How do I file a complaint regarding the privacy of my health information?
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services, Office of Civil Rights. To file a complaint with the Lake County Health Department/Community Health Center, contact the PRIVACY OFFICER at the address listed below:

Lake County Health Department and Community Health Center

Privacy Officer
3010 Grand Ave.
Waukegan, IL 60085
847-377-8592, Option 3

Office of Civil Rights
U.S. Department of Health and Human Services

233 N. Michigan Ave., Suite 240
Chicago, IL. 60601
Phone: (312) 886-2359; (312) 353-5693 (TDD)
http://www.hhs.gov/ocr/privacy/hipaa/complaints/index.html

All complaints must be submitted in writing and addressed to the PRIVACY OFFICER. We support your right to protect the privacy of your medical information. We will not retaliate in any way or refuse services if you choose to file a complaint with us or with the U. S. Department of Health and Human Services, Office of Civil Rights.

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1. Who is authorized to sign for the release of information to obtain a copy of the medical record?
2. How much does it cost to obtain a copy of my medical record?
3. When will I receive a copy of my medical record?
4. Who should I contact if I have questions?
5. How do I file a complaint regarding the privacy of my health information?