Disclaimer

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

If you have any questions, please contact our Privacy Office at the address or phone number at the bottom of this notice.

Who will follow this notice?

Mercy provides health care to our patients, residents, and clients in partnership with physicians and other professionals and organizations. The information privacy practices in this notice will be followed by:
Our pledge to you.

We understand that medical information about you is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive to provide quality care and to comply with legal requirements. This notice applies to all of the records of your care that we maintain, whether created by facility staff or your personal doctor. Your personal doctor may have different policies or notices regarding the doctor's use and disclosure of your medical information created in the doctor's office. We are required by law to:
Changes to this Notice.

We may change our policies at any time. Changes will apply to medical information we already hold, as well as new information after the change occurs. Before we make a significant change in our policies, we will change our notice and post the new notice within the facility and on our Web site at http://www.mercyweb.org. We will provide you a revised notice during your first visit after the revisions are effective. You may request a copy of the current notice at any time. The effective date is listed just below the title. You will also be asked to acknowledge in writing your receipt of this notice.

How we may use and disclose medical information about you.
Other uses of medical information


Your rights regarding medical information about you.


If you believe that information in your record is incorrect or if important information is missing, you have the right to request that we correct our records, by submitting a request in writing that provides your reason for requesting the amendment. We could deny your request to amend a record if the information was not created by us, if it is not part of the medical information maintained by us or if we determine that record is accurate. You may appeal, in writing, a decision by us not to amend a record.


All written requests or appeals should be submitted to our Privacy Office listed at the end of this notice.

Complaints



Privacy Officer contact information

For Mercy Willard Hospital: Privacy Officer
110 E. Howard St.
Willard, OH 44890
419-964-5035

For Mercy Tiffin Hospital:
45 St. Lawrence Drive
Tiffin, OH 44883
419-455-7278

For Mercy St. Vincent Medical Center,
Mercy St. Charles Hospital,
Mercy St. Anne Hospital and
Mercy Children's Hospital:
Privacy Officer
2213 Cherry St.
Toledo, OH 43608
419-251-3375