Exam (elaborations) PRIVACY PRACTICES UCI HEALTH

Right to Know How We Have Shared Your Health Information. You have the right to request a list (accounting) of the times UCI Health has shared your health information with others, 3 such as to government agencies. The list will not include any disclosures made for treatment, payment, health care operations or any disclosure you have asked us to make. The request may be for a period covering up to six years before the date you request the list. Your request must be made in writing and submitted to UCI Health, Medical Correspondence, Health Information Management Department, 101 The City Drive South, Bldg. 25, Orange, CA 92868. If you request an accounting more than once in a 12-month period, we may charge you a reasonable, cost-based fee. Right to Ask for Restrictions. You have the right to ask us to limit how we use and share certain health information for treatment, payment, or health care operations. We are not required to agree to your request. If you pay for a service or healthcare item out-of-pocket in full, you may ask us not to share that information for purposes of payment or our operations. Your request must be made in writing and submitted to UCI Health, Medical Correspondence, Health Information Management Department, 101 The City Drive South, Bldg. 25, Orange, CA 92868. Right to Ask for Confidential Communications. You have the right to ask that we communicate with you about your health information in a certain way or at a certain location. For example, you may ask that we contact you only at home or only by mail. You must make your request in writing to UCI Health, Medical Correspondence, Health Information Management Department, 101 The City Drive South, Bldg. 25, Orange, CA 92868. We will accommodate all reasonable requests. Right to a Paper Copy of This Notice. You may ask for a paper copy of this notice at any time, even if you have agreed to receive this notice electronically. Copies of this notice are available at all UCI Health locations or visit our website, 4 Right to be Notified of a Breach. You have t