Notice of Privacy Practices
Your Information. Your Rights. Our Responsibilities.
This Notice describes how medical information about you may be used and disclosed (shared) and how you can get access to this information.
PLEASE REVIEW IT CAREFULLY
Helomics Corporation (Helomics) understands that your health information is private and personal. We create and maintain a record with information about you regarding the service we provide to your physician(s). We need this information to provide this service and to comply with the law. This Notice of Privacy Practices (Notice) applies to all information about you that is received, maintained, or created because of the service Helomics provides. This includes information that Helomics receives from doctors and medical facilities. This Notice tells you about the ways we may use and share your health information, as well as the rights you have regarding your health information under federal (United States) and state (Pennsylvania) laws. In this Notice, the words “we,” “us,” and “our” mean Helomics and all the people that make up Helomics, which are described below.
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
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
• 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
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 health information that we used to fulfill our service commitment to your physician. Your request must be in writing. Ask us how to do this.
• We will provide a copy or a summary of your health information 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.
• 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 payment or our operations with your health insurer. 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 up to six years prior to the date you ask, who we shared it with, and why.
• You must put your request in writing. You must include in your written request how far back in time you want us to go. It may not be longer than six (6) years and may not include dates before April 14, 2003, which is the date by law we are required to begin keeping track of the disclosures.
• Helomics has six months from the date of the request to complete an accounting of disclosures.
• 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 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. You can get a copy of this Notice at our website.
CLICK TO DOWNLOAD A PDF OF THIS DOCUMENT.
To obtain a paper copy of this Notice, call Helomics or contact Helomics by postal mail:
Attention: Privacy Officer
91 43rd Street, Suite 220
Pittsburgh, PA 15201