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4199 Washington Street
Suite 1,
Roslindale, MA 02131
Phone: (617) 323-4440
Fax: (617) 323-7870

Our Hours

  • Monday - Wednesday
    8.30 AM to 9 PM
  • Thursday & Friday
    8.30 AM to 5 PM
  • Saturday
    8.30 AM to 3 PM

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PRIVACY NOTICE

This Notice Describes How Medical Information About You May Be Used and Disclosed and How You Can Get Access to This Information. Please Review it Carefully.

Greater Roslindale Medical and Dental Center (GRMDC), and Boston Medical Center as our licensing hospital, and its affiliated physicians or providers make a record each time you receive health care or services. Your records have information about your symptoms, examination, test results, diagnosis and billing for services. The law requires GRMDC to keep your health information private and also to tell you about how it keeps health information private. GRMDC is required to abide by the terms of the Notice of Privacy Practices (NPP) currently in effect. You can always request a copy of this Notice from our Registration area. This Notice applies to GRMDC and the following individuals or organizations:

How We May Use and Disclose (Release) Health Information About You

Use means sharing health information inside GRMDC. Disclosure means release of health information outside GRMDC. We may use and disclose health information in the following ways without getting specific permission.

Treatment, Payment, Health Care Operations

Other Permitted Uses and Disclosures

GRMDC may also use and disclose your health information for the following:

Uses and Disclosures Requiring an Opportunity to Agree or Object

For the following uses and disclosures of health information we must provide an opportunity for you to agree or object:

Patient Directory/Register: your name and location while at GRMDC may be disclosed to persons who ask for you by name in a manner in which your confidentiality is protected.

If you are unable to object or agree GRMDC may include you in the directory and disclose your directory information if it is determined it is in your best interest to do so. If you become able to agree or object you will be given an opportunity to express your wishes. If you object to being included in GRMDC Directories, we will not disclose your information to anyone who asks for you, including but not limited to florists, the United States Postal Service, family, friends, clergy, and anyone else asking for you or your location.

Persons Involved in Your Care

Notification

To notify your family or other person responsible for your care of your location, general condition, or death.

Disaster Relief Purposes

Uses or Discloses That Do Not Require Your Permission

GRMDC may use or disclose your protected health information in some cases without your authorization. The following list describes the ways this may happen. Not every use or disclosure in a category will be listed. But we provide a brief description in certain cases.

Uses and Disclosures that Require Written Authorization

Other uses or disclosures of your record will be made only with your written authorization. Disclosures requiring written authorization include drug and alcohol treatment records, mental health records, and AIDS/HIV and genetic testing information. You may withdraw an authorization at any time; however, we are not able to take back disclosures that we have already made with your authorization. Also, you cannot withdraw an authorization that was a condition of obtaining insurance coverage. All withdrawals must be made in writing. Contact the GRMDC Privacy Officer (617) 323-4440 x 118.

Your Rights Regarding Medical Information About You

Regarding medical information we maintain about you, you have the right to:

How to Exercise these Rights or Get More Information About This Notice

To exercise your rights or for more information about matters in this Notice, please contact:

GRMDC Privacy Officer
4199 Washington Street, Suite 1, Roslindale, MA 02131
(617) 323-4440 x 118

How to File a Complaint

If you believe your privacy rights have been violated or to file a complaint, please call the Privacy Officer at (617) 323-4440 x 118.

You may also file a complaint with the Secretary of the Department of Health and Human Services.

GRMDC will in no way retaliate against you for filing a complaint.

Changes to this Notice

We reserve the right to change this Notice. We reserve the right to make the revised or changed Notice effective for medical information we already have about you as well as for any information we receive in the future. We will post a copy of the current Notice in the health center. If we change the NPP, you will be offered a new NPP at your next visit to Greater Roslindale Medical and Dental Center after the change takes effect.

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