Inspection and Copies. You have the right to inspect and obtain a copy of the IIHI that may be used to make decisions about you, including patient medical records and billing records, but not including psychotherapy notes. You must submit your request in writing to the Privacy Officer at Eureka Family Health and Wellness PLLC, ▇▇▇ ▇▇▇▇▇, ▇▇▇▇, ▇, ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇, in order to inspect and/or obtain a copy of your IIHI. Your request should specifically state what medical information you want to inspect or copy. We will ordinarily act on your request within thirty (30) days of our receipt of your request. Our practice may charge a fee for the costs of copying, mailing, labor and supplies associated with your request. Our practice may deny your request to inspect and/or copy in certain limited circumstances; however, you may request a review of our denial. Another licensed health care professional chosen by us who did not participate in the original decision to deny access will conduct reviews. We will ordinarily act on your request for review within thirty (30) days.
Appears in 2 contracts
Sources: Direct Primary Care Patient Agreement, Direct Primary Care Patient Agreement