This document describes how we will use your personal health information (Protected Health Information)
2. It will be applied in all our facilities by all our staff and private practitioners allowed to give the patient care
3. We pledge to keep your Protected Health Information private and in line with this Notice and the law
4. You are required to sign that you have received this Notice of Privacy Practices.
5. We will use or disclose your personal health information without your authorization to:
5.1. Provide patient care – information will be shared with staff and parties involved in your care
5.2. Process or receive payments where you have designated a third party to pay for your care
5.3. Support healthcare operations including audits, staff skills development
5.4. Contact you
5.5. Comply with legal and regulatory requirements including health and safety requirements
5.6. Support law enforcement pursuant to a valid judicial process
5.7. Perform research that does not require written consent – This does not include clinical research
6. We will use your protected health information in the following manner unless you specifically ask us not to:
6.1. Give your location in the hospital to anyone who enquires for you by name during your hospitalization
6.2. Give information to a third party in situations that require relief, evacuation, tracing or notification
6.3. Display cards, appreciation letters or artwork that you give to us without disclosing your full identity.
6.4. Give you information on how to participate in charitable activities to benefit the less fortunate
6.5. Provide information about your religion to our team of chaplains
7. We will require your written authorization:
7.1. For any use or disclosure other than described in this Notice of Privacy Practices
7.2. For disclosure of highly confidential information including psychotherapy, treatment for HIV and sexually transmitted
diseases, results of genetic testing, reports arising from examination and treatment for sexual assault, treatment for
alcoholism or drug addiction
7.3. For disclosure to your life insurance cover provider
7.4. For public use of your pictures, video tapes or audio tapes in electronic and print formats
7.5. To send you promotional material from other organizations
GCH/PCC/1.3/1/1 Page 2 of 2
Issue date: April 15, 2014
Reviewed: November 1, 2020
Next Review: November 1, 2025
8. You will enjoy the following rights within legal and regulatory limitations
8.1. Inspect and get a copy of your health record at your cost
8.2. Request restrictions in writing on certain uses and disclosures of your information
8.3. Request in writing that we amend your information
8.4. Revoke your authorization to use or disclose protected health information
8.5. Ask for a list describing disclosures of your protected health information
8.6. File a written complaint with the Chief Executive Officer of Gertrude’s Children’s Hospital, through info@gerties.org , or
with the Medical Practitioners and Dentist Board about our privacy practices
