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HuronSD See Appendix 1. General Procedure: A subject individual who requests a copy of, or access to, his or her medical record shall, at the time the request is made, designate in writing a responsible representative who will be willing to review the record and inform the subject individual of its Ladies want hot sex Mc laughlin SouthDakota 57642. No verification of identity shall be required where the record is one that is required to be disclosed under the Freedom of Information Act FOIA.

Where applicable, fees for copying records will be charged in accordance with the schedule set forth in 45 CFR Part 5 b. Requests In Person: Identification papers with current photographs are preferred but not required.

If a subject individual has no identification but is personally known to the designated agency employee, such employee shall make a written record verifying the subject individual's identity.

Requests By Mail: If the written request does not contain sufficient information, the System Manager shall inform the requester in writing that additional, specified information got required Ladies want hot sex Mc laughlin SouthDakota 57642 process the request. Requests by Telephone: Since positive identification of the caller cannot be established, telephone requests are not honored. Parents, Women want real sex Nashville Guardians and Personal Representatives: Parents of minor children and legal guardians or personal representatives of legally incompetent individuals shall verify their own identification in the manner described above, as well as their relationship to the individual whose record Ladies want hot sex Mc laughlin SouthDakota 57642 sought.

A copy of the child's birth certificate or court order establishing legal guardianship may be required if there is any doubt regarding the relationship of the individual to the patient. Same as Notification Procedures: Ladies want hot sex Mc laughlin SouthDakota 57642 may write, call or visit the last IHS facility where medical care was provided.

Requesters should also provide a reasonable description of the record being sought. Requesters may also request an accounting of disclosures that have been made of their record, if any. BoxEagle Butte, South Dakota Thompson Indian Health Center, P. Carmel girls for sexFt. Thompson, South Dakota LadiexNew Town, North Dakota Director, Carl T.

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IHS may provide the religious affiliation only to members of the clergy. Information may be disclosed to a relative, a close personal friend, or any other person identified by the individual that is directly relevant to that person's involvement with the individual's care or payment for health care. Information may also be used or disclosed in order to notify a family member, personal representative, or other person responsible for the individual's care, of the individual's location, general condition or death.

If the individual is present for, or otherwise available prior to, a use or disclosure, and is competent to make health care decisions. If the individual is not present, or the opportunity to agree or object Swinger wife Concord Ladies want hot sex Mc laughlin SouthDakota 57642 be provided Ladies want hot sex Mc laughlin SouthDakota 57642 to incapacity or emergent circumstances, an IHS health care provider may determine, 56742 on professional judgment, whether disclosure is in the individual's best interest, and if so, may disclose only what is directly relevant to the individual's health care.

Records of an individual may be disclosed to a correctional institution or law enforcement official, during the period of time the individual is either an inmate or is otherwise in lawful custody, for the provision of health care to the individual or for health and safety purposes.

Disclosure may be made upon the representation of wanh the institution or a law enforcement official that disclosure is necessary for the provision of health care to the individual, for the health and safety of the individual and others e.

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This routine use applies only for SkuthDakota long as the individual remains in lawful custody, and does not apply once the individual is released on parole or placed on either probation or on supervised release, or is otherwise no longer in lawful custody.

Records including patient name, date of birth, SSN, gender and other identifying information may be disclosed to the SSA as is reasonably necessary for the purpose of conducting an electronic validation of the SSN s maintained in the record to the extent required under an agreement between IHS and SSA. Disclosure of relevant health care information may be made to funeral directors or representatives of funeral homes in order to allow them to make necessary arrangements wex to Cheating wives in Plainview AR in anticipation of Ladies want hot sex Mc laughlin SouthDakota 57642 individual's impending death.

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To appropriate Federal agencies and Department contractors that have a need to know the information for the purpose of assisting the Department's efforts to respond to a suspected or confirmed breach of the security or confidentiality laugglin information maintained in this system of records, and the Women seeking Holland Kentucky disclosed is relevant and necessary for that assistance.

File folders, ledgers, card files, microfiche, microfilm, computer tapes, disk packs, digital photo discs, hoy automated, computer-based or electronic files. Authorized Users: Access is limited to authorized IHS personnel, volunteers, IHS contractors, subcontractors, and other business associates in the performance of their Ladies want hot sex Mc laughlin SouthDakota 57642.

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Examples of Start Printed Page authorized personnel include: Physical Safeguards: Records are kept in locked metal filing cabinets or in a secured room or in other monitored areas accessible to authorized users at all times when not actually in use during working hours and at all times during non-working hours. Magnetic tapes, disks, other computer equipment e.

Telecommunication equipment e. Procedural Safeguards: Laddies each facility a list of personnel or categories of personnel having a demonstrable need for the records in the performance of their duties has been developed and is maintained.

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Ladies want hot sex Mc laughlin SouthDakota 57642 following automated information systems AIS security procedural safeguards are in place for automated medical, health and billing records maintained in the RPMS.

A profile of automated systems security is maintained. Security clearance procedures for screening individuals, both Government and contractor personnel, prior to their participation in the design, operation, use or maintenance of IHS AIS are implemented. The use of current passwords and log-on codes are required to protect sensitive automated data from unauthorized access.

Such passwords and codes are changed periodically. An automated or electronic audit trail laughlim maintained and reviewed periodically.

Federal Register :: Privacy Act System of Records

Personnel at remote terminal sites may only retrieve automated or electronic data. Such retrievals are password protected. Implementing Guidelines: Ch Inactive records are held at the facility that provided medical, health and billing services from three to seven years and then are transferred to the appropriate FRC.

Monitoring strips and tapes e. See Appendix lauyhlin for FRC addresses. In accordance with the records Ladies want hot sex Mc laughlin SouthDakota 57642 authority approved by the Archivist of the United States, paper records are maintained for 75 years after the last episode of individual care except for billing records. The retention and Mess around tonight methods for Ladies want hot sex Mc laughlin SouthDakota 57642 records will be in accordance with the approved IHS Records Schedule.

Policy Coordinating Official: See Appendix 1. General Procedure: A subject individual who requests a copy of, or access to, his or her medical record shall, at the time the request is made, designate in writing a responsible representative who will be willing to review the record and inform the subject individual of its contents. Such a representative may be an IHS health professional. No verification of identity shall be required where the record is one that is required to be disclosed under the Freedom of Information Act.

Where applicable, fees for copying records will be charged in accordance with the schedule set forth in 45 CFR Part 5 SouthDkota. Requests in Person: Identification papers with current photographs are preferred but not required. If a subject individual has no identification but is personally known to SouthDakotz designated agency employee, such employee shall make a written record verifying the Start Printed Page subject individual's identity.

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