Idaho Falls Employment Health Clinic (IFEHC) advises consumers that the Health Information Portability and Accountability Act of 1996 (HIPAA), as amended, allows for privacy protections and grants patients certain rights regarding accessing their health information. This section applies to both commercial motor vehicles (CMV) operators (i.e., specifically truck and bus drivers) applying for FMCSA-NRCME DOT-commercial driver's license (CDL) medical cards and free clinic patients. Commercial motor vehicles (CMV) operators (i.e., specifically truck and bus drivers) applying for DOT-commercial driver's license (CDL) medical cards are reminded that the FMCSA has its own policies regulating data storage in the NRCME electronic portal. For questions, reach out to IFEHC's HIPAA Privacy and Security Compliance Officer at HIPAA@ifehc.com. Note that all links are more likely to work with Mozilla Firefox.
Below are the specific forms. For details on where to submit these forms, go to our Contact page and locate the section "Contact Information - Records Requests". It lists the main contacts as well as the alternative contacts. Click the button below to link to the Contact page.
If you are a new patient seeking primary care; in high likelihood, you will be asked to complete this form. Use this form to request a release of information (ROI) TO IFEHC. This form is appropriate if you are seeking care from IFEHC and IFEHC is requesting information from your previous providers.
Use this form to request a release of information (ROI) FROM IFEHC. Note that requests for sensitive information involve a more stringent process unless alternative arrangements are agreed upon in advance.
As required by the Health Information Portability and Accountability Act of 1996 (HIPAA), you have a right to request the opportunity to inspect and copy health information that pertains to you. Idaho Falls Employment Health Clinic (IFEHC) will evaluate your request and will either grant it or explain the reason why the request will not be granted. IFEHC may provide you with a summary or explanation of the information in your health plan records instead of access to or copies of your records.
You have the right to request amendments to your personal health information that are inaccurate or incomplete.
You have the right to request that we restrict how protected health information about you is used or disclosed for treatment, payment, or healthcare operations. There are numerous exceptions to the applicability of this request, even if approved. See this document as well as IFEHC's Privacy Practices (Document #134) for full details.
Use this form to request that you receive communications of protected health information (PHI) by alternative means, or at an alternate location. IFEHC is NOT required to agree to every accommodation request, but only required to attempt to accommodate reasonable request when appropriate.
You have the right to request an accounting of certain disclosures about yourself. IFEHC must give you the accounting of disclosures within 60 days (unless 30 day extension requested). Consult either this document or IFEHC's Privacy Practices (Document #134) for a list of exceptions to this rule.
A complaint can be submitted on behalf of oneself or another person. It can also be submitted anonymously.
This form is to be submitted within 24 hours of an incident to the Medical Director, HIPAA Privacy Officer, and HIPAA Security Officer.
Idaho Falls Employment Health Clinic (IFEHC)
2539 Channing Way Ste 260, Idaho Falls, ID 83404-7558 in Idaho Falls Medical District
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