Patient Rights & Privacy



When it comes to your health information, you have certain rights.

  • Get a copy of your medical record: You can ask to see or get a paper or electronic copy of your medical record and other health information we have about you. We will provide a copy or a summary to you usually within 30 days of your request.
  • Ask us to correct your medical record: You can ask us to correct health information that you think is incorrect or incomplete. We may deny your request, but we’ll tell you why in writing within 60 days. These requests need to be submitted in writing to the contact listed below.
  • Request confidential communications: You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. Reasonable requests will be approved.
  • Ask us to limit what we use or share: You can ask us NOT to use or share certain health information for treatment, payment or our operations. We are not required to agree to your request, and we may say no if it would affect your care. If you pay for a service of health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will approve the request unless a law requires us to share that information.
  • Get a list of those with whom we’ve shared information: You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with and why. We will include all disclosures except for those about treatment, payment, and health care operations. We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
  • Get a copy of this privacy notice: You can ask for a paper copy of this notice at any time.
  • 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 exercise your rights and make choices about your health information. We will make sure the person has the authority and can act for you before we take any action.
  • Complaint: If you believe your privacy rights have been violated, you may send a written complaint to our privacy officer listed below. You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. You can contact us for the address or visit We will not retaliate against you for filing a complaint.

Contact Information: Madison Regional Health Privacy Officer 323 SW 10th St Madison, SD 57042 (605)256-6551


For certain health information, you can tell us your choices about what we share. If you are not able to tell us your preference, we may go ahead and share your information if we believe it is in your best interest or to lessen a serious and imminent threat to health or safety.

  • Family and friends: We may share information with your family, close friends, or others involved in your care or who helps pay for your care. We may disclose medical information about you to any entity assisting in a disaster relief effort so that your family can be notified about your condition, status and location. If you wish to authorize others (spouse, adult child, parents, care provider) to discuss your health information, please speak with an admissions representative to fill out the correct form.
  • Permission to treat a minor: As a parent or legal guardian, you may choose to authorize your minor child to be treated without you being present. Please fill out this form (PDF) and submit to our admitting office.
  • Fundraising and marketing: We will never share your information for marketing purposes or fundraising efforts without written permission from you.


We may use and share your health information for other reasons for the following:

  • Treatment: We can use your health information and share it with other professionals who are treating you. For example, your physician may disclose your health information to a specialist for the purpose of consultation.
  • Payment: We can use and share your health information to bill and get payment from health plans or other entities. For example, we send information about you to your health insurance plan so it will pay for your services.
  • Healthcare operations: We can use and share your health information to run our practice, improve your care, and contact you when necessary. For example, we may use your medical information to review our treatment and services so we can evaluate how to improve our quality of care.
  • Health Information Exchanges: Madison Regional Health maintains an electronic medical record. In addition, we may choose to participate in electronic health information exchanges in order to facilitate access to health information by other health care providers who provide health care to you. For example, if you are admitted to the emergency room at another hospital that participated in the health information exchange, the exchange will allow us to make your health information available electronically to those who need it to treat you.
  • Public Health: We can share health information about you for certain situations such as: preventing disease, helping with product recalls, reporting adverse reactions to medications, reporting suspected abuse, neglect or domestic violence, preventing or reducing a serious threat to anyone’s health or safety.
  • Research: We can use or share your information for health research.
  • Comply with law: We will share information about you if state or federal laws require it, including the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
  • Organ and tissue donations: We can share health information about you with organ procurement organizations.
  • Coroners and medical examiners: We can share health information with a coroner, medical examiner or funeral director when an individual dies.
  • Workers’ compensation, law enforcement: We can use or share health information about you for workers’ compensation claims, for law enforcement purposes or with a law enforcement official, with health oversight agencies for activities authorized by law, for special government functions such as military, nation security, and presidential protective services.
  • Lawsuits and legal actions: We can share health information about you in response to a court or administrative order, or in response to a subpoena.
  • Contacting you: We may contact you for appointment reminders. We may contact you to provide information about treatment alternatives or other health related benefits or Madison Regional Health services that may be of interest to you. We may contact you about fundraising activities, but you can tell us not to contact you again.


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


We may change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office and on our website.


This Notice of Privacy Practices is effective August 19, 2016

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