Effective Date: 12/11/24

At Lackey Memorial Hospital, your privacy and the security of your health information are of utmost importance. This Notice of Privacy Practices explains how we may use and disclose your protected health information (PHI) and how you can access this information.  

1. Your Health Information Rights

You have the following rights regarding your PHI:
a. Right to Access
  • You may request access to review or obtain copies of your medical records.
b. Right to Amend
  • You may request corrections to your PHI if you believe it is inaccurate or incomplete.
c. Right to an Accounting of Disclosures
  • You may request a list of certain disclosures of your PHI made by our hospital.
d. Right to Request Restrictions
  • You may request limits on how we use or share your PHI for treatment, payment, or healthcare operations.
e. Right to Request Confidential Communications
  • You may request that we contact you in a specific way or at a specific location.
f. Right to a Paper Copy of This Notice
  • You can request a paper copy of this Notice at any time, even if you have received it electronically.
To exercise these rights, please contact our Privacy Office at the information provided below.

2. How We May Use and Disclose Your Health Information

We may use or disclose your PHI in the following ways:
a. For Treatment
  • To provide, coordinate, or manage your healthcare and related services. For example, sharing information with a specialist.
b. For Payment
  • To bill and collect payment for the healthcare services you receive from us.
c. For Healthcare Operations
  • To support our business activities, such as quality improvement and staff training.
d. As Required by Law
  • To comply with applicable federal, state, or local laws.
e. For Public Health and Safety
  • To prevent or control disease, report adverse reactions, or address other public health concerns.
f. For Legal and Compliance Purposes
  • To respond to lawsuits, law enforcement requests, or investigations.
g. Other Permitted Uses
  • For organ donation, research, or health oversight activities, as allowed by law.

3. Our Responsibilities

  • Maintaining Privacy: We are required by law to maintain the privacy of your PHI.
  • Providing This Notice: We must provide you with this Notice of our legal duties and privacy practices.
  • Following the Terms: We will follow the terms of this Notice as long as it is in effect.
  • Notifying You of Breaches: In the event of a breach of your unsecured PHI, we will notify you promptly.


4. Changes to This Notice

We reserve the right to change the terms of this Notice at any time. Any changes will apply to all PHI we maintain. The updated Notice will be posted on our website and available upon request.

5. Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Lackey Memorial Hospital Privacy Office

330 North Broad Street Forest, MS 39074 Phone: 601-469-4151 Email: [email protected] You may also file a complaint with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.