Privacy Notice

Our goal is to assure your privacy. We also strive to comply with all state and federal patient privacy requirements. You should have received a complete Privacy Notice, Advanced Directives and Rights & Responsibilities upon admission to the hospital. If you did not, please ask your nurse or Social Worker for a copy.

You have the right to:

• • Receive a copy of the Privacy Notice.
• • Request a restriction of the use of your health care information unless it is in conflict of providing you with health care or in the event of an emergency situation. WGH will review each restriction request, but reserves the right to deny any restriction request received.
• • Make reasonable requests to receive communications about your healthcare at an alternate address or by means other than by mail.
• • Request in writing to review and/or photocopy your health care information. (Copies may be subject to reasonable charges.)
• • Request changes to your health care information. Such requests must be made in writing.
• • Know who has received your health care information for purposes other than treatment, payment, and operations of the hospital, and for what purpose, with some exceptions as defined by the law.

In certain circumstances, some restrictions, exceptions, or additional requirements may apply to your rights described above. To download a copy of our Official Privacy Notice, please click here.

If you believe your rights to privacy have been violated, you may file a complaint with our privacy officer or notify the Department of Health and Human Services. All complaints will be investigated. No action will be taken against you for filing a complaint with the hospital. You may mail a complaint to:

ATTN: Privacy Officer
Warren General Hospital
2 Crescent Park
P.O. Box 68
Warren, PA 16365
814-723-3300

Normally, we will require your signed authorization before disclosing your medical information outside the hospital, unless law requires the disclosure.

You may revoke your permission to release confidential information at any time.

The hospital abides by the terms of this notice and reserves the right to make changes to this notice and to make the new notice provisions effective for all the protected health information maintained by the hospital. Any revised notices will be available at the point of service.

Notice Effective: April 14, 2003

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