Find a Clinic Near You

Call: 1-888-906-7141
Talk to YOUR Personal Hearing Consultant Now

Reset - +

At Hearing Life, We Care About Your Privacy

NOTICE OF PRIVACY PRACTICES

 

This notice describes how hearing healthcare information about you may be used and disclosed, and how you can get access to this information.

Please review it carefully. The privacy of your health information is important to us.

 

OUR LEGAL DUTY

We are required by applicable federal and state law to maintain the privacy of your

health information. We are also required to give you this notice about our privacy

practices, our legal duties, and your rights concerning your health information.

We must follow the privacy practices that are described in this notice while it is in

effect. This notice is effective starting June 12, 2006 and will remain in effect until

we replace it. We reserve the right to change our privacy practices and the terms

of this notice at any time, provided such changes are permitted by applicable law.

We reserve the right to make the changes in our privacy practices and the new

terms of our notice effective for all health information that we maintain, including

health information we created or received before we made the changes. Before

we make a significant change in our privacy practices, we will change this notice

and make the updated version available upon request.

You may request a copy of our notice at any time. For more information about our

privacy practices, or for additional copies of this notice, please contact us using

the information listed at the end of this notice.

 

 

USE AND DISCLOSURE OF YOUR MEDICAL INFORMATION

We use and disclose health information about you for treatment, payment and

healthcare operations. For example:

 

Treatment: We may use or disclose your health information to a physician

or other healthcare provider who is treating you, including hearing aid

manufacturers and other providers of hearing healthcare devices, and/or

related supplies.

 

Payment: We may use and disclose your health information to obtain payment

for services we provide you with.

 

Healthcare Operations: We may use and disclose your health information

in connection with our healthcare operations. Healthcare operations include

quality assessment and improvement activities, reviewing the competence or

qualifications of healthcare professionals, evaluating practitioner and provider

performance, conducting training programs, accreditation, certification, licensing

or credentialing activities.

 

Your Authorization: In addition to our use of your health information for

treatment, payment or healthcare operations, you may give us written authorization

to use your health information or disclose it to anyone for any purpose. If you give

us an authorization, you may revoke it in writing at any time. Your revocation will

not affect any use or disclosures permitted by your authorization while it was in

effect. Unless you give us a written authorization, we cannot use or disclose your

health information for any reason except those described in this notice.

 

To Your Family and Friends: We must disclose your health information to you, as

described in the “Patient Rights” section of this notice. We may disclose your health

information to a family member, friend or other person to the extent necessary to

help with your healthcare or payment for your healthcare, but only if you agree

that we may do so.

 

Persons Involved In Care: We may use or disclose health information to notify,

or assist in the notification of (including identifying or locating) a family member,

your personal representative or another person responsible for your care, of your

location, your general condition, or death. If you are present, then prior to use or

disclosure of your health information, we will provide you with an opportunity to

object to such uses or disclosures. In the event of your incapacity or emergency

circumstances, we will disclose health information based on a determination

using our professional judgment disclosing only health information that is

directly relevant to the person’s involvement in your healthcare. We will also

use our professional judgment and experience with common practice to make

reasonable inferences of your best interest in allowing a person to pick up hearing

aids, batteries, impressions, audiograms, or similar forms of health information.

Marketing Health-Related Services: We will not use your health information

for marketing communications without your written authorization.

Required by Law: We may use or disclose your health information when we are

required to do so by law.

 

Fundraising: We may provide medical information to one of our affiliated

fundraising foundations to contact you for fundraising purposes. We will limit

our use and sharing to information that describes you in general (not personally),

including terms and dates of your health care. In any fundraising materials, we

will provide you with a description of how you may choose not to receive future

fundraising communications.

 

Abuse or Neglect: We may disclose your health information to appropriate

authorities if we reasonably believe that you are a possible victim of abuse, neglect,

domestic violence, or other crimes. We may disclose your health information to

the extent necessary to avoid a serious threat to your health or safety and/or the

health or safety of others.

 

National Security: We may disclose to military authorities the health information

of Armed Forces personnel under certain circumstances. We may disclose to

authorized federal officials health information required for lawful intelligence,

counterintelligence, and other national security activities. We may disclose to

correctional institutions or law enforcement officials having lawful custody of

protected health information of inmate or patient under certain circumstances.

 

Appointment Reminders: We may use or disclose your health information to

provide you with appointment reminders (such as voicemail messages, postcards,

newsletters, or letters), as well as information about treatment alternatives.

 

Patient Rights Access: You have the right to view or receive copies of your health

information, with limited exceptions. You may request that we provide copies in

a format other than photocopies. We will use the format you requested unless we

cannot practicably do so. You must make a request in writing to obtain access to

your health information. You may obtain a form to request access by using the

contact information listed at the end of this notice. You may also request access by

sending us a letter to the address at the end of this notice. If you request copies,

we may charge you $14 for 1-10 pages and $0.50 per page for pages 11-40, and

$0.33 per page for every additional page. Actual postage costs will be added if

you would like the information mailed to you. If you request an alternative format,

we will charge a cost-based fee for providing your health information in that

format. If you prefer, we will prepare a summary or an explanation of your health

information for a fee. Contact us using the information listed at the end of this

notice for a full explanation of our fee structure.

 

Disclosure Accounting: You have the right to receive a list of instances in which

we or our business associates have disclosed your health information for purposes,

other than treatment, payment, healthcare operations and other activities, for the

last 6 years, but not before June 12, 2006. If you request this accounting more than

once in a 12-month period, we may charge you a reasonable, cost-based fee for

responding to these additional requests.

 

Restrictions: You have the right to request that we place additional restrictions

on our use or disclosure of your health information. We are not required to agree to

these additional restrictions, but if we do, we will abide by our agreement (except

in an emergency).

 

Alternative Communication: You have the right to request that we

communicate with you about your health information by alternative means or

to alternative locations. You must make your request in writing. Your request

must specify the alternative means or location, and provide satisfactory

explanation about how payments will be handled under the alternative

means and/or location you request.

 

Amendment: You have the right to request that we amend your health

information. Your request must be in writing and explain why the information

should be amended. We may deny your request under certain circumstances.

 

Electronic notice: If you receive this notice on our website or by electronic mail

(e-mail), you are entitled to receive this notice in written form.

 

 

QUESTIONS AND COMPLAINTS

If you want more information about our privacy practices or have questions or

concerns, please contact us.

 

If you are concerned that we may have violated your privacy rights, or you

disagree with a decision we made about access to your health information or in

response to a request you made to amend or restrict the use or disclosure of your

health information or to have us communicate with you by alternative means

or at alternative locations, you may make us aware of your concern by using the

contact information listed at the end of this notice. You may also submit a written

complaint to the U.S. Department of Health and Human Services. We will provide

you with the address to file your complaint with the U.S. Department of Health

and Human Services upon request.

We support your right to the privacy of your health information. We will not

retaliate in any way if you choose to file a complaint with us or the U.S. Department

of Health and Human Services.

 

 

Compliance Officer: Steve W. Barlow

Telephone: 1-888-906-7141

Address: 2501 Cottontail Lane, Suite 101

Somerset, NJ 08873

Locations Across the US

Please click the state to find the location nearest you.

Financing Available