HIPAA

Health Insurance Portability Accountability Act (HIPAA)

Click HERE for notice of privacy practice

As an essential part of our commitment to you, the Norwich Township Fire Department maintains the privacy of certain health care information about you, known as Protected Health Information or PHI. We are required by law to protect your health care information and to provide you with the attached Notice of Privacy Practices. We strive to protect your health care information and provide you with a Notice of Privacy Practices.

This Notice outlines our legal duties and privacy practices with respect to your PHI. It not only describes our privacy practices and your legal rights, but lets you know, among other things, how the Norwich Township Fire Department is permitted to use and disclose PHI about you, how you can access and copy that information, and how you may request restrictions on our use and disclosure of your PHI.

The Norwich Township Fire Department is also required to abide by the terms of the version of this Notice currently in effect. In most situations, we may use this information as described in this Notice without your permission, but there are some situations where we may use it only after we obtain your written authorization if we are required by law to do so.

We respect your privacy and we treat all health care information about our patients with care under strict policies of confidentiality that all of our staff are committed to following at all times.

If you would like a copy of your EMS report, please complete the appropriate form below and email it to privacyofficer@norwichtownship.org.  If you need assistance with the form, please call (614) 876-7694 or email the Privacy Officer.  The Privacy Officer will return your call or email and guide you through the process.

Medical Records Requests

Patients - Click below:
Patient Access Form

Government Entity - Click below:
Agency Request Form
Fax request to (614) 876-3343
Email request to privacyofficer@norwichtownship.org

Attorney Offices:
Fax request to (614) 876-3343
Email request to privacyofficer@norwichtownship.org

Itemized Billing Requests: emsattorneyrequests@changehealthcare.com