Medical Arts Building
1290 Hospital Drive
St. Johnsbury, VT 05819
(802) 748-8126
FAX (802) 748-2208

Littleton Regional Hospital
580 St. Johnsbury Road
Littleton, NH 03561
(603) 444-2484
FAX (603) 444-1672

1290 Hospital Drive, Suite 5, St. Johnsbury, VT 05819 802-748-8126 580 St. Johnsbury Road, Suite L Littleton, NH 03561 603-444-2484

Uses and Disclosures of Health Information - We seek your consent to use health information about you for treatment, to obtain payment for treatment, for administrative purposes and to evaluate the quality of care you receive. You can revoke your consent at any time.

We may use or disclose identififiable health information about you without your authorization for several reasons. Subject to certain requirements, we may give out health information without your authorization for public health purposes, for autditing purposes, for research studies and for emergencies. We provide information when otherwise required by law, such as for law enforcement in specific circumstances.

In any other situation, we will ask for your written authorization before disclosing any identifiable health information about you. If you choose to sign an authorization to disclose information, you can later revoke that authorization to stop any future uses and disclosures.

We may change our policies at any time. Before we make a significant change in our policies, we will change our notice in the waiting/reception area. You can also request a copy of our notice at any time.

Individual Rights - In most cases, you have the right to look at or get a copy of health information about you that we use to make decisions about you. If you request copies, we may also charge you for that service. You also have the right to receive a list of instances where we have disclosed health information about you for reasons othe than treatment, payment or related administrative purposes. If you believe that information in your record is incorrect or if important information is missing, you have the right to request that we correct the existing information or add the missing information.

Complaints - If you are concerned that we have violated your privacy rights, or you disagree with a decision we made about access to your records, you may contact our practice administrator. You may also send a written complaint to the U.S. Department of Health and Human Services.

Our Legal Duty - We are required by law to protect the privacy of your information, provide this notice about our information practices and follow the information practices that are described in this notice.