Effective Date: November 2005
CHIHealth
NOTICE OF PRIVACY PRACTICES

RIGHT TO FILE A COMPLAINT

If you believe your privacy rights have been violated, you may file a complaint with the Administrator of the facility at which you received care. Concerns can be directed to Administration at each facility via the Patient Action Line, 24 hours a day:

Bergan Mercy, Omaha NE 402-398-5799
Immanuel, Omaha NE 402-572-2898
Mercy, Council Bluffs, IA 712-328-5950
Midlands , Papillion NE 402-593-3172
Mercy, Corning IA 641-322-6279
Schuyler, NE 402-352-2441
Missouri Valley, IA 712-642-2784
All other locations 402-572-3113

You may also file a complaint with CHI Health Privacy Office at 7101 Newport Ave, Omaha NE 68152. You may also submit a complaint to:

The Secretary of the Department of Health & Human Services
200 Independence Ave SW
Washington DC 20210
1-877-696-6775 (toll free)

All complaints must be submitted in writing. The Office of Civil Rights of HHS provides information on it’s website about how to file a complaint: www.hhs.gov/ocr/hipaa/
You will not be penalized for filing a complaint.