Notice of Privacy Practices

Aultman is committed to protecting our patients’ confidential information. Aultman maintains compliance with the requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and all other federal, state and local laws to ensure the privacy and security of an individual’s protected health information.

As part of HIPAA requirements all new patients seeing their health care provider upon their initial visits will receive a copy of our Notice of Privacy Practices. This notice describes how we may use information about you within Aultman and how we may disclose it to others outside Aultman. This notice also describes your privacy rights as a patient. Please review it carefully, and let us know if you have questions.

• Notice of Privacy Practices (PDF) 
• Notice of Privacy Practices en Español (PDF)

Who Will Follow This Notice

Aultman organizations that will follow this notice include all of our hospitals, employed physicians, doctor’s offices, entities, foundations, facilities, home care programs and other services. These organizations include, but are not limited to:

Aultman Hospital, Aultman Alliance Community Hospital, Aultman Orrville Hospital, Aultman Specialty Hospital

Aultman Medical Group, Aultman MSO, Aultman North Canton Medical Group, Aultman Oncology Center of Excellence, Aultman Orthopaedic Center of Excellence, Alliance Community Medical Foundation, Canton Medical Education Foundation, North Central Medical Resources, Ohio Hospital Based Physicians Corporation, Ohio Physicians Professional Corporation, Ohio Specialty Physicians Corporation, Tuscarawas Valley Regional Cancer Center, Aultman Health Foundation, The Aultman Foundation, Alliance Medical Associates, Health Alliance, Integrated Health Collaborative 

Aultman Woodlawn, Aultman Home Care, Aultman Hospice, Aultman Home Medical, Community Care Center, Alliance Hospice

ACMF Family Physicians, ACMF Family Physicians Glamorgan, ACMF Gastroenterology, ACMF General Surgery, ACMF Otolaryngology, ACMF Urology, AMG Allison Oprandi, M.D., AMG Audiology, AMG Behavioral Health and Counseling Center, AMG Bolivar Medical Center, AMG Breast Surgery Specialists, AMG Canton South Medical Center, AMG Canton Urology, AMG Cardiovascular Consultants, AMG Endocrinology, AMG Family Medicine of Carrollton, AMG Family Medicine of Carrollton, AMG Family Medicine of Massillon, AMG Family Medicine of Navarre, AMG Family Medicine of North Canton, AMG General Surgery, AMG Gynecologic Oncology, AMG Heart Core, AMG Hematology and Oncology, AMG Inpatient Medicine, AMG Kevin Hill, M.D., AMG Louisville Internal Medicine, AMG MedCorp, AMG Neurosurgery, AMG North Canton Medical Center Internal Medicine, AMG Orthopedics and Sports Medicine, AMG Plastic Surgery, AMG Podiatry, AMG Ramesh Krishnamurthi, M.D., AMG Steven Weaver, M.D., AMG Waynesburg Family Medicine, AMG Women's Health Services, Aultman Alliance Community Hospital Center for Pain Management, Aultman Orrville Dunlap Family Physicians, Aultman Pain Management, Family Medicine of Stark County, Ohio Hospital Based Physicians Anesthesia

Contact Aultman's Privacy Officer

If you have questions or concerns regarding your privacy or would like to file a breach of confidentiality complaint, you may contact our Compliance Department at:

• Call: 330-363-3380
• Email: compliance@aultman.com
• Mailing address: 
  Aultman Health Foundation
  Compliance Department
  Attn: Privacy Officer
  2600 Sixth St. SW
  Canton, Ohio 44710

Regular business hours Monday-Friday, 8:30 a.m. to 5 p.m. After hours, please leave a message and your call will returned.

What is HIPAA?

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was signed into law Aug. 21, 1996, and went into effect in 2003. The Privacy Rule provides federal protections for personal information held by a covered entity, such as Aultman. HIPAA gives you rights over your health information, including the right to get a copy of your information, make sure it is correct, and know who has seen it.

How We Assure Your Privacy

Your privacy is very important to us. Our workforce members are trained in the appropriate use and disclosure of health information and know that it is available for the purpose of providing treatment, receive payment or other health care operations. Aultman has policies in place to address privacy violations or failures of a workforce member to protect your information from accidental or unauthorized access.

Sharing Health Information with Family Members and Friends

HIPAA sets rules for health care providers and health plans about who can look at and receive your health information, including those closest to you – your family members and friends. The HIPAA Privacy Rule ensures that you have rights over your health information, including the right to get your information, and make sure it’s correct. 

HIPAA requires most doctors, nurses, hospitals, nursing homes and other health care providers to protect the privacy of your health information. However, if you don’t object, a health care provider or health plan may share relevant information with family members or friends involved in your health care or payment for your health care in certain circumstances. 

When Your Health Information Can Be Shared

Under HIPAA, your health care provider may share your information face-to-face, over the phone or in writing. A health care provider or health plan may share relevant information if: 

• You give your provider or plan permission to share the information. 
• You are present and do not object to sharing the information. 
• You are not present, and the provider determines based on professional judgment that it’s in your best interest.

How do I get access to my medical records at Aultman?

Aultman’s Medical Records Departments are responsible for keeping complete medical records for each patient. Your original medical record is property of Aultman, but you can access your health information by either requesting copies or accessing information from Aultman’s Patient Portal.

During your hospitalization, there are processes in place to allow you to review your medical record. Your bedside nurse or nurse manager of your hospital unit can help facilitate this request.

After you are discharged or at the end of your care episode, you may request copies of your finalized patient record. The Medical Records Departments are open to the public Monday through Friday from 8 a.m. to 4 p.m. at both Aultman Hospital and Aultman Orrville Hospital.

In order to receive copies of your medical record, or to send copies of your medical record to others, you will first need to complete the appropriate release of health information form:

• Access Request Form by Patient/Personal Representative (PDF).  This form is used by the Patient/Personal Representative when requesting access to their medical record and released to whomever the patient/personal representative requests.
• Authorization for Release of Health Information Form (PDF). This form is used when a third party is requesting the patients’ health information.  

Important Steps:

• Complete all fields on the form(s) when requesting the release of your records.
• If mailing or faxing in the form, make sure you include a copy of your driver's license in order for us to verify your identity.
• Make sure the form(s) are signed and dated.

Aultman charges a reasonable cost-based fee for the copying of medical records.  The fee schedule is based on the type of request:

Access by patient or personal representative:

• Free for information released in paper format.
• $6.50 for health information that is maintained electronically and released in an electronic format. Includes labor, supplies, and postage.

Authorization requests by Third Parties:

• First ten (10) pages are free.
• Additional pages are based on the State of Ohio Medical Records Fee Schedule (PDF).

Processing time varies depending on volume and availability of the medical record. To reduce copy charges, you may request recent information or specific documents in lieu of the complete medical record.

Aultman Hospital
Medical Records Department
2600 Sixth St. SW
Canton, Ohio 44710
330-363-4244

Aultman Orrville Hospital
Medical Records Department
832 S. Main St.
Orrville, Ohio 44667
330-684-7722

Aultman Medical Group
Medical Records Department
Contact the individual practice