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California Immunization Registry. MemorialCare may share your immunization or tuberculosis (TB) screening test records
with the California Immunization Registry (CAIR), a statewide, secure and condential database of patient immunization
information. The CAIR is used by health care professionals, agencies, and schools to keep track of all shots and TB tests
you take, and can provide proof about immunizations needed to start child care, school, or a new job. If you do not want
your immunization or TB records to be shared with other registry users, please fax or email the “Decline or Start Sharing/
Immunization Information Request Form,” available on the CAIR website at http://cairweb.org/cair-forms/, to the CAIR Help
Desk at 1-888-436-8320 or CAIRHelpDesk@cdph.ca.gov.
Appointment Reminders. We may use and disclose medical information to contact you as a reminder that you have an
appointment for treatment or medical care at a MemorialCare Facility.
Treatment Alternatives. We may use and disclose medical information to tell you about or recommend possible treatment
options or alternatives that may be of interest to you.
Health-Related Benefits and Services. We may use and disclose medical information to tell you about health-related
benets or services that may be of interest to you.
Facility Directory. We may include certain limited information about you in the facility directory of a MemorialCare hospital
while you are a patient at that hospital. This information may include your name, location in the hospital and your general
condition (e.g., fair, good, etc). Unless there is a specic written request from you to the contrary, this directory information
may also be released to people who ask for you by name. This information is released so your family and friends can visit
you in the hospital and generally know how you are doing. If you wish to “opt out” of the facility directory, please contact
the admitting department at the MemorialCare hospital where you are being treated and request that your information not
be included in the facility directory.
Individuals Involved in Your Care or Payment for Your Care; Disaster Relief Efforts. We may release medical information
about you to a friend or family member who is involved in your medical care. We may also give information to someone who
helps pay for your care. Unless there is a specic written request from you to the contrary, we may also tell your family or
friends about your condition. In addition, we may disclose medical information about you to an entity assisting in a disaster
relief effort so that your family can be notied about your condition, status and location.
Research. Under certain circumstances, we may use and disclose medical information about you for research purposes.
For example, a research project may involve comparing the health and recovery of all patients who received one medication
to those who received another for the same condition. All research projects, however, are subject to a special approval
process. This process evaluates a proposed research project and its use of medical information, trying to balance the
research needs with patients’ need for privacy of their medical information. Before we use or disclose medical information
for research, the project will have been approved through this research approval process, but we may disclose medical
information about you to people preparing to conduct a research project, for example, to help them look for patients with
specic medical needs, so long as the medical information they review does not leave our site. We will almost always ask
for your specic permission if the researcher will have access to your name, address or other information that reveals who
you are, or will be involved in your care at the MemorialCare Facility.
Business Associates. There are some services provided for our organization through contracts with an outside organization,
also known as a business associate. Examples include billing services to submit your claim to the insurance company for
payment, transcription services to transcribe dictated reports from the health professionals caring for you in the hospital
and copy services for making copies of your health record. When these services are performed by a business associate, we
may disclose your information to our business associates so they can perform the job we have asked them to do.