NOTICE OF PRIVACY PRACTICES -- Effective Date: January 01, 2018
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.
SPARTANBURG MEDICAL RESEARCH, LLC
485 Simuel Road, Spartanburg, SC 29303
OUR COMMITMENT TO YOUR PRIVACY
Spartanburg Medical Research, LLC is dedicated to maintaining the privacy of your protected health information. In conducting research and research related activities, we will create protected health information. We are required by law to maintain the confidentiality of this protected health information.
Authorization and Consent: Except as outlined below, we will not use or disclose your protected health information for any purpose unless you have signed a form authorizing such use or disclosure. You have the right to revoke such authorization.
USE AND DISCLOSURES OF HEALTH INFORMATION
We will use your protected health information for the purposes of:
- Treatment. We will make uses and disclosures of your protected health information as necessary for your treatment.
- Evaluating whether you are possibly eligible for participation in a clinical trial.
- If you choose to participate in a clinical trial, your protected health information will be used during that clinical trial for the purpose of conducting the trial as well as for treatment.
We may disclose your health information to:
- Public health authorities or legal entities as required by law.
- Entities involved in clinical research, if you are participating in a clinical trial your protected health information may be disclosed to other 3rd parties such as the sponsor of the trial, FDA, IRB, and other entities working on the clinical trial. The specifics of these disclosures are in accordance with the terms set forth in the informed consent for each specific trial.
YOUR RIGHTS
You have the right to:
- Request a restriction on certain uses and disclosures of your information.
- Obtain a paper copy of the Notice of Privacy Practices upon request.
- Inspect and obtain a copy of your health record.
- Request an amendment to your health record.
- Obtain an accounting of disclosures of your health information.
COMPLAINTS If you believe your privacy rights have been violated, you can file a complaint with Spartanburg Medical Research, LLC or with the Secretary of Health and Human Services. All complaints must be submitted in writing.
PRIVACY CONTACT
For further information about Spartanburg Medical Research's privacy policies, please contact:
Charles D. Fogarty
HIPAA Compliance Officer
Spartanburg Medical Research, LLC
485 Simuel Road, Spartanburg, SC 29303
CHANGES TO THIS NOTICE We reserve the right to change our practices and to make the new provisions effective for all the protected health information we maintain. Should our information practices change, we will amend this notice.