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This Notice Describes How Medical Information About You May Be Used and Disclosed and How You Can Get Access to This Information

Please carefully review this notice.

If you have any questions about this notice, please contact The Brevard Health Alliance Corporate Office at 321-241-6868.

We may use and disclose medical, dental, and behavioral health information about you for: treatment, payment, healthcare operations, appointment reminders, treatment alternatives, health-related benefits and services, individuals involved in your care or payment for your care, as required by law, and to prevent a serious threat to health and safety.

Special situations in which we may disclose information about you include: worker’s compensation, public health risks, health oversight activities, lawsuits and disputes, law enforcement, coroners, medical examiners, funeral directors, national security and intelligence activities, protective services for the United States president and others, and inmates.

Other uses and disclosures of medical, dental and behavioral health information not covered by this notice or the laws that apply to us will be made only with your written permission.

You have the following rights regarding medical, dental, and behavioral health information we maintain about you including: the right to inspect and copy your medical, dental and behavioral health records, request an accounting of disclosures for any disclosure outside normal hospital operations, and/or request confidential communications in our dealings with you. You also have the right to receive a copy of this notice.

Changes to this notice: We may revise this notice at any time and will implement those changes for your medical, dental and behavioral health information is in our possession as of that date. Any future medical information about you is created or received will also be subject to the notice revisions.

Complaints: If you believe BHA has violated your privacy rights, you may file a complaint with Brevard Health Alliance or the Secretary of the U.S.

Department of Health and Human Services. To file a complaint with The Brevard Health Alliance, please write to: Brevard health Alliance c/o Chief Executive Officer at 4315 Woodland Park Dr. Melbourne, FL 32904

To obtain the complete Notice of Privacy Practices, please request a copy from any of your Brevard Health Alliance team members or online below.

Who’s required to abide by this notice?

  • Any healthcare professional authorized to enter information into your medical record.
  • All departments, volunteers, and units of Brevard Health Alliance
  • All employees, staff, and other healthcare personnel who make up the Brevard Health Alliance workforce
  • Provider entities who have entered into an organized Health Care arrangement with Brevard Health Alliance

Our Pledge Regarding Medical Information

We understand medical information about you and your health is personal; therefore, we are committed to protecting this information. This notice also will tell you about the ways in which we may use and disclose your medical information. We’re required by law to make sure medical information that identifies you is kept private, give you this notice of our legal duties and privacy practice with respect to your medical information, and follow the terms of the notice currently in effect.

Notice of Privacy Practice – Summary

This is a downloadable copy of what is written above.


Notice of Privacy Practice – Full Version

This is a full version of the Notice of Privacy Practices.


Healthcare for You and Your Family