Medicare Hospice Consent Form

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HOSPICE CARE OF THE VALLEY

1176 Roadrunner Way

Simi Valley, CA 93065

Phone: 805-500-0882

Fax: 805-520-3955

Toll Free: 800-923-9638

TDD: 805-520-7000

Email: HCOV@SBCGLOBAL.NET

Hospice Care of the Valley


1176 Roadrunner Way Simi Valley CA 93065


PHONE (805) 500-0882


FAX (805) 520 -3955


support@valleyhospicecare.com

Hospice Care of the Valley


1176 Roadrunner Way Simi Valley CA 93065


PHONE (805) 520 -7055


FAX (805) 520 -3955


support@valleyhospicecare.com

The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives patients rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections.

The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives patients rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections.