Privacy Policy

Notice of Privacy Practices

This Notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.

I. Introduction

At Mad River Community Hospital, we prioritize your privacy and confidentiality. This Notice aligns with HIPAA Privacy Rules and outlines our commitment to protect your Protected Health Information (PHI).

II. Uses and Disclosures for Treatment, Payment, and Health Care Operations

  • Treatment: We use PHI to provide you with effective treatment or services and coordinate your care with other providers.
  • Payment: We use and disclose PHI to obtain payment for services provided to you.
  • Health Care Operations: We use and disclose PHI for operational purposes, such as quality improvement and patient safety.

III. Other Permitted or Required Uses and Disclosures Without Your Authorization

  • Public Health and Safety: We may disclose PHI for public health activities, health oversight, abuse or neglect reporting, and health and safety threats.
  • Legal and Administrative Proceedings: We may disclose PHI in response to a court order, subpoena, or other lawful process.
  • Law Enforcement and Specialized Government Functions: We may disclose PHI for law enforcement purposes and to specialized government functions such as military, national security, and presidential protective services.
  • Research: Under certain circumstances, we may disclose PHI for medical research.

IV. Uses and Disclosures Requiring Your Authorization

  • Marketing and Sale of PHI: Disclosures for marketing purposes and disclosures that constitute a sale of PHI require your authorization.
  • Other Uses and Disclosures: Other uses and disclosures not described in this Notice will be made only with your authorization.

V. Your Rights Regarding PHI

  • Access and Copies: You have the right to access and obtain a copy of your PHI.
  • Amendments: You may ask us to amend your health information if you believe it is incorrect or incomplete.
  • Accounting of Disclosures: You have the right to receive an accounting of disclosures of your PHI made by us.
  • Restrictions: You may request restrictions on our use and disclosure of your PHI. We are not required to agree to these restrictions, but if we do, we will abide by our agreement.
  • Confidential Communication: You may request to receive confidential communications from us in a certain way or at a certain location.

VI. Changes to This Notice

We reserve the right to change this Notice and make the new Notice provisions effective for all PHI we maintain. We will provide a revised Notice by mail or hand delivery.

VII. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Contact Information

For questions or to file a complaint, please contact:

Mad River Community Hospital Privacy Officer
PO Box 1115, Arcata, CA 95518-1115
Phone: 707-822-3621

Skip to content