Form Hhs-700 - Civil Rights Discrimination Complaint Page 8

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CAN ANYONE ELSE SEE THE INFORMATION IN MY FILE?
Access to OCR’s files and records is controlled by the Freedom of Information Act (FOIA). Under FOIA,
OCR may be required to release information about this case upon public request. In the event that OCR
receives such a request, we will make every effort, 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
OR
Contact the Customer Response Center at (800) 368-1019
(see contact information on page 2 of the Complaint Form)
Protecting Personal Information
Page 2 of 2
HHS-700 (10/17) (BACK)

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