Madison Township maintains the privacy of certain confidential health care information about you, known as Protected Health Information or PHI.  We are required to protect your information and provide you with this Notice of Privacy.

    This notice outlines our responsibilities and privacy practices with respect to your PHI. It also informs you how we are permitted to use and disclose PHI about you, how you can access and copy that information, how to request and amendment of the information and how you may restrict the use and disclosure of your PHI.

    The Madison Township Fire Department is also required to abide by the terms of the notice currently in effect.  We may use the information as described in this notice without your permission, but there are some situations where we may use it only after we obtain your written authorization, as required to do so by law.

    We respect your privacy and treat all information about our patients with care under strict policies of confidentiality that all of our staff is committed to follow at all times.

A full copy of our Privacy Notice is available to you at the township fire station.  Upon request, we will also forward this notice by electronic mail or a paper copy sent via regular mail.

 If you have any questions or if you wish to file a complaint or exercise any rights listed in this NOTICE,
please contact:

    Privacy Officer: FF Rashid Taylor

    Madison Township Fire Department
    4567 Firehouse Lane
    Groveport, Ohio, 43125
    Telephone- 614-837-7883

    Notice effective date-April 14, 2003

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THE INFORMATION.  PLEASE REVIEW IT CAREFULLY.