Notice of Privacy Practices

Effective July 1, 2025

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Uses and Disclosures

Treatment:
Your health information may be used by staff members or disclosed to other health care professionals for purposes of evaluating your health, diagnosing conditions, and providing treatment. For example, lab test results will be available in your record to all health professionals involved in your care.

Payment:
Your information may be used to seek payment from your health plan, automobile insurer, or credit card companies you use to pay for services.

Health Care Operations:
Your information may be used for the day-to-day management of Sac County Health Services, such as budgeting, reporting, and quality evaluation.

Law Enforcement:
Your health information may be disclosed to law enforcement agencies for audits, investigations, and mandated reporting.

Public Health Reporting:
We are required to report certain public health data, such as communicable diseases, to the state health department.

Other Uses Require Authorization:
Any use or disclosure not listed above requires your written authorization. You may revoke an authorization in writing at any time, but it will not apply retroactively.

We are prohibited from using or disclosing your protected health information (PHI) for:

  • Marketing involving financial remuneration

  • Selling your PHI

  • Most psychotherapy notes

  • Genetic information for underwriting purposes

Additional Uses of Information

Appointment Reminders:
We may use your information to send you appointment reminders.

Information About Treatments and Services:
We may send you information about the management of your condition and other health-related products or services that may interest you.

Fundraising:
We may use your name and address for fundraising efforts unless you opt out.

Marketing:
We may use your name and address to inform you about services offered at our practice unless you opt out.

Individual Rights

You have the right to:

  • Request restrictions on the use/disclosure of your health information

  • Receive confidential communications

  • Inspect and copy your medical records

  • Request corrections to your records

  • Receive a record of disclosures

  • Receive a printed copy of this notice

Sac County Health Services Duties

We are legally required to:

  • Maintain the privacy of your PHI

  • Provide you with this privacy notice

  • Notify you in the event of a breach

  • Follow the policies described in this notice

Right to Revise Practices

We reserve the right to amend this notice as laws and regulations change. You may request the latest version at any visit. Changes will apply to all PHI we maintain.

Requesting Access to Your Information

To inspect or copy your records, submit a written request. Forms are available from:

Shelley Vauble, Administrator
Sac County Health Services
116 South State Street, Suite A
Sac City, IA 50583
Phone: 712-662-4785

Complaints

To file a complaint about our privacy practices, send a letter to the above address. You will not be penalized for filing a complaint.

Contact

For more information, contact:

Shelley Vauble, Administrator
Sac County Health Services
116 South State St., Suite A
Sac City, IA 50583
Phone: 712-662-4785