本通知描述了如何使用和披露有关您的医疗信息，以及如何获取这些信息。请仔细检查。

介绍

At Erie Family Health Centers (“Erie Family Health Centers”, “we”, or “our”) we are committed to treating and using protected health information about you responsibly. This Notice of Health Information Privacy Practices ("Notice") describes the health information we collect, and how and when we use or disclose that health information. It also describes your rights as they relate to this protected health information. This Notice is effective February 13, 2026 and applies to all protected health information as defined by federal regulations.

了解您的健康记录/信息

每次您访问伊利家庭保健中心，都会创建您的访问记录。该记录通常包含您的症状，检查和测试结果，诊断，治疗以及将来的护理或治疗计划。此信息通常被称为您的健康或病历，可为包括您的案件在内的许多专业人员（包括案件管理计划人员）进行计划，交流，教育并提供法律文件。

了解您的记录是什么以及如何使用您的健康信息有助于您：确保其准确性，更好地了解谁、什么、何时、何地以及为什么其他人可以访问您的健康信息，并在授权向他人披露时做出更明智的决定。

您的健康信息权

您有权采取以下所有行动，可以通过联系隐私官在伊利家庭健康中心执行每一项行动。在某些情况下，以下每一项权利都可能受到限制，请联系隐私官以获取更多详细信息。

• 获得本通知的副本；
• 要求检查或获取您的病历副本；
• 建议更改或更正您的病历；
• 获取您的健康信息披露清单；
• 要求在其他地点对您的健康信息进行保密通信；
• 请求对您的信息的某些使用和披露进行限制（除“我们的责任”一节中所述的对健康计划的某些披露外，Erie家庭健康中心无需同意任何此类限制）；和
• 撤销您披露健康信息的授权。

我们的责任

• 维护您的健康信息的隐私；
• 向您提供此通知；
• 遵守本通知的条款；
• • Comply with your request to restrict disclosure of your health information to a health plan if the information pertains solely to a health care item or service for which you, or any person other than the health plan on behalf of you, has paid Erie Family Health Centers in full;
• 如果我们无法同意其他要求的限制，请通知您；
• 满足您在其他地点进行机密通信的合理要求；和
• 通知您违反了影响您的不安全受保护健康信息。

We must abide by the terms of this Notice currently in effect. However, we reserve the right to change our practices and to make the new provisions effective for all health information we maintain. Should the terms of this Notice change, we will have the updated Notice posted at all of our treatment centers and on our website.

有关更多信息或报告问题

如果您有任何疑问并想了解更多信息，您可以致电 312-432-7217 联系 Erie 家庭健康中心的隐私官 Nancy Greenwalt。

如果您认为自己的隐私权受到侵犯，则可以通过上面的电话号码向Erie家庭健康中心的隐私官或在以下地址向美国卫生和公共服务部民权办公室提出投诉。您不会因提出投诉而受到报复。公民权利办公室的地址如下：

集中案例管理操作
美国卫生与公共服务部
西南独立大街200号
HHH大厦509F室
华盛顿特区20201

以下类别描述了家庭健康中心使用的不同方式并披露了健康信息。对于每个类别，我们将解释我们的意思并添加示例。但是，不会列出类别内的所有使用或披露。

有关治疗，付款和健康运营的披露示例:

Although we are not a substance use disorder (“SUD”) treatment program (a part 2 program under 42 CFR Part 2), we may receive SUD treatment records about you. The ways in which we use or disclose any information specially-protected under state or federal law, including but not limited to SUD treatment records, mental health information, and HIV/AIDS information, may require your written consent.

预约提醒： 我们可能会使用和披露您的健康信息与您联系，以提醒您已预约伊利家庭健康中心的治疗或医疗服务。

Information Regarding Treatment Health Alternatives or Health-Related Benefits and Services: 我们可能会使用和披露您的健康信息来告诉您或推荐您可能感兴趣的可能的治疗选择或替代方法。我们还可能使用和披露您的健康信息，以告诉您有关您可能会感兴趣的与健康相关的好处或服务。

我们将使用您的健康信息进行治疗： 由护士，医师或伊利家庭健康中心的患者护理服务团队的其他成员获得的任何健康信息都将记录在您的病历中，并用于确定最有效的治疗方法。您的医师将记录您的治疗计划，并记录其对伊利家庭健康中心患者护理服务团队成员的期望。然后，工作人员将记录他们所采取的行动和他们的观察。这样，医师将知道您对治疗的反应。

我们还将为其他医生和医疗保健提供者（包括病例经理）提供各种报告的副本，以帮助他们协调您的治疗，例如实验室工作。

我们将使用您的健康信息获取付款： A bill may be sent to you or a third-party payer. The health information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used.

我们会将您的健康信息用于我们的日常医疗保健操作： We may disclose your health information to medical students, residents and other trainees that see patients at Erie Family Health Centers. Members of the Quality Improvement team may use health information in your health record to assess the care and outcomes in your case and others like it. This health information will then be used in an effort to continually improve the quality and effectiveness of the health care services we provide.

商业伙伴： There are some services provided in our organization through contracts with outside business associates such as physician services in the emergency department, radiology, certain laboratory tests, auditors and a company that stores inactive medical records. When these services are contracted, we may disclose your health information to our business associate so that they can perform the job we have asked them to do and bill you or your third-party payer for the services rendered. We require the business associate to safeguard your health information.

USES AND DISCLOSURES THAT MAY BE MADE WITH YOUR WRITTEN AUTHORIZATION 

需要您授权的特定用途和披露： Uses and disclosures of your psychotherapy notes, if any, uses and disclosures of your health information for marketing purposes and disclosures that constitute a sale of your health information only will be made with your written authorization, unless otherwise permitted or required by law, as described in this Notice.

其他用途和披露： Other uses and disclosures of your health information will be made only with your written authorization, unless otherwise permitted or required by law as described below. You may revoke this authorization, at any time, in writing, except authorization for those actions your physician took while relying on the authorization.

OTHER PERMITTED AND REQUIRED USES AND DISCLOSURES THAT REQUIRE PROVIDING YOU THE OPPORTUNITY TO AGREE OR OBJECT

Unless you object, we may release health information about you to a friend or family member who is involved in your medical care, including health information regarding your medical condition. We may also give health information to someone who helps pay for your care. Additionally, we may disclose health information about you to an entity assisting in a disaster relief effort so that your family can be notified about your condition, status and location. If you are not present or able to agree or object to the disclosure, then we may, using professional judgment, determine whether the disclosure is in your best interest.

OTHER PERMITTED AND REQUIRED USES AND DISCLOSURES THAT MAY BE MADE WITHOUT YOUR AUTHORIZATION OR OPPORTUNITY TO AGREE OR OBJECT

As noted above, the ways in which we use or disclose any information specially-protected under state or federal law, including but not limited to SUD treatment records, mental health information, and HIV/AIDS information, may require your written consent.

避免对健康或安全构成严重威胁： 为了防止对您的健康和安全或公众或其他人的健康和安全造成严重威胁，我们可能会在必要时使用和披露有关您的健康信息。但是，任何披露都只会针对能够帮助防止威胁的人。

器官和组织捐赠： 如果您是器官捐献者，我们可能会向处理器官采购或器官，眼睛或组织移植的组织或器官捐赠银行发布健康信息，以促进器官或组织的捐赠和移植。

军人和退伍军人： 如果您是武装部队的一员，我们可能会按照军事指挥当局的要求发布有关您的健康信息。此外，如果您是外国军事人员，我们可能会向适当的外国军事当局发布有关您的健康信息。

劳动者报酬： 我们可能会发布有关您的健康信息，以进行工伤赔偿或类似计划。

公共卫生风险： 我们可能会在公共卫生活动中披露有关您的健康信息。这些活动通常包括以下内容：（i）预防或控制疾病，伤害或残疾； （ii）报告出生和死亡； （iii）报告虐待或忽视儿童； （iv）报告对药物或产品问题的反应，或通知人们其正在使用的产品的召回，但要受美国食品药品管理局的管辖； （v）通知可能已患某种疾病或可能染上或传播某种疾病或状况的人； （vi）如果认为患者是虐待，忽视或家庭暴力的受害者，则应通知有关政府部门。 （仅当您同意或根据法律要求或授权时，才可以进行最后一种披露。）

健康监督活动： 我们可能会将健康信息透露给健康监督机构以进行法律授权的活动。这些监督活动可能包括（例如）审计，调查，检查和许可，并且对于政府监视医疗保健系统，政府计划和遵守民权法是必不可少的。

执法： We may release health information if asked to do so by a law enforcement official under the following circumstances:

• in response to a court order, administrative request authorized under law, subpoena, warrant, summons or similar process;
• to identify or locate a suspect, fugitive, material witness or missing person;
• to report information about the victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement;
• to report information about a death that we believe may be the result of criminal conduct;
• to report information about criminal conduct at Erie Family Health Centers; and
• in emergency circumstances, to report a crime, the location of the crime or its victims or the identity, description or location of the person who committed the crime.

验尸官，体检医师和and仪馆主任： 我们可能将健康信息发布给验尸官或体检医师。例如，这对于确定死者或确定死亡原因可能是必要的。我们还可能会在必要时向eral仪馆长透露有关伊利家庭健康中心患者的健康信息。

政府职能： Your health information about you may be used and disclosed for specialized government functions, such as protection of public officials or reporting to various branches of the armed services.

研究： 我们可能会在某些类型的研究中使用和共享您的健康信息。但是，所有研究项目都必须经过特殊的批准程序。还可能就您有资格参与的研究项目与您联系。

筹款目的： We may contact you for the purpose of fundraising for the benefit of Erie Family Health Centers.  You have the right to opt out of receiving any fundraising communication received from, or on behalf of, Erie Family Health Centers. To opt out call our Development Department at 312-432-7378 and we will place you on a “Do Not Contact” list. [Further, if we intend to use or disclose SUD treatment records for fundraising for our benefit, we will provide you with a clear and conspicuous opportunity to elect not to receive any fundraising communications.]

根据法律要求： 联邦，州或当地法律要求时，我们将披露有关您的健康信息。

Rights Related to Legal Proceedings

SUD treatment records or testimony relaying the content of any SUD treatment record may not be used or disclosed in a civil, criminal, administrative, or legislative proceeding against you without either your written consent or a court order after you and/or the entity holding your record is provided notice and an opportunity to be heard. A court order authorizing use or disclosure of a SUD treatment record must be accompanied by a subpoena or other legal requirement compelling disclosure prior to the record being used or disclosed.

伊利家庭健康中心和 OCHIN

伊利家庭健康中心是包括 OCHIN 参与者在内的有组织的医疗保健安排的一部分。 OCHIN 参与者的最新名单可在 www.ochin.org 作为伊利家庭健康中心的商业伙伴获得。 OCHIN 为伊利家庭健康中心和其他 OCHIN 参与者提供信息技术和相关服务。 OCHIN 还代表其参与者参与质量评估和改进活动。例如，OCHIN 代表参与组织协调临床审查活动，以建立最佳实践标准并评估可能从使用电子健康记录系统中获得的临床益处。 OCHIN 还帮助参与者协同工作，以改善内部和外部患者转诊的管理。伊利家庭健康中心可能会与其他 OCHIN 参与者共享您的个人健康信息，或仅在必要时用于医疗或有组织的医疗保健安排的医疗保健运营目的。除其他外，医疗保健业务可以包括对您的居住位置进行地理编码，以改善您获得的临床福利。

个人健康信息可能包括过去、现在和未来的医疗信息以及隐私规则中概述的信息。在披露的范围内，将根据隐私规则或不时修订的任何其他适用法律披露信息。您有权改变主意并撤回此同意，但是，信息可能已经在您允许的情况下提供。在您以书面形式撤销之前，此同意将一直有效。如果要求，您将获得已向其披露您的信息的实体列表。

附加权利

This Notice has been prepared to reflect your rights under the Health Insurance Portability and Accountability Act of 1996. If state law provides you with greater access to your health information, or provides greater protection to that health information, than as described in this Notice, then we shall follow the provisions of state law. Examples of such state laws are the Mental Health and Developmental Disabilities Confidentiality Act, the AIDS Confidentiality Act and the Genetic Information Privacy Act. In addition, if a federal law creates greater protection for the health information described in this Notice, Erie Family Health Centers shall follow the provisions of such federal law. An example of such a federal law 42 C.F.R. Part 2.