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Privacy & HIPAA Policies

At Rex, patient privacy is a top priority. We work hard to protect your rights as a patient and ensure that we serve your healthcare needs. Please see below for information about all of our privacy practices.

What is HIPAA?
HIPAA is acronym for the federal legislation titled Health Insurance Portability and Accountability Act of 1996. This act was created to ensure that all patient health information is kept private and confidential. The legislation includes a rule that creates national standards to protect an individuals' personal health information. Most healthcare providers in the United States are required to comply with HIPAA standards.

Privacy Practice/HIPAA at Rex Healthcare
This policy explains how patient information may be used and disclosed and patients are able to get access to their information

Click to view our notice of privacy practices
Spanish

Sharing Patient Information
Unless otherwise indicated by the patient, Rex Healthcare does have the right disclose certain medical information from our patient list to family members and clergy.

Click to view entire Patient Information Policy

Authorization for Release of Information
This form must be completed by the patient if any medical records are to be released to any individuals not directly related to patient care, payment or healthcare operations.

Click to download Authorization for Release of Information form
Click to download Request for Amendment form
Spanish

Workers' Compensation
This form is required if a patients records are to be released to any third parties or employers involved in a workers' compensation claim. This form is valid for the entire life of a patient's claim.

Click to download Workers' Compensation form
Spanish

Patient Charges for Copies of Protected Health Information
Under certain circumstances patients may be charged for a copy of his or her medical records. The following document explains the rationale for the charges and the breakdown of cost.

Click to view Patient Charges Policy

Patient Request for Accounting of Disclosures
This form is required if a patient would a like a summary of the persons to whom we have released his or her medical information. This inquiry is known as an Accounting of Disclosures. It will not include disclosures made under certain circumstances such as treatment, payment or healthcare operations.

Click to download Request for Accounting of Disclosures form

Request for Alternate Means of Communication
This form allows patients a reasonable alternate means for communication from healthcare providers to ensure confidentiality.

Click to download Alternate Means of Communication form

Request for Correction/Amendment of Protected Health Information
This form may be used if a patient believes his or her medical to be incorrect or incomplete.

Click to download Correction/Amendment of Protected Health Information form

Request for Restriction for Use and Disclosure of Protected Health Information
Patients are required to complete this form in order to request that Rex Healthcare restrict uses and disclosures about treatment, payment and healthcare operations normally disclosed to family, friends and others involved in patient care.

Click to download Restriction for Use and Disclosure of Protected Health Information

Patient Revocation of Authorization
This form is required if a patient wants Rex Healthcare to discontinue healthcare information releases based on a previous authorization. Disclosure will cease as soon as possible after the form's completion.

Click to download Revocation of Authorization form

Federal and State False Claims Act
The Federal Civil False Claims Act provides standards to protect the United States government from fraud and abuse. Additionally, certain states have also enacted False Claims Acts to protect them from abusive and/or fraudulent claim submission.

Click to view our entire Federal and State False Claims Act policy