To Our Patients...
This notice describes how health information about you may be used and disclosed, and how you can get access to this information. Please review it carefully.
If you have any questions about this notice, please contact Doric Jemison-Ball, CEO at 707-884-4005 ext. 137 during normal business hours.
Notice of Privacy Practices for Protected Health Information Redwood Coast Medical Services (RCMS) is permitted by federal privacy laws to make use of and disclosure your health information for purposes of treatment, payment, and health care operations. Protected health information is the information is the information we create and obtain in providing our services to you. Such information may include documenting your symptoms, examination and rest results, diagnoses, treatment, and applying for future care of treatment. It also includes billing documents for these services.
Examples of uses of your health information for treatment purposes are:
Your Health Information Rights
The health and billing records we maintain are the physical property of Redwood Coast Medical Services (RCMS). You have the following rights with respect to your Protected Health Information:
Redwood Coast Medical Services (RCMS) is required to:
Request Information or File a Complaint
If you have questions, would like additional information, or want to report a problem regarding handling of your information, or report and incident, please contact:
Doric Jemison-Ball, CEO
P.O. Box 1100
Gualala, CA 95445
707-884-4005 ext. 137
or file your complaint online. Your message will be delivered to the RCMS CEO and the RCMS Corporate Compliance Officer.
Additionally, if you believe your privacy rights have been violated, you may file a written complaint at our office by delivering the written complain to Gary Collins at the above address. A written complaint, online or mailed, is best. You may also email a complaint to OCRComplaint@hhs.gov.
RCMS cannot, and will not, require you to waive the right to file a complaint with the Secretary of Health and Human Services (HHS) as a condition of receiving treatment from the office. RCMS cannot, and will not, retaliate against you for filing a complaint with the Secretary of Health and Human Resources.
For more information, please pick up a printed copy of Notice of Privacy Practices for Protected Health Information. Copies are available at all RCMS clinic locations.