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This summary describes how we use and share information
about you, and how you may see and get copies of this
information. Click here for
the full version of this Notice.
We might use or share information about you for:
Treatment, such as when our physicians and nurses
discuss your care.
Payment, such as when we bill your insurance
company for services provided to you.
Operations, such as when we work to make the
quality of the care we provide better; when we give
out information about the different services we provide;
or when we contact community residents to ask for donations.
Other ways, such as when we send disease reports
to county and state health officials (this is required
by law); when we provide information to funeral directors,
organ donation groups and researchers; when we share
information to protect the health and safety of others
or you; or when we respond to court requests. We also
may send you appointment reminders, greeting cards or
newsletters.
How you may see and get copies of this information:
You have the right to:
- Ask for restrictions on the ways we use and give
out your information. Mercy is not required to agree
to the requested restrictions.
- Get and inspect a copy of your health record.
- Add information to your health record.
- Ask that your health information be sent to an alternate
address or that you be called at an alternate phone
number.
- Change your mind if you told us we could use or
share your information for reasons other than those
listed above.
- Get a list of the times we gave out your information.
It will be a list of the times that the law requires
us to keep a record of giving out your information.
Our Commitment to Respect Privacy:
Mercy Medical Center (Mercy), Dubuque and Dyersville,
Iowa, is required to:
- Keep your information private.
- Let you know if we cannot do what you have asked
us to do with your information.
- Try to reach you at another location or phone number,
if you ask us to do so.
- Use and / or give out your information as listed
above and as the law permits, unless we have your
permission to do more.
As we serve our patients, we at Mercy may change what
we do with your information. If we make a change, we
will give you a new notice the next time you visit us.
You may call us or write to us to check if we have made
any changes.
Complaints:
If you believe your privacy rights have been violated,
you may complain to Mercy, Dubuque or Dyersville, Iowa.
You also may complain to the U.S. Department of Health
and Human Services. Your care will not be affected if
you file a complaint.
Contact Information:
Mercy Medical Center
Attention: Privacy Official
250 Mercy Drive
Dubuque, IA 52001
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