Effective Date: July 16, 2025

Belle Vie Hospice is committed to protecting your health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable Utah state privacy laws. This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

Your Rights Regarding Health Information

You have the right to:
– Receive a copy of this notice.
– Inspect and obtain a copy of your health records.
– Request corrections to your health information if you believe it is inaccurate or incomplete.
– Request restrictions on certain uses and disclosures of your health information.
– Request confidential communications by alternative means or at alternative locations.
– Obtain an accounting of certain disclosures of your health information.
– File a complaint if you believe your privacy rights have been violated.

How We Use and Disclose Your Health Information

We may use and disclose your health information for:
– Treatment: To provide, coordinate, or manage your healthcare.
– Payment: To bill and receive payment for services.
– Healthcare Operations: For quality assessment, training, and accreditation.
– Required by Law: When required by Utah or federal law.
– Public Health Activities: Reporting communicable diseases, abuse, or other mandated disclosures.
– Family and Friends: To notify or assist family or others involved in your care (with your consent, unless emergency).

Our Responsibilities

Belle Vie Hospice is required by law to:
– Maintain the privacy of your health information.
– Provide you with this notice of our legal duties and privacy practices.
– Follow the terms of the notice currently in effect.

Changes to This Notice

We reserve the right to change this notice at any time. Any changes will apply to all health information we maintain. Updated notices will be posted on our website and made available upon request.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Belle Vie Hospice or the Secretary of the U.S. Department of Health and Human Services.

– To file a complaint with us:
  Email: thunsaker@belleviehospice.com
  Phone: 801-997-9496

– To file a complaint with the government:
  U.S. Department of Health & Human Services
  Office for Civil Rights
  https://www.hhs.gov/ocr/privacy/hipaa/complaints/index.html

Contact Information

If you have questions or want more information about our privacy practices, please contact:
Email: thunsaker@belleviehospice.com
Phone: 801-997-9496

Belle Vie Hospice
Serving Weber, Davis, Salt Lake, Utah, Wasatch, and Summit Counties