Notice of Health
Information Practices
Notice of privacy practices
Your Information. Your Rights. Our Responsibilities.
LIFE Pittsburgh 875 Greentree Road One Parkway Center, Suite 200 Pittsburgh, PA 15220 Phone: 412-388-8050
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.
Your Rights
When it comes to your health information, you have certain rights. This section explains your rights and some of LIFE Pittsburgh’s responsibilities to help you.
Get an electronic or paper copy of your medical record
• You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you.
• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee as permitted by law.
Ask us to correct your medical record
• You can ask us to correct health information about you that you believe is incorrect or incomplete.
• We may deny your request, but we will tell you why in writing within 60 days.
Request confidential communication
• You can ask us to contact you in a specific way (for example, at home or by phone) or to send mail to a different address.
• We will accommodate all reasonable requests.
Ask us to limit what we use or share
• You can ask us not to use or share certain health information for treatment, payment, or health care operations.
• We are not required to agree to your request and may deny it if it affects your care.
• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information with your health insurer for payment or operations purposes.
• We will agree to this request unless the law requires us to share the information.
Get a list of those with whom we’ve shared information
• You can ask for a list (accounting) of certain disclosures of your health information made during the six years prior to your request.
• The first request in a 12-month period is free. We may charge a reasonable, cost-based fee for additional requests.
Get a copy of this privacy notice
• You can ask for a paper copy of this notice at any time, even if you agreed to receive it electronically.
• We will provide a copy promptly.
Choose someone to act for you
• If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your health information.
• We will verify that this person has authority before taking any action.
File a complaint if you feel your rights are violated
• You may file a complaint with LIFE Pittsburgh if you believe your privacy rights have been violated.
• You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
• LIFE Pittsburgh will not retaliate against you for filing a complaint.
Your Choices
For certain health information, you can tell us your preferences about what we share. If you have a clear preference, let us know and we will make reasonable efforts to follow your instructions.
You may choose to opt out of:
• Sharing information with family members, close friends, or others involved in your care
• Sharing information in disaster relief situations
• Including your information in a participant directory
• Fundraising communications
If you are unable to tell us your preference (for example, if you are unconscious), we may share your information if we believe it is in your best interest.
We may also share information to prevent or reduce a serious and imminent threat to health or safety.
We will never share your information for the following purposes unless you give us written permission:
• Marketing purposes
• Sale of your information
• Most uses or disclosures of psychotherapy notes
Our Uses and Disclosures
How do we typically use or share your health information?
Treat you
We may use and share your health information with doctors, nurses, therapists, social workers, and other professionals involved in your care. Example: A provider shares information with the LIFE Pittsburgh Interdisciplinary Team to coordinate your care plan.
Run our organization
We may use and share your health information to operate the LIFE Pittsburgh PACE program, improve care, coordinate services, and meet program requirements. Example: Using information to review quality and improve services.
Bill for your services
We may use and share your health information to bill Medicare, Medicaid, or other responsible parties and to receive payment.
Other Ways We May Share Information
We are allowed or required by law to share your information for purposes such as:
• Public health and safety activities
• Reporting abuse, neglect, or domestic violence
• Health oversight activities, audits, and compliance reviews
• Research
• Organ and tissue donation
• Working with coroners, medical examiners, or funeral directors
• Workers’ compensation claims
• Law enforcement or government requests
• Responding to court orders or subpoenas
Our Responsibilities
• We are required by law to maintain the privacy and security of your protected health information.
• We will notify you promptly if a breach occurs that may compromise the privacy or security of your information.
• We must follow the privacy practices described in this notice and provide you with a copy.
• We will not use or share your information in ways not described here unless you authorize us in writing. You may revoke that authorization at any time.
Changes to This Notice
We may change the terms of this notice. Any changes will apply to all health information we maintain. The updated notice will be available upon request, in our offices, and on our website.
Effective date
January 19, 2026