Statement of Information Practices

• Preterm is committed, and required by law, to maintain the privacy of your personal health information, including maintaining reasonable and appropriate physical, administrative, and technical safeguards to protect that information.
• Preterm is permitted to use protected information only for the following purposes:
  1. Treatment (For example, we may provide information to a subsequent provider for treatment in the case of a medical emergency.)
  2. Payment (For example, we may provide identifying information to your insurance company for billing purposes.)
  3. Healthcare operations (For example, we may use your information for internal quality assurance assessment to evaluate our quality of medical care.)
• Any other uses or disclosures will be made only with your written authorization.
• Preterm may contact you to provide appointment information or follow-up care.
• You have the right to request restrictions on certain uses and disclosures of information, although Preterm is not required to agree to the restrictions.
• You have the right to receive confidential communication of your information.
• You have the right to inspect and obtain a copy of your information. Preterm reserves the right to charge a reasonable, cost-based fee for making copies.
• You have the right to amend your information. Preterm requires a written request, including the reason for amendment, and has the right to deny your request.
• You have the right to receive an accounting of any disclosures of your information.
• You have the right to obtain a copy of this notice upon request.

If you believe that any personal information we have about you is incorrect or that your privacy rights have been violated or you have concerns regarding your care, please contact Preterm's Risk Manager at 216.991.4000 or toll free at 1.877.773.8376. You may also contact the Secretary of Health and Human Services.