Notice of Privacy Practices

Effective April 5, 2021

Notice of Privacy Practices PDF

This Notice tells you how your medical information may be used or shared. It also tells how you can get your information. Please read it carefully. Ask us if you have any questions, or call the Privacy Officer at (419) 557-6913.


We keep medical information about you to help care for you and because the law requires us to. The law also says we must:

  • protect your medical information;
  • give you this Notice; and
  • follow what this Notice says.


  • “Notice” means this Notice of Privacy Practices.

  • “FRHS” means Firelands Regional Health System, Firelands Regional Medical Center Main and South Campuses, Route 4 Surgery Center, all offsite locations, our staff, volunteers, contractors and any affiliated organizations covered by the Notice, including but not limited to: Firelands Physician Group, Firelands Counseling and Recovery Services, Firelands Corporate Health, Firelands DME Company, Firelands Home Health, Firelands MSO, Firelands Vocational Rehabilitation Services, and Firelands Physicians Regional Health Care.

  • “We,” “our,” or “us” means one or more FRHS organizations, providers, or staff.

  • “You” means the patient that the medical information is about.

  • “Medical information” means all the paper and electronic records related to a patient’s physical and mental health care—past, present, or future. These records tell who the patient is and includes information about billing and payment.

  • “使用”指在FRHS內共享或使用醫療信息。

  • “Share” means giving medical information, or access to information, to someone outside FRHS.





  • medicine, medical equipment, or other things you need for your health care;
  • lab tests, x-rays, transportation, home care, nursing care, rehab, or other health care services.

Medical information may also be shared when needed to plan for your care after you leave FRHS.



  • so your health plan will pay for care you received at FRHS
  • to get approval before doing a procedure
  • so your health plan can make sure they have paid the right amount to FRHS.


For Business Reasons


  • 遵守法律法規;
  • to train and educate;
  • for credentialing, licensure, certification, and accreditation;
  • to improve our care and services;
  • 預算和計劃;
  • 審計;
  • to maintain computer systems;
  • to evaluate our staff;
  • 決定是否提供更多服務;
  • to find out how satisfied our patients are; and
  • to bill and collect payment.

Anyone we share information with in order to do these tasks on behalf of us must also protect and restrict the use of your medical information.

For Health Information Exchanges

We will disclose some of your protected health information to one or more approved Health Information Exchanges (HIE) for the purpose of facilitating the provision of health care to you, as permitted by law. An HIE is an electronic network to facilitate secure transmission of health information between health care providers. Only authorized individuals may access and use your protected health information for the HIE. We may also use the HIE to disclose information for public health reporting purposes, for example, immunization reporting. The HIE maintains appropriate administrative, physical and technical safeguards to protect the privacy and security of your protected health information.



We may contact you by mail, phone, text, or email for many reasons, including to:

  • 提醒你約會的事
  • register you for a procedure
  • give you test results
  • 詢問有關保險、賬單或付款的信息
  • 跟進你的護理
  • ask you how well we cared for you.

We may leave voice messages at the telephone number you give to us.

To Tell You about Treatment Options or Health-related Products and Services

We may use or share your information to let you know about treatment options or health-related products or services that may interest you.



For the HospitalDirectory

With the exception of Behavioral Health patients, if you are admitted to the hospital,your name, where you are in the hospital, your general condition (such as “fair” or “stable”), and your religion are included in the patient directory at the information desk. This helps family, friends, and clergy visit you and be informed about your condition. Except for your religion, this information may be shared with visitors or phone callers who ask for you by name. Unless you tell us not to, your religion may be shared with a member of the clergy, such as a priest, rabbi, or imam even if you aren’t asked for by name.

You may opt out of the directory. If you opt out of the directory we will not share your information even if you are asked for by name.

通知家人和朋友參與Your Care or Paying for Your Care

With the exception of Behavioral Health patients, we may share information about you with family members and friends who are involved in your care or paying for your care. Whenever possible, we will allow you to tell us who you would like to be involved in your care. However, in emergencies or other situations in which you are unable to tell us who to share information with, we will only share information with those legally permitted to receive the information. We may also share information about you with a public or private agency during a disaster so that the agency can help contact your family or friends to tell them where you are and how you are doing.

For Research

We may use and share medical information about you for the research we do to improve public health and develop new knowledge. For example, a research project may compare the health and recovery of patients who received one medicine for an illness to those who received a different medicine for the same illness. We use and share your information for research only as allowed by federal and state rules. Each research project is approved through a special process that balances the research needs with the patient’s need for privacy. In most cases, if the research involves your care or the sharing of medical information that can identify you, we will first explain to you how your information will be used and ask your consent to use the information. We may access your medical information before the approval process to design the research project and provide the information needed for approval. Health information used to prepare a research project does not leave FRHS.



For Organ, Eye, and Tissue Donation

We share medical information about organ, eye, and tissue donors and about the patients who need the organs, eyes, and tissues, with others involved in obtaining, storing, and transplanting the organs, eyes, and tissues.

With Military Authorities

If you are a member or veteran of the armed forces, we may share your medical information with the military as authorized or required by law. We may also share information about foreign military personnel to the proper foreign military authority.




We may share information for audits, investigations, inspections, and licensing with agencies that oversee health organizations.

We may also share your medical information in reports to public health agencies.

Some reasons for this include:

  • 預防或控製疾病和傷害
  • 報告某些事件,如出生和死亡
  • to report abuse or neglect of children, elders, or dependent adults
  • to report reactions to medicines or problems with medical products
  • to inform people about recalls of medical products they may be using
  • to let someone know that they may have been exposed to a disease or may spread a disease
  • to notify the authorities as authorized or required by law that a patient has been the victim of abuse, neglect, or domestic violence.

For Lawsuits and Disputes

We may share your medical information as directed by a court order, discovery request, or other lawful instructions from a court or authorized government agency when needed for a legal or administrative proceeding.

With Law Enforcement and Other Officials

We may share your medical information with a law enforcement official as authorized or required by law.


  • coroners, medical examiners, and funeral directors, so they can carry out their duties
  • federal officials for national security and intelligence activities
  • a correctional institution if you are an inmate

其他用途of Your Medical Information

We will not use or share your medical information for reasons other than those described in this Notice unless you agree in writing. For example, you may want us to give medical information to your employer. We will do this only with your written approval.




心理治療notes are notes recorded by a mental health professional that document or analyze the contents of a conversation in a counseling session and are kept separated from the rest of your medical record. There are limited circumstances in which we will use or disclose psychotherapy notes without a written authorization from you. The originator of the notes may use them for treatment purposes. We may use psychotherapy notes in our own mental health counseling training programs. We may also use psychotherapy notes in defense of a legal action or other proceeding brought by you, as required by law, or to avert a serious threat to a person’s or the public’s health or safety.



Your Rights Regarding Your Medical Information

The records we create and maintain using your medical information are the custody of FRMC, but you have the following rights:



正當to Ask for a Change in Your Medical Information


正當to Ask For a List of When Your Medical Information Was Shared

You have the right to ask for a list of when your medical information was shared without your written consent. This list will NOT include uses or sharing:

  • 因治療、付款或業務原因
  • 和你或代表你的人在一起
  • with those who ask for your information as listed in the hospital directory
  • 與家人或朋友一起照顧你
  • in those very few instances where the law does not require or permit it
  • 作為刪除直接標識符的有限數據集的一部分
  • releases before April 14, 2003.

You must request this list in writing from the Privacy Officer at the address listed at the end of this Notice. Your request must state the time period for which you want the list. The time period may not be longer than 6 years from the date of your request. You may be charged reasonable copying and mailing fees associated with this list.


You have a right to know if your information has been breached (unauthorized acquisition, access, use, or disclosure of certain categories of health information ). We will follow what the privacy laws require to let you know if your information has been shared in error.

正當to Ask for Limits on the Use and Sharing of Your Medical Information

You may request in writing that we not use or disclose your information for treatment (other than emergency treatment), payment, or operations purposes, or to individuals involved in your care, unless required by law.


正當to Limit Sharing of Information with Health Plans




正當to Get a Paper Copy of This Notice


  • 在我們的任何設施
  • by contacting the Privacy Officer at the number listed at the end of this Notice or at火地。通用域名格式

Changes to this Notice

We have the right to change this Notice at any time. Any change could apply to medical information we already have about you, as well as information we receive in the future. The effective date of this Notice is on the first page of the Notice. A copy of the當前通知在FRHS和火地。通用域名格式

How to Ask a Question or Report a Complaint

如果你有關於這個通知或想的問題talk about a problem without filing a formal complaint, please contact the Privacy Officer at (419) 557-6913. If you believe your privacy rights have been violated, you may file a complaint with us. Please send your complaint to the FRHS Privacy Officer at the location listed at the end of this Notice or call the Compliance Hotline at the number listed below. You may also file a complaint with the Office of Civil Rights. You will not be treated differently for filing a complaint.

How to Contact Us

1111 Hayes Avenue
Sandusky, Ohio 44870
(419) 557-6913

(419) 557-6912

Firelands Regional Health SystemCompliance Hotline
(888) 556-4984

Firelands Regional Medical Center Health Information Management Department

1111 Hayes Avenue
Sandusky, Ohio 44870
(419) 557-7435

Firelands Physician Group Health Information Management Department

1111 Hayes Avenue
Sandusky, Ohio 44870
(419) 557-5552

Firelands Counseling & Recovery Services Medical Records Department

1925 Hayes Avenue
Sandusky, Ohio 44870
(419) 557-5177