5. Right to Request an Accounting of Disclosures of Health Data.
You may request a listing of certain disclosures we have made of your health data. You
need to make your request in writing. You may ask for disclosures made up to six (6) years
before the date of your request. We will provide you one accounting in any 12 month
period free of charge.
6. Right to Receive a Copy of this Notice.
You have the right to receive a paper copy of this Notice at any time. To exercise any of
these rights, contact our Privacy Office at the telephone number or address listed below.
QUESTIONS OR COMPLAINTS
If you are concerned that your privacy rights have been violated, you may file a
complaint with RespirTech.
Contact: Privacy Official @ RespirTech
2896 Centre Pointe Drive, St. Paul, MN 55113-1134
1-800-793-1261 (Toll Free) or 651-379-8960 (Direct Dial)
You may also submit a complaint to the U.S. Department of Health and Human
Services by contacting your state’s regional office at:
Region 1 — Boston
(Connecticut, Maine,
Massachusetts, New Hampshire,
Rhode Island, Vermont)
Office for Civil Rights
U.S. Department of Health and
Human Services Government Center
J.F. Kennedy Federal Building —
Room 1875
Boston, MA 02203
Voice phone (800) 368-1019
FAX (617) 565-3809
TDD (800) 537-7697
Region 2 — New York
(New Jersey, New York, Puerto
Rico, Virgin Islands)
Office for Civil Rights
U.S. Department of Health and
Human Services
Jacob Javits Federal Building
26 Federal Plaza - Suite 3312
New York, NY 10278
Voice Phone (800) 368-1019
FAX (212) 264-3039
TDD (800) 537-7697
NOTICE OF PRIVACY PRACTICES (cont’d)
39
inCourage
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Airway Clearance Therapy | INSTRUCTION MANUAL
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