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260 W. Locust Ave.Charleston, IL 61920
Office Hours Monday | 10am-5pm Tuesday | 10am-5pm Wednesday | 10am-5pm Thursday | 10am-5pm Friday | Closed
407 NW 3rd St.Casey, IL 62420
Monday | 10am-5pm Tuesday | 10am-5pm Wednesday | 10am-5pm Thursday | 10am-5pm Friday | Closed
105 N 10th St. Suite #3Mattoon, IL 61918
210 N High St.Paris, IL 61944
Office Hours Monday | 11am-4:30pm Tuesday | 11am-4:30pm Wednesday | 11am-4:30pm Thursday | 11am-4:30pm Friday | Closed
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
For more information: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
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
Ask us to correct your medical record
Request confidential communications
Ask us to limit what we use or share
Get a list of those with whom we’ve shared information
Get a copy of this privacy notice
Choose someone to act for you
File a complaint if you feel your rights are violated
For your 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. We never share your information in these situations unless you give us written permission which you may withdraw at any time.
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:
We use your health information and share it with other professionals who are treating you.
Example: A Choices staff member will share your information with the RN who is performing your pregnancy test and ultrasound.
Run our organization
We use and share your health information internally to run our organization, improve your care, and contact you when necessary.
Example: A Choices staff member may share your information (as de-identified as possible) with other staff in order to improve our services.
Advertising & Promotion
For advertising and promotion, we may use your story and ultrasound images with all identifying information removed to protect your privacy. www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
Help with public health and safety issues
We can share health information about you for certain situations such as:
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.
Address law enforcement and other government requests
We can use or share health information about you:
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.
Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our websites.
Veronica Edwards, Privacy Officeradmin@choices4.me217.345.8000Effective Date: 10/15/2022