Your rights

When it comes to your health information, you have certain rights. This section explains them and what we must do to help you use them.

Get a copy of your record

You can ask to see or get a copy of your medical and billing record. We will provide it, usually within 30 days, and may charge a reasonable, cost-based fee.

Ask us to correct your record

You can ask us to correct information you believe is wrong or incomplete. We may say no, and if we do we will tell you why in writing within 60 days.

Ask for confidential communication

You can ask us to contact you a specific way, such as a particular phone number, or to send mail to a different address. We will say yes to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain information. We are not required to agree, and may say no if it would affect your care. If you pay for a service out of pocket in full, you can ask us not to share that information with your health insurer, and we will say yes unless a law requires us to share it.

Get a list of those with whom we have shared information

You can ask for a list of the times we shared your health information in the six years before the date you ask, who we shared it with, and why. We will include all disclosures except those about treatment, payment, and health care operations, and certain others. One list a year is free.

Get a copy of this notice

You can ask for a paper copy at any time, even if you agreed to receive it electronically, and we will provide it promptly.

Choose someone to act for you

If you have given someone medical power of attorney, or if someone is your legal guardian, that person can use your rights and make choices about your health information. We will confirm the authority before we act.

File a complaint

If you believe your rights have been violated, you can complain to us using the contact below, or to the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue SW, Washington, DC 20201, 1-877-696-6775, or at hhs.gov/hipaa/filing-a-complaint. We will not retaliate against you for filing a complaint.

Your choices

For certain information, you can tell us your choices about what we share. Tell us what you want us to do and we will follow your instructions.

• Sharing information with family, close friends, or others involved in your care.
• Sharing information in a disaster relief situation.
• Inclusion in a facility directory, where one applies.

If you are not able to tell us your preference, for example if you are unconscious, we may share information when we believe it is in your best interest or needed to lessen a serious and imminent threat to health or safety. We never share psychotherapy notes, sell your information, or use it for marketing without your written permission.

Our uses and disclosures

We typically use or share your health information to treat you, to run our organization, and to bill for your care. We may also use or share it for public health and safety, research, compliance with the law, organ and tissue donation requests, work with a medical examiner or funeral director, workers’ compensation, law enforcement and other government requests, and to respond to lawsuits and legal actions. Each of these has conditions set by law that we must meet.

Our responsibilities

We are required by law to keep the privacy and security of your health information, to notify you promptly if a breach occurs that may have compromised it, and to follow the duties and privacy practices described in this notice and give you a copy. We will not use or share your information other than as described here unless you tell us in writing that we may. If you change your mind, you may tell us in writing at any time.

Changes to this notice

We can change the terms of this notice, and the changes will apply to all information we hold. The new notice will be available on request, in our office, and on this page.

How to reach our privacy officer

Privacy & Compliance Contact: phone 480.321.8455, email Jmacdonald@covenanthospicecares.com.
Covenant Hospice Care, 4515 S McClintock Drive, Suite 210, Tempe, AZ 85282. Fax 480-405-6370.

Effective date: September 2, 2026. Last updated: September 3, 2026.