NOTICE OF PRIVACY PRACTICES
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• Training of non-health care professionals; • Accreditation, certification, licensing or credentialing activities; • Review and auditing, including compliance reviews, medical reviews, legal services and compliance programs; • Business planning and development including cost management and planning-related analy- ses and formulary development; and • Business management and general administrative activities of Four Seasons. D. Inpatient Facilities: If you are a patient of a Four Seasons inpatient facility, Four Seasons may include certain information about you in a directory, including your name, your general health status, your religious affiliation and where you are in the Four Seasons facility. Four Seasons may only disclose this information to people who ask for you by name. Please inform us if you do not want your information to be included in the directory. E. For Fundraising Activities: Four Seasons may use information about you to contact you or your family to raise money for Four Seasons. Four Seasons will only use the following information for fundraising purposes: your name, address, phone number, age, gender, and date of birth; the dates you received care at Four Seasons; the department providing your care; the name(s) of your treating physician(s); information related to the outcome of your care; and your health insurance status. Four Seasons may also release this information to a related Four Seasons Foundation for fundraising purposes. You have the right to opt out of receiving fundraising communications. If you do not want Four Seasons to contact you or your family, call us at 866.466.9734 and indicate that you do not wish to be contacted. F. Family, Friends and Others Involved in Your Care or Payment : Unless you object, we may dis- close your health information to a family member, friend or any other person you involve in your care or payment for your health care. We will disclose only the information that is relevant to the person’s involvement in your care or payment. G. Business Associates : Four Seasons may disclose your health information to its business as - sociates that perform functions on its behalf or provide it with services if the information is necessary for such functions or services. Four Seasons’ business associates are required, under contract with Four Seasons, to protect the privacy of your information and are not allowed to use or disclose any information other than as specified in its contract with Four Seasons. III. OTHER USES AND DISCLOSURES ALLOWED UNDER FEDERAL PRIVACY RULES WITHOUT PATIENT CONSENT OR AUTHORIZATION A. When Legally Required : Four Seasons will disclose your health information when it is required to do so by any Federal, State or local law. B. For Public Health Activities: Four Seasons may disclose your health information when author - ized by law to do so for public activities and purposes, such as to: • Prevent or control disease, injury or disability, report disease, injury, vital events such as death and the conduct of public health surveillance, investigations and interventions. • To report adverse events, product defects, to track products or enable product recalls, repairs and replacements and to conduct post-marketing surveillance and compliance with requirements of the Food and Drug Administration.
866.466.9734
FourSeasonsCare.org
Four Seasons
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