Graham Fire & Rescue

Robert Homan                          Russ Barstow                           Chris McAfee

Board Chair                             Board Vice Chair                       Commissioner

rhoman@grahamfire.org               rbarstow@grahamfire.org              cmcafee@grahamfire.org

Brian Estes                              Neil Samuelsen

Commissioner                          Commissioner

bestes@grahamfire.org                nsamuelsen@grahamfire.org

HIPAA: Notice of Privacy Practices

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.

The Health Insurance Portability and Accountability Act (HIPAA) was passed in Federal Law in 1996 and provides the following standards:

• Protects patient privacy
• Safeguards patient information
• Grants certain patient rights

As an essential part of our commitment to you, Graham Fire & Rescue maintains the privacy of your confidential health care information, known as Protected Health Information or PHI. We are required by law to protect your health care information and to provide you with the attached Notice of Privacy Practices.

The Notice outlines our legal duties and privacy practices with respect to your PHI. It not only describes our privacy practices and your legal rights, but lets you know, among other things, how we and our business associates are permitted to use and disclose PHI about you, how you can access and copy that information, how you may request amendment of that information, and how you may request restrictions on our use and disclosure or your PHI.

We are also required to abide by the terms of the version of this Notice currently in effect. In most situations we may use this 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.

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

If you have any questions, contact our Privacy Officer, Sandi Roberts, at (253) 847-8811.

Pursuant to the provisions of RCW 4.96.020, all claims for damages against Graham Fire & Rescue, or against any of its officers, employees, or volunteers, acting in such capacity, shall be presented to the designated claims agent within the applicable period of limitations within which an action must be commenced.

A claim is deemed presented when the claim form is delivered in person or is received by the agent by regular mail, registered mail, or certified mail, with return receipt requested, to the agent or other person designated to accept delivery at the agent’s office.

CLICK HERE TO DOWNLOAD CLAIM FORM (PDF format)

Designated Claims Agent:
Dustin Morrow, Fire Chief

Designated Delivery Location:
1015 39th Ave SE., Suite 120,

Puyallup, WA 98374

During Normal Business Hours