Privacy Practices


Your privacy is important to us. PEACE HAVEN is committed to protecting the confidentiality of patient information in compliance with the ethical standards of Christian Science nursing and with federal, state and other applicable laws governing the use and disclosure of protected health information (“PHI”). As a covered entity under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), PEACE HAVEN recognizes the importance of protecting patient information during its collection, use, disclosure, storage and destruction.

PEACE HAVEN is also committed to protecting the confidentiality of proprietary information utilized in the normal course of business. All proprietary information is the property of PEACE HAVEN and shall not be used, disclosed, copied or transmitted to any party outside the normal course of business without the express written consent of PEACE HAVEN.

This notice applies to PEACE HAVEN and PEACE HAVEN personnel and volunteers.

PEACE HAVEN is required by law to give you this notice and to follow the terms and conditions of the notice that is currently in effect.

PEACE HAVEN may use and disclose your PHI to provide information to the following:

  • To you or someone who has the legal right to act for you (your personal representative)
  • To the Secretary of the Department of Health and Human Services, if necessary, to make sure your privacy is protected
  • Where required by law

PEACE HAVEN may use or disclose your PHI for the following purposes under limited circumstances:

  • To discuss your Christian Science nursing needs with your practitioner or personal representative
  • To obtain payment from your insurance company, with your written permission
  • For public health activities, such as communicable diseases
  • To report information about abuse, neglect and domestic violence
  • For health care oversight activities, such as sharing PHI with Medicare
  • For judicial and administrative proceedings, such as a response to a court order
  • For law enforcement purposes, such as providing limited information to locate a missing person
  • To avoid a serious and imminent threat to health or safety
  • To medical examiners, coroners and funeral directors
  • To comply with worker’s compensation laws
  • When required to do so by any other law not already referred to above.

Patient Rights with Respect to PHI

By law, PEACE HAVEN must have your written authorization to use or disclose your PHI for any purpose that isn’t described in this notice. You may revoke your written permission at any time, except to the extent that PEACE HAVEN has already acted based on your permission.

By Law, you have the right to take these actions:

  • See and get a copy of your PHI held by PEACE HAVEN. A request must be made in writing. We may charge a fee for costs associated with your request.
  • Have your PHI amended if you believe that it is wrong or if information is missing and PEACE HAVEN agrees. If PEACE HAVEN disagrees, you may have a statement of your disagreement added to your PHI. Please direct questions about accessing or correcting your information to the Executive Director/Administrator at PEACE HAVEN.
  • Obtain a list of those receiving your PHI from PEACE HAVEN. The listing won’t cover your PHI that was given to you or your personal representative, that was given out to pay for your health care, or that was given out for law enforcement purposes if it would likely get in the way of these purposes. A request must be made in writing.
  • Ask PEACE HAVEN to communicate with you in a different manner or at a different place (for example, by sending materials to a PO Box instead of your home address)
  • Get a separate paper copy of this notice.
  • You have the right to restrict the use of your PHI. You may request that any part of your PHI not be disclosed to family members or friends who may be involved in your care. You may request your PHI not be used or disclosed for the purpose of receiving Christian Science nursing care. Your request must be in writing and state the specific restriction and to whom you want the restriction to apply.
  • We are not required to agree to a restriction that you may request. If we believe it is in your best interest to permit use and disclosure of your PHI, your PHI will not be restricted. You then have the right to use other nursing services.

Privacy Complaints
You may complain to the Executive Director at PEACE HAVEN or to the Secretary of the Department of Health and Human Services if you believe that we have violated your privacy rights or did not follow the information contained in the Notice of Privacy Practices or if you have concerns about the privacy of your protected health information.

This notice becomes effective January 1, 2013

Changes to This Notice
We reserve the right to change or modify the information contained in this Notice at any time. If we change the Notice, we may make the new terms effective for all PHI that we maintain. Any changes that we make will comply with appropriate federal, state and other laws. PEACE HAVEN will make the most recent copy of this Notice available to our patients and post it in our facility. You may also contact the Executive Director/Administrator to obtain the most recent version of this Notice.