the restriction. You have the right to receive confidential communications, or to request specifically that we communicate with you in a certain manner or in a certain location.
You have the right to request the amendment of medical information about you for as long as we maintain the medical information if you believe that the information that we have about you is incomplete or incorrect. You must make a request in writing to the person listed at the end of this notice in order to request an amendment. We may deny your amendment request if it is not in writing or if it is not supported by a reason for the request.We may deny your amendment request if we believe it is inaccurate, if it involves part of your record that was not created by us, or if the underlying information is accurate and complete. If we amend the information for you, we will make reasonable efforts to inform others of the amendment and to include the changes in any future disclosures of that information. If we deny your request for amendment, you have the right to have your request and our denial added to your record.
Disclosure Accounting: You have the right to an accounting of any disclosures of your personal and health information made by AESIPA. You can request in writing to the contact person indicated below that we provide you with a list of disclosures for purposes other than treatment, payment and healthcare operations for a specific time frame that may not be longer than 6 years, nor begin prior to April 14, 2003 . Your request should indicate the format in which you would like the list produced. AESIPA will begin maintaining disclosures for up to six years starting on and after April 14, 2003 . If you request this accounting more than once in a twelve month period, then we may charge you a reasonable cost-based fee.
Right to Paper Copy of This Notice: You have the right to receive a paper copy of this notice at any time, either by contacting the person listed below or by requesting one from your local AESIPA office or representative. You may also obtain a copy of this notice by visiting our office in person.
Changes To This Notice: We reserve the right to change this notice and to make the revised or changed notice effective for personal and health information that we already have about you, as well as personal and health information that we may obtain in the future. We will post a copy of the current notice, which will contain
QUESTIONS AND COMPLAINTS: If you want more information about our privacy practices or have questions or concerns, please contact AESIPA using the information listed at the end of this notice. If you are concerned that your privacy rights may have been violated, or you disagree with a decision we made about access to your personal and health information, you may complain to us in writing using the contact information listed at the of this notice. You may also submit a complaint to the U.S. Department of Health and Human Services. AESIPA supports your right to protect the privacy of personal and health information. AESIPA will not retaliate and you will not be penalized in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services. Contact Us Now!
Attention: Privacy Official
Advanced Elderly Services, Inc.
1005 Pontiac Road, Suite 188
Drexel Hill , PA. 19026-5017
Call Toll Free: 1-888-854-0950