Medical Supply Center
2923-C Olney Sandy Spring Road, Olney, MD 20832
Phone: (301) 774-8200 Fax: (301) 774-5767
NOTICE OF PRIVACY
PRACTICES 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 This Notice applies to
information and records regarding your health
care maintained at Medical Supply Center
(MSC).
MSC is committed to protecting medical
information about you. We
create a record of the products that you
purchase at MSC for use in your care and
treatment. This notice tells you about the ways
in which we may use and disclose medical
information about you. It also
describes your rights and certain obligations we
have regarding the use and disclosure of your
medical information. We are
required by law to:
make sure that your medical information
is protected; give you this Notice describing
our legal duties and privacy practices with
respect to medical information about you; and
follow the terms of the Notice that is currently
in effect. HOW WE MAY USE AND
DISCLOSE MEDICAL INFORMATION ABOUT
YOU The following sections
describe different ways that we may use and
disclose your medical information. MSC abides by
all applicable state and federal laws related to
the protection of this information. Not
every use or disclosure will be listed. All of
the ways we are permitted to use and disclose
information, however, will fall within one of
the following
categories. For product or service
recommendations. We may
use medical information about you to provide you
with products for medical treatment or
services.
We may disclose medical information about
you to doctors, nurses, technicians, or other
health system personnel who are involved in
taking care of your health. We may also share
medical information about you with other MSC
personnel or non-MSC providers, agencies or
facilities in order to provide or coordinate the
different things you need. We also may disclose
medical information about you to people outside
MSC who may be involved in your continuing
medical care after you leave MSC such as other
health care providers, transport companies,
community agencies and family
members. For
Payment. We may
use and disclose medical information about you
so that the products and services you receive at
MSC may be billed to and payment may be
collected from you, an insurance company or a
third party. We may also tell your health plan
about a proposed product to determine whether
your plan will cover the
treatment. For Health Care
Operations. We may
use and disclose medical information about you
for MSC operations. Your medical information may
also be used or disclosed to comply with law and
regulation, for contractual obligations,
patients’ claims, grievances or lawsuits, health
care contracting, legal services, business
planning and development, business management
and administration, the sale of all or part of
MSC to another entity, underwriting and other
insurance activities.
Appointment
Reminders. We may
contact you to remind you that your product
order has arrived.
Product Suggestions or
Alternatives. We may
write or call to tell you about or recommend
possible product options or alternatives that
may be of interest to
you. Health-Related Benefits
and Services. We may
contact you about benefits or services that we
provide. Individuals Involved in
Your Care or Payment for Your Care.
We may release medical
information to anyone involved in your medical
care, e.g., a friend, family member, personal
representative, or any individual you identify.
We may also give information to someone who
helps pay for your care. We may
also tell your family or friends about products
or services that you have
obtained. As Required By
Law. We will
disclose medical information about you when
required to do so by federal or state
law. To Avert a Serious Threat
to Health or Safety. We may
use and disclose medical information about you
when necessary to prevent or lessen a serious
and imminent threat to your health and safety or
the health and safety of the public or another
person.
Any disclosure would be to someone able
to help stop or reduce the
threat. Military and
Veterans. If you
are or were a member of the armed forces, we may
release medical information about you to
military command authorities as authorized or
required by law. We may
also release medical information about foreign
military personnel to the appropriate military
authority as authorized or required by
law. Workers'
Compensation. We may
use or disclose medical information about you
for Workers' Compensation or similar programs as
authorized or required by law. These
programs provide benefits for work-related
injuries or
illness. Public Health
Disclosures. We may
disclose medical information about you for
public health purposes. These
purposes generally include the following: report
adverse events or surveillance related to food,
medications or defects or problems with
products; notify persons of recalls, repairs or
replacements of products they may be using;
notify a person who may have been exposed to a
disease or may be at risk of contracting or
spreading a disease or condition; report to the
employer findings concerning a work-related
illness or injury or workplace-related medical
surveillance; notify the appropriate government
authority if we believe a patient has been the
victim of abuse, neglect or domestic violence
and make this disclosure as authorized or
required by law. Health Oversight
Activities. We may
disclose medical information to governmental,
licensing, auditing, and accrediting agencies as
authorized or required by
law. Legal
Proceedings. We may
disclose medical information to courts,
attorneys and court employees in the course of
conservatorship and certain other judicial or
administrative
proceedings. Lawsuits and Other Legal
Actions. In
connection with lawsuits or other legal
proceedings, we may disclose medical information
about you in response to a court or
administrative order, or in response to a
subpoena, discovery request, warrant, summons or
other lawful
process. Law
Enforcement. If asked to do so by law
enforcement, and as authorized or required by
law, we may release medical information: To
identify or locate a suspect, fugitive, material
witness, or missing person; About a suspected
victim of a crime if, under certain limited
circumstances, we are unable to obtain the
person's agreement; About a death suspected to
be the result of criminal conduct; About
criminal conduct at MSC; and In case of a
medical emergency, to report a crime; the
location of the crime or victims; or the
identity, description or location of the person
who committed the
crime. National Security and
Intelligence Activities. As
authorized or required by law, we may disclose
medical information about you to authorized
federal officials for intelligence,
counterintelligence, and other national security
activities. Protective Services for
the President and Others. As
authorized or required by law, we may disclose
medical information about you to authorized
federal officials so they may conduct special
investigations or provide protection to the
President, other authorized persons or foreign
heads of state. Inmates. If you
are an inmate of a correctional institution or
under the custody of law enforcement officials,
we may release medical information about you to
the correctional institution as authorized or
required by law. YOUR RIGHTS REGARDING
MEDICAL INFORMATION ABOUT
YOU Your medical information
is the property of MSC. You have
the following rights, however, regarding medical
information we maintain about
you: Right to Inspect and
Copy. With
certain exceptions, you have the right to
inspect and/or receive a copy of your medical
information. To inspect and/or to
receive a copy of your medical information, you
must submit your request in writing to MSC
2923-C Olney Sandy Spring Road Olney,
MD 20832. If you request a copy of the
information, there is a fee for these
services. We may deny your request
to inspect and/or to receive a copy in certain
limited circumstances. If you
are denied access to medical information, in
most cases, you may have the denial
reviewed.
Another licensed health care professional
chosen by MSC will review your request and the
denial.
The person conducting the review will not
be the person who denied your request. We will
comply with the outcome of the
review. Right to Request an
Amendment or Addendum. If you
feel that medical information we have about you
is incorrect or incomplete, you may ask us to
amend the information or add an addendum
(addition to the record). You have
the right to request an amendment or addendum
for as long as the information is kept by or for
MSC.
Amendment. To
request an amendment, your request must be made
in writing and submitted MSC 2923-C Olney Sandy
Spring Road Olney,
MD 20832.. In addition, you must provide a
reason that supports your request. We may
deny your request for an amendment if it is not
in writing or does not include a reason to
support the request. In
addition, we may deny your request if you ask us
to amend information that: Was not
created by MSC; Is not part of the medical
information kept by or for MSC; Is not part of
the information which you would be permitted to
inspect and copy; or Is accurate and complete in
the record. Addendum. To
submit an addendum, the addendum must be made in
writing and submitted MSC 2923-C Olney Sandy
Spring Road Olney,
MD 20832.
An addendum must not be longer than 250
words per alleged incomplete or incorrect item
in your record. Right to an Accounting of
Disclosures. You have
the right to receive a list of the disclosures
we have made of your medical information. To
request this accounting of disclosures, you must
submit your request in writing to MSC 2923-C
Olney Sandy Spring Road Olney,
MD 20832..
Your request must state a time period
that may not be longer than the six previous
years and may not include dates before April 14,
2003.
You are entitled to one accounting within
any 12-month period at no cost. If you
request a second accounting within that 12-month
period, there will be a charge for the cost of
compiling the accounting. We will
notify you of the cost involved and you may
choose to withdraw or modify your request at
that time before any costs are
incurred. Right to Request
Restrictions. You have
the right to request a restriction or limitation
on the medical information we use or disclose
about you for treatment, payment or health care
operations. You also
have the right to request a limit on the medical
information we disclose about you to someone who
is involved in your care or the payment for your
care, such as a family member or friend. For
example, you could ask that we not use or
disclose information to a family member about a
product you purchased. To
request a restriction, you must make your
request in writing MSC 2923-C Olney Sandy Spring
Road
Olney, MD 20832. In your
request, you must tell us (1) what information
you want to limit; (2) whether you want to limit
our use, disclosure or both; and (3) to whom you
want the limits to apply, for example, only to
you and your spouse. We
are
not required to agree to your
request. If we do
agree, our agreement must be in writing, and we
will comply with your request unless the
information is needed to provide you emergency
treatment. Right to Request
Confidential Communications. You have
the right to request that we communicate with
you about medical matters 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. To
request confidential communications, you must
make your request in writing MSC 2923-C Olney
Sandy Spring Road Olney,
MD 20832.
We will accommodate all reasonable
requests.
Your request must specify how or where
you wish to be contacted.
Right to a Paper Copy of
This Notice. You have
the right to a paper copy of this Notice. You may
ask us to give you a copy of this Notice at any
time. Even if you have agreed to receive this
Notice electronically, you are still entitled to
a paper copy of this Notice. Copies
of this Notice shall be available at
MSC. CHANGES TO MSC PRIVACY
PRACTICES AND THIS
NOTICE We reserve the right to
change MSC privacy practices and this
Notice.
We reserve the right to make the revised
or changed Notice effective for medical
information we already have about you as well as
any information we receive in the future. We will
post a copy of the current Notice at MSC. The
Notice will contain the effective date on the
first page in the top right-hand corner. In
addition, at any time you may request a copy of
the current Notice in
effect. QUESTIONS OR
COMPLAINTS If you have any questions
about this Notice, please contact MSC 2923-C
Olney Sandy Spring Road Olney,
MD 20832 or call
301-774-8200. If you believe your
privacy rights have been violated, you may file
a complaint with MSC or with the Secretary of
the Department of Health and Human
Services.
To file a written complaint with MSC,
contact MSC at OTHER USES OF MEDICAL
INFORMATION Other uses and
disclosures of medical information not covered
by this Notice will be made only with your
written permission. If you
provide us permission to use or disclose medical
information about you, you may revoke that
permission, in writing, at any time. If you
revoke your permission, we will no longer use or
disclose medical information about you for the
reasons covered by your written permission. You
understand that we are unable to take back any
disclosures we have already made with your
permission, and that we will retain our records
of the care provided to you as required by
law.
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