NOTICE OF PRIVACY PRACTICES
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• To notify a person who has been exposed to a communicable disease or who may be at risk of contracting or spreading a disease. • To an employer about an individual who is a member of the workforce as legally required. C. To Report Abuse, Neglect or Domestic Violence : Four Seasons may disclose your health infor- mation to government authorities if we believe you are the victim of abuse, neglect or domestic violence. Four Seasons will make this disclosure only when specifically required or authorized by law or when the patient agrees to the disclosure. To Conduct Health Oversight Activities: Four Seasons may disclose your health information to a health oversight agency for activities including audits, civil administrative or criminal investi - gations, inspections, licensure or disciplinary action. Four Seasons may not, however, disclose your health information if you are the subject of an investigation and your health information is not directly related to your receipt of health care or public benefits. Four Seasons may dis - close your health information to the North Carolina Department of Health Service Regulation to validate Four Seasons’ compliance with North Carolina law. You have the right to object to a disclosure of your health information to the North Carolina Department of Health Service Regulation for this purpose. Such objections shall be made in writing on your Consent for Hos - pice Care upon admission or to the Four Seasons Privacy Officer at the address listed in Section VI below. D. In Connection With Judicial and Administrative Proceedings : Four Seasons may disclose your health information in the course of any judicial or administrative proceeding in response to an order of a court or administrative tribunal as expressly authorized by such order or, in response to a subpoena, discovery request or other lawful process, but only when Four Seasons makes reasonable efforts to either notify you about the request or to obtain an order protecting your health information. E. For Law Enforcement Purposes: Four Seasons may disclose your health information to a law enforcement official for law enforcement purposes as follows: • As required by law for reporting certain types of wounds or other physical injuries pursuant to the court order, warrant, subpoena or summons, or similar process; • For the purpose of identifying or locating a suspect, fugitive, material witness or missing person; • Under certain limited circumstances, when you are the victim of a crime; • To a law enforcement official if Four Seasons has a suspicion that your death was the result of criminal conduct including criminal conduct at Four Seasons; or • In an emergency in order to report a crime. F. To Coroners and Medical Examiners: Four Seasons may disclose your health information to coroners and medical examiners for purposes of determining your cause of death or for other duties, as authorized by law. G. To Funeral Directors : Four Seasons may disclose your health information to funeral directors consistent with applicable law and, if necessary, to carry out their duties with respect to your funeral arrangements. If necessary to carry out their duties, Four Seasons may disclose your health information prior to and in reasonable anticipation of your death.
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866.466.9734
Four Seasons
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