NOTICE OF PRIVACY PRACTICES
EFFECTIVE DATE: February 1, 2026
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
This notice will explain how Jordan Valley Health (JVH) may use and disclose your medical information; the obligations related to the use and disclosure of your medical information and your rights related to any medical information that JVH has about you. This notice applies to the medical records that are generated in or by JVH clinics, school services, mobile services, home services, and nursing home services known hereafter as Jordan Valley entities. Please note that behavioral health records are considered part of the medical record and will be released as such.
This notice also describes the practices of JVH and that of any service provider acting on behalf of the organization with regards to your Protected Health Information (PHI) created while you are a patient of Jordan Valley entities. All providers and personnel acting on behalf of JVH are also subject to this notice. In addition, providers and staff working collaboratively may share medical information with each other for treatment, payment, or health operations described in this notice. As required by law, JVH ensures that medical information that identifies you is kept private, that you have access to privacy policies regarding JVH legal duties, and that these policies are current.
As a patient of Jordan Valley entities, you understand that the providers participating in your care at JVH may not be employees or agents of Jordan Valley entities and may not be acting for or on behalf of JVH, but are independent providers who have been granted privileges to use JVH facilities for the care of our patients. As a patient of Jordan Valley entities, you understand that medical decisions regarding your care and treatment may be made by such physicians and not by JVH.
If you have any questions about the contents of this Notice of Privacy Practices, or if you need to contact someone at this site about any of the information contained in this Notice of Privacy Practices, please contact:
Privacy Officer, PO Box 5681, Springfield, MO 65801 | Phone: (417) 851-1556
In addition to clinic departments, employees, physicians, dentists, and other JVH personnel, the following persons will also follow the practices described in this Notice of Privacy Practices:
- Any health care professional who is authorized to enter information in your medical record.
- Any member of a volunteer group that we allow to help while you are within our facilities, any student, resident, or intern.
USE AND DISCLOSURE OF MEDICAL INFORMATION
JVH can use or disclose medical information about you regarding treatment, payment for services or for health care operations. JVH may also disclose your protected health information (PHI) for the treatment activities of another provider, the payment activities of another provider, and certain limited health care operations of another collaborative entity.
For Treatment: To provide you with medical treatment or services, JVH may need to use or disclose information about you to doctors, dentists, nurses, technicians, health care students, or other personnel who are involved in your treatment. Departments within JVH’s operations may share medical information about you to coordinate your care. JVH may also disclose medical information about you to people who may be involved in your medical care after you leave JVH facilities such as home health agencies, your family, emergency personnel, or long-term care facilities.
For Payment: JVH may use and disclose your medical information to bill and receive payment for the treatment that you receive from JVH.
For Health Care Operations: JVH may use and disclose your medical information for health care operations. Medical information about you and other JVH patients may be combined to evaluate the quality or effectiveness of care to compare information to other health care organization To protect your privacy, when combining information, we will remove any information that identifies you, known as “facially de-identified information.”
Related Benefits and Services: JVH may use and disclose Health Information to contact you to remind you that you have an appointment with us. JVH also may use and disclose Health Information to tell you about treatment alternatives or health-related benefits and services that may be of interest to you.
Individuals Involved in Your Care or Payment for Your Care. When appropriate, JVH may share health Information with a person who is involved in your medical care or payment for your care, such as your family or a close friend. We also may notify your family about your location or general condition or disclose such information to an entity assisting in a disaster relief effort.
For Research: JVH may share your PHI with researchers with your authorization or when their research has been approved by an institutional review board (IRB) that has reviewed the research proposal and established protocols (waiver of permission) to ensure the privacy of your protected health information.
IF ANY OF THESE USES OR DISCLOSURES ARE LIMITED BY MORE STRINGENT LAWS, INCLUDING 42 CFR PART 2, WE WILL FOLLOW THE MORE STRINGENT REQUIREMENTS.
USES AND DISCLOSURES OF MEDICAL INFORMATION THAT DO NOT REQUIRE YOUR AUTHORIZATION:
JVH can use or disclose your medical information without authorization when there is an emergency, when JVH is required by law to use or disclose certain information, or when there are substantial communication barriers to obtaining authorization from you. The following circumstances may require that JVH use or disclose your health information without your authorization:
- When it is required by international, federal, state, or local law.
- When it involves use or disclosure for public health activities such as mandated disease reporting, etc;
- When reporting information about victims of abuse, neglect, or domestic violence
- When disclosing information f or the purpose of health oversight activities such as audits, investigations, licensure or disciplinary actions or legal proceedings or actions
- When as a result of a data breach, we may use or disclose your Protected Health Information to provide legally required notices of unauthorized access to or disclosure of your health information.
- When working with business associates that perform functions on our behalf or provide us with services if the information is necessary for such functions or services. All of our business associates are obligated to protect the privacy of your information and are not allowed to use or disclose any information other than as specified in our contract.
- When disclosing information to collaborative organizations for the purposes of creating a limited data set which may include zip codes, dates of birth, or dates of service but may not contain patient identifiers such as name, address, phone number or social security number.
- When disclosing or using information for law enforcement purposes.
- When disclosing or using information for organ and tissue donation purposes.
- When we believe in good faith that the disclosure is necessary to avert a serious health or safety threat to you or the public’s safety.
- When disclosure is necessary to comply with Worker’s Compensation laws or purposes.
- When required by law to notify a person subject to the jurisdiction of the FDA for public health purposes related to the quality, safety or effectiveness of FDA regulated products or activities?
- When disclosure is necessary for specialized government functions.
- When required by military command authorities; when you are a prison inmate, information can be released to the correctional facility in which you reside for the following purposes: for the institution to provide you with health care, to protect the safety of others, for the safety and security of the correctional facility.
PLANNED USES OR DISCLOSURES TO WHICH YOU MAY OBJECT
JVH will use or disclose your health information for any of the purposes described in the previous section unless you affirmatively object to or otherwise restrict a particular release. You must direct your written objections or restrictions to: Privacy Officer, PO Box 5681, Springfield, MO 65801.
JVH may release health information about you to a friend and/or family member who is involved in your care. JVH can also give this information to someone who will or is helping to pay for your care.
JVH can disclose health information about you to a public or private entity that is authorized by law or its charter to assist in disaster relief efforts for the purpose of notification of family and/or friends of your whereabouts and condition.
PROHIBITED USES AND DISCLOSURES
We will not use or disclose your Protected Health Information (PHI) for:
- Genetic information for underwriting purposes.
- Marketing without your written authorization.
- Sale of PHI without your written authorization.
- Any purpose prohibited under 42 CFR Part 2, including using substance use disorder (SUD) records in legal proceedings without your consent or a court order.
USES AND DISCLOSURES OF MEDICAL INFORMATION THAT DO NOT REQUIRE YOUR AUTHORIZATION
The following uses and disclosures of your Protected Health Information will be made only with your written authorization:
- Uses and disclosures of Protected Health Information for marketing purposes; and
- Disclosures that constitute a sale of your Protected Health Information.
- Other uses and disclosures of Protected Health Information not covered by this Notice or the laws that apply to JVH will be made only with your written authorization.
YOU MAY REVOKE YOUR AUTHORIZATION AT ANY TIME IN WRITING.
USES AND DISCLOSURES REQUIRING AN ATTESTATION
Certain requests for PHI require an attestation under §164.509. For example: Requests for reproductive health care information may require an attestation that the information will not be used for prohibited purposes.
POTENTIAL FOR REDISCLOSURE
Information disclosed to others may be redisclosed and may no longer be protected by HIPAA. However, records protected by 42 CFR Part 2 cannot be redisclosed without your consent or a court order.
SEPARATE STATEMENTS REQUIRED BY LAW
- JVH may contact you for fundraising, and you have the right to opt out.
- Group health plans may disclose PHI to plan sponsors as permitted by law.
- JVH will not use genetic information for underwriting.
- Substance use disorder records subject to 42 CFR Part 2 will not be used in legal proceedings without consent or court order.
- If JVH uses Part 2 records for fundraising, you will have the opportunity to opt out.
YOUR HEALTH INFORMATION RIGHTS
Although your health record is the property of Jordan Valley Health, you have the right to:
Request restrictions: You have the right to request that JVH restrict any use or disclosure of your health information. However, JVH is not required to agree to any request unless:
- You ask us to restrict sharing with your health plan for payment or operations, and
- The information relates only to a service you paid for out-of-pocket in full.
If we agree, we will follow your request unless the information is needed for emergency treatment. To request a restriction, your request must be in writing to the Privacy Officer. Include:
- Information you want to limit.
- Whether the limit applies to use, disclosure, or both.
- Who the limit applies to. Request Confidential Communications: You have the right to request that JVH communicate with you about medical matters in a certain way or at a certain location. To request confidential communications, you must make your request, in writing, to the Privacy Officer at JVH. Your request must specify how or where you wish to be contacted. We will accommodate reasonable requests.
Notice of Breach: You have the right to be notified upon a breach of any of your unsecured Protected Health Information.
An Electronic Copy of Electronic Medical Records:
If your Protected Health Information (PHI) is stored electronically (in an electronic medical or health record), you have the right to:
- Request an electronic copy of your record.
- Ask us to send your record to another person or organization.
JVH will provide your record in the format you request if possible. If we cannot provide it in that format, we will give it to you in our standard electronic format or, if you prefer, as a readable paper copy.
Inspect and Copy your Protected Health Information (PHI): You have the right to inspect and copy your protected health information that may be used to make decisions about your care, except for psychotherapy notes. If you want to see or copy your medical information, you must submit your request in writing to Jordan Valley’s privacy Officer.
Note: In limited circumstances, JVH may deny access to your health information. If access is denied, you can request that the denial be reviewed. Another licensed health care professional chosen by JVH will review your request and the denial. JVH will adhere to the decision of the reviewer.
Request Amendment to your Protected Health Information (PHI): You have the right to request that your health information be amended (changed) if you believe that it is incorrect or incomplete. You have a right to request changes for as long as the information is retained by JVH. To request a change in your PHI, you must submit in writing a request to JVH’s Privacy Officer which includes the reason you think the information is incorrect or incomplete and specification as to whom you want notified of the change. JVH must notify you within 60 days upon receipt of your written request. This period may be extended by 30 days provided we notify you of our reason for the delay and the expected date of completion.
WHEN JVH MAY DENY YOUR REQUEST TO AMEND INFORMATION
JVH may deny your request if:
- It is not in writing or does not include a reason for the change.
- The information was not created by JVH, or the person/entity that created it is no longer available.
- The information is not part of your JVH medical record.
- The information is not something you are allowed to inspect or copy.
- JVH believes the information is accurate and complete.
Accounting of Disclosures: You have the right to ask for a list of certain disclosures of your medical information. To do this, you must send a written request to JVH’s Privacy Officer that includes the time period you want and how you would like the information reported. The time period cannot be longer than six years and cannot include dates before January 1, 2003. You may receive one free accounting every twelve months. If you request more than one within the same twelve-month period, JVH may charge a state-approved fee for costs such as copies, mailing, or supplies. We will notify you of any charges before processing your request, and you can change or cancel your request at that time. Disclosures made before you signed an authorization are not included in this accounting.
Receive a Copy of this Notice of Privacy Practices: Even if you have agreed to receive this notice in another form, you can still have a paper copy of this notice. To obtain a paper copy of this notice, contact the medical records department or the Privacy Officer. You can also obtain a copy of this notice on our website: www.jordanvalley.org.
COMPLAINTS
If you believe your privacy rights have been violated, you may file a written complaint with the JVH Privacy Officer at PO Box 5681, Springfield, MO 65801, or by completing a Feedback Form located on the Jordan Valley website, www.jordanvalley.org. You may also contact the Jordan Valley Privacy Officer at 417-851-1556 You may file a complaint with the Secretary of the US Department of Health and Human Services, 200 Independence Avenue, Washington, D.C. 20201, or by calling the Office of Civil Rights at 1(800) 368-1019, 1(800) 537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
According to the law, you will not be retaliated against nor intimidated for filing a complaint with any Jordan Valley entity or the U.S. Department of Health and Human Services.
CHANGES TO THIS NOTICE OF PRIVACY PRACTICES
JVH reserves the right to change or modify this Notice of Privacy Practices. Any changes can be made effective for any health information that JVH has or might obtain about you. Each time you receive services from Jordan Valley entities, you will have the opportunity to review the most current version of our Notice of Privacy Practices. The most current version of our Notice of Privacy Practices will be posted in JVH clinics or may be obtained from the Privacy Officer.
UPDATE TO THIS NOTICE OF PRIVACY PRACTICES EFFECTIVE FEBRUARY 1, 2026
This Notice of Privacy Practices above will be updated. The updated notice is effective, February 1, 2026. A copy of the notice is available for download and can be found by CLICKING HERE.
