Users Manual Part 8
369
Appendix
occurred as a result of criminal conduct, (v) in the event that a crime occurs on the premises of
the practice, and (vi) medical emergency in which it is likely that a crime has occurred.
Research: We may disclose your Medical Information to researchers when their research has
been approved by an institutional review board that has reviewed the research proposal and
established protocols to ensure the privacy of your Medical Information.
Criminal Activity: Consistent with applicable federal and state laws, we may disclose your
Medical Information, if we believe the use or disclosure is necessary to prevent or lessen a
serious and imminent threat to the health or safety of a person or the public. We may also
disclose Medical Information if it is necessary for law enforcement authorities to identify or
apprehend an individual.
Military Activity and National Security: When the appropriate conditions apply, we may
use or disclose Medical Information of individuals who are Armed Forces personnel (i) for
activities deemed necessary by appropriate military command authorities, or (ii) to foreign
military authority if you are a member of that foreign military service. We may also disclose
your Medical Information to authorized federal ocials for conducting national security and
intelligence activities.
Workers’ Compensation: We may disclose your Medical Information as authorized to comply
with workers’ compensation laws and other similar legally-established programs.
Inmates: We may use or disclose your Medical Information to a correctional institution or law
enforcement ocial if you are an inmate of a correctional facility and your physician created
or received your Medical Information in the course of providing care to you, and disclosure is
necessary for (i) providing you with health care; (ii) the health and safety of you, other inmates,
or others at the correctional institution; or (iii) the administration and maintenance of the
safety, security, and good order of the correctional institution.
Required Uses and Disclosures: Under the law, we must make disclosures to you when required
by the Secretary of the Department of Health and Human Services to investigate or determine
our compliance with the requirements of HIPAA.
Non-identiable Information: We may use or disclose your Medical Information if we have
removed from it any information that is personally identiable to you.
Your Rights
e following is a statement of your rights with respect to your Medical Information and a brief
description of how you may exercise these rights.
You Have the Right to Inspect and Copy Your Medical Information: is means you may
inspect and obtain a copy of Medical Information about you, provided, however, that
applicable law may limit your ability to inspect or copy certain types of records. In certain
circumstances, if we deny your request to review Medical Information, you may have a right
to have this decision reviewed. If you would like to make a request to review your Medical
Information, please download our Request Form at
https://omnipod.com/images/upload/HIPAA_Privacy_Notice_Request_Form.pdf
and follow the directions included on that form. We will respond to your request in a
reasonable amount of time. If your request is honored, we may charge a nominal fee for
photocopying expenses. Please contact our Privacy Ocer if you have questions about access
to your Medical Information.
You May Have the Right to Amend Your Medical Information: If you believe that the Medical
Information we have about you is incorrect or incomplete, you may ask us to make an
amendment to your Medical Information. You may request an amendment as long as the
Medical Information is still maintained in our records. If you would like to make a request to
review your Medical Information, please download our Request Form at