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Serving Mississippians since 1882

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EAST MISSISSIPPI STATE HOSPITAL

EMSH DIVISION OF COMMUNITY SERVICES

DIVISION OF NURSING HOME SERVICES

NOTICE OF PRIVACY PRACTICES FOR PROTECTED HEALTH INFORMATION

THIS NOTICE DESCRIBES HOW MEDICAL/HEALTH INFORMATION ABOUT YOU OR ABOUT THE INDIVIDUAL FOR WHOM YOU ARE AN AUTHORIZED PERSONAL REPRESENTATIVE MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THE INFORMATION. PLEASE REVIEW IT CAREFULLY.

East Mississippi State Hospital, EMSH Division of Community Services, and Division of Nursing Home Services are dedicated to protecting your medical information. East Mississippi State Hospital and its facilities are required by law to maintain the privacy of your protected health information and to provide you with this Notice of our legal duties and privacy practices with respect to protected health information. East Mississippi State Hospital, EMSH Division of Community Services, and/or Division of Nursing Home Services collect information from you and stores it in a chart and on a computer. This is your health record. The health record is the property of East Mississippi State Hospital, EMSH Division of Community Services, and/or the Division of Nursing Home Services, but the information in the record belongs to you. If you have any questions about any part of this Notice or if you want more information about the privacy practices at East Mississippi State Hospital, EMSH Division of Community Services, or the Division of Nursing Home Services please contact:

 

Privacy Officer                                                                      Telephone #: 601-581-7600, ext. 17573

East Mississippi State Hospital

P.O. Box 4128- West Station

Meridian, MS 39304-4128

 

Effective Date of this Notice: October 25, 2013

Page 1

Health Insurance Portability and Accountability Act of August 21, 1996

HIPAA