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.
If you have any questions about this notice, please contact:
Privacy Officer
202 Prospect Drive
Glendive MT 59107
345-2603 or 1-800-660-4325 ext. 2603
This notice applies to the following entities:
- Glendive Medical Center, Inc. (GMC) including d/b/a The Heritage
- Gabert Medical Services, Inc. (GMS)
SUMMARY OF YOUR RIGHTS AND OUR RESPONSIBILITIES.
Your Rights
You have the right to:
- Get a copy of your paper or electronic medical record
- Correct your paper or electronic medical record
- Request confidential communication
- Ask us to limit the information we share
- Get a list of those with whom we've shared your information
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint if you believe your privacy rights have been violated
Your Choices
You have some choices in the way that we use and share information as we:
- Tell family and friends about your condition
- Provide disaster relief
- Include you in a hospital directory
- Provide mental health care
- Market our services
- Raise funds
Our Uses and Disclosures
We may use and share your information as we:
- Treat you
- Run our organization
- Bill for your services
- Help with public health and safety issues
- Do research
- Comply with the law
- Respond to organ and tissue donation requests
- Work with a medical examiner or funeral director
- Address workers' compensation, law enforcement, and other government requests
- Respond to lawsuits and legal actions
You may obtain a copy of this notice at our website:
www.gmc.org. If you need to receive this notice in another format, please contact
the Glendive Medical Center Privacy Officer at
345-2603 or
1-800-660-4325 ext.2603. To obtain a paper copy of this notice, you may receive one at
any of the GMC or GMS registration desk or by submitting your request
in writing to:
Privacy Officer
Glendive Medical Center, Inc.
202 Prospect Drive
Glendive, MT 59330