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Ellsworth Free Medical Clinic
Ellsworth Medicl Clinic

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Privacy Policy

You may request a limit or restriction in the medical information we release about you unless the information is needed to provide you with emergency treatment or released is mandated by law.

If you provide us with written permission to disclosed medical information about you, you may revoke that permission, in writing, at any time.

Unless you request otherwise, in writing, we will contact you by phone or mail as needed to arrange your care. We may leave brief messages on your phone message system, unless you request otherwise, in writing, regarding appointments and requests that you return our call. Consequently, it is important that you ensure that your address and phone numbers in our records are kept up to date when you are under EFMC care.

If you feel our privacy rights have been violated, you may file a complaint with the EFMC board or with the Secretary of Health and Human Services. To file a complaint with the Clinic, contact the Board by calling 667-7953 and asking for the board President.

We have a legal obligation to:

Make sure that medical information that identifies you is kept private.

Give you a written notice of our legal duties and privacy practices regarding medical information about you.

Follow the terms of the notice that is currently in effect.

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 information we receive in the future. We will post a copy of the current notice in the clinic with the current effective date.



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Policy Statement

EFMC and its staff are committed to protecting the privacy of patients and their medical information. Information will only be released to third parties with written consent, except as required by law and as noted below.

How patient medical information is protected, and under which circumstances it may be disclosed.

Information may be released with your written permission. It may be used or disclosed without special authorization under some circumstances such as providing you with care and arranging referrals. We may use medical information about you to provide you with medical treatment or to arrange for outside services such as specialist assessment, diagnostic testing or treatment by other professionals. We may disclose some medical information about you to doctors, nurses, technicians and other medical personnel involved in your care as needed to facilitate that care.

Your Rights Regarding Your Information

You have the right to inspect or request a copy of your medical records by submitting a requested in writing.

If you feel that information about you is incorrect or incomplete, you may ask to amend or add to information that was gathered by EFMC by submitting a written request.

248 State St # 16, Ellsworth, ME 04605
Email: office@ellsworthfreeclinic.org
Phone: (207) 667-7953
Fax: (207) 664-0802



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Ellsworth Free Medical Clinic
(207) 667-7953
Serving Downeast Maine since 1992
ellsworthfreeclinic.org © 2022

Office Hours:
Monday 8 am to 5 pm
Tues, Thurs and Fri 8 to 12 noon
every other Wed 8 to 12 noon
Christmas, New Years, Memorial day, July 4th, Labor day and Thanksgiving are celebrated.
Please call for an appointment.

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