HIPAA Notice

Authorizations are required for the use and disclosure of a patient’s protected health information (PHI) for purposes other than treatment, payment and health care operations.

Hospice of Westchester uses an authorization form that meets the requirements of Federal regulations.

Hospice is not required to obtain an authorization from the patient to use or disclose protected health information for the: treatment, payment and health care operations; activities requiring treatment of another health care provider; payment activities of the entity to which PHI is disclosed; and health care operations of another covered entity
When authorization is needed, the patient or his/her representative is provided with a copy of the authorization form and asked to sign it.

Signing the authorization form is voluntary and the patient or his or her representative may refuse to sign it.

A copy of the authorization is provided to the individual who signs it.

The authorization may be revoked (in writing) by the patient/representative at any time.

The permissions granted in the authorization may not be acted upon if it has been revoked or if it has expired.

The authorization is documented and retained for a period of six (6) years after it was created or expired, whichever date is later.