Health Information Privacy Complaint (Page 8 of 8) in pdf

Health Information Privacy Complaint Page 8

as permitted by law, to protect information that identifies individuals, or that, if released,

could constitute a clearly unwarranted invasion of personal privacy.

If OCR receives protected health information about you in connection with a HIPAA

Privacy Rule investigation or compliance review, we will only share this information with

individuals outside of HHS if necessary for our compliance efforts or if we are required to

do so by another law.

DOES IT COST ANYTHING FOR ME (OR SOMEONE ELSE) TO OBTAIN A

COPY OF MY FILE?

In most cases, the first two hours spent searching for document(s) you request under the

Freedom of Information Act and the first 100 pages are free. Additional search time or

copying time may result in a cost for which you will be responsible. If you wish to limit

the search time and number of pages to a maximum of two hours and 100 pages; please

specify this in your request. You may also set a specific cost limit, for example, cost not

to exceed $100.00.

If you have any questions about this complaint and consent package,

Please contact OCR at

Contact the Customer Response Center at (800) 368-1019

(see contact information on page 2 of the Complaint Form)

Protecting Personal Information

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Health Information Privacy Complaint Page 8