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PRIVACY NOTICE
Effective 04/14/03
Revised 08/04/03
Tennessee Urgent Care Associates (TUCA)
understands that your privacy is important. This notice is posted in
accordance with applicable state and federal laws. This notice will help
you understand how we protect your protected health information (PHI).
- Our
employees, representatives, agents and third parties may collect
information about you from registration forms and physician notations.
- TUCA
may ascertain information from your insurance carrier for the purpose
of processing your medical claim.
- TUCA
restricts access to PHI to those employees, agents, representatives or
third parties who provide products or services to you and who have
been trained to handle PHI.
- TUCA
has policies and procedures for employees, agents and representatives
acting on our behalf on how to protect PHI.
- TUCA
maintains physical, electronic and procedural safeguards to protect
PHI.
- TUCA
does not share PHI except as permitted by state and federal law.
- PHI
will not be disclosed unless authorized by you or by applicable state
and federal law.
- TUCA
privacy policy applies to current and former patrons.
- If
you have any privacy questions, please ask to speak to the TUCA
Privacy Officer.
This
Privacy Notice is provided to you for informational purposes only.
FOR MORE INFORMATION OR TO REPORT A PROBLEM
If you have questions or would like more information, you may contract TUCA's Privacy Officer at 615-220-5446. If you believe your privacy rights have been violated, you may file a written complaint with TUCA's Privacy Officer at
1332 Hazelwood Dr, Nashville, TN 37167. No retaliatory action will be taken against you.
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