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Your Privacy Rights


Ballinger Memorial Hospital District is committed to protecting the privacy and confidentiality of your health information in accordance with HIPAA and other applicable federal and state requirements.

Patients have important rights regarding their Protected Health Information, including the right to:
Request access to and copies of their health information
Request certain restrictions on the use or disclosure of their information
Request confidential communications regarding their medical information
Request an amendment if they believe information in their medical record is incorrect
Request certain information regarding disclosures of their Protected Health Information
File a complaint if they believe their privacy rights have been violated

BMHD will not retaliate against a patient for exercising their privacy rights.



Notice of Privacy Practices

Our Notice of Privacy Practices provides detailed information about how BMHD may use and disclose your Protected Health Information and explains your rights regarding that information.

Click here to view or download the BMHD Notice of Privacy Practices.


Reproductive Health Care Privacy

BMHD also maintains required forms and information regarding the use and disclosure of Protected Health Information related to reproductive healthcare.

Federal requirements prohibit certain uses or disclosures of PHI for the purpose of investigating or imposing liability on a person solely for seeking, obtaining, providing or facilitating reproductive healthcare that is lawful under applicable law.

Additional forms and information are available below:
Click here for the BMH HIPAA Reproductive Health Care Attestation Form.
Click here for the Ballinger Hospital Clinic HIPAA Reproductive Health Care Attestation Form.

Questions About Your Privacy Rights?

If you have questions regarding BMHD's Notice of Privacy Practices or would like to exercise your privacy rights, please contact:

Privacy Officer
Ballinger Memorial Hospital District
P.O. Box 617
Ballinger, TX 76821
Phone: 325-365-2531