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SamaritanNJ.org 59Right to receive confidential communications. You have the right to request that we communicate with you in a certain way. For example, you may ask that we only conduct communications pertaining to your health information with you privately with no other family members present. If you wish to receive confidential communications, please contact our privacy officer at (856) 596-1600. We will not request that you provide any reasons for your request and will attempt to honor your reasonable requests for confidential communications.Right to inspect and copy your health information: You have the right to inspect and copy your health information, including billing records. A request to inspect and copy records containing your health information may be made to our medical records supervisor at (856) 596-1600. If you request a copy of your health information, we may charge a reasonable fee for copying and assembling costs associated with your request. You have the right to request that we provide you, an entity or a designated individual with an electronic copy of your electronic health record containing your health information, if we use or maintain electronic health records containing patient health information. We may require you to pay the labor costs incurred in responding to your request.Right to amend health care information. You or your representative has the right to request that we amend your records, if you believe that your health information is incorrect or incomplete. That request may be made as long as the information is maintained by us. A request for an amendment of records must be made in writing to our medical records supervisor at Samaritan, 3906 Church Road, Mount Laurel, NJ 08054. We may deny the request if it is not in writing or does not include a reason for the amendment. The request also may be denied if your health information records were not created by Samaritan, if the records you are requesting are not part of Samaritan%u2018s records, if the health information you wish to amend is not part of the health information you or your representative are permitted to inspect and copy, or if, in the opinion of Samaritan, the records containing your health information are accurate and complete.Right to an accounting. You or your representative has the right to request an accounting of disclosures of your health information made by Samaritan for the previous six (6) years. The accounting will not include disclosures made for treatment, payment, or health care operations unless we maintain your health information in an Electronic Health Record (EHR). The request for an accounting must be made in writing to our medical records supervisor at Samaritan, 3906 Church Road, Mount Laurel, NJ 08054. The request should specify the time period for the accounting starting on or after April 14, 2003. Accounting requests may not be made for periods of time in excess of six (6) years. Samaritan will provide the first accounting you request during any 12-month period without charge. Subsequent accounting requests may be subject to a reasonable cost-based fee.Right to opt out of fundraising. You or your representative have the right to opt out of receiving fund-raising communications at any time.Right to receive notification of a breach. You or your representative has the right to receive notification of a breach of your unsecured health information. If you have questions regarding what constitutes a breach, or your rights with respect to breach notification, please contact our privacy officer at Samaritan, 3906 Church Road, Mount Laurel, NJ 08054.