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[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.19.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.19.4″ _module_preset=”default” pac_dcm_carousel_specific_module_num=”0″ global_colors_info=”{}”][et_pb_accordion _builder_version=”4.19.4″ _module_preset=”default” body_font=”DM Sans|500|||||||” body_font_size=”18px” custom_padding=”15px|10px|15px|10px|false|false” global_colors_info=”{%22gcid-e2bc81b9-deae-4c56-9ec9-479689f0799f%22:%91%22header_text_color%22,%22header_text_color%22%93}”][et_pb_accordion_item title=”Summary of HIPAA Notice of Privacy Practices” open=”on” open_toggle_text_color=”gcid-e2bc81b9-deae-4c56-9ec9-479689f0799f” closed_toggle_text_color=”gcid-e2bc81b9-deae-4c56-9ec9-479689f0799f” _builder_version=”4.19.4″ _module_preset=”default” global_colors_info=”{%22gcid-e2bc81b9-deae-4c56-9ec9-479689f0799f%22:%91%22toggle_text_color%22,%22open_toggle_text_color%22,%22closed_toggle_text_color%22%93}” toggle_text_color=”gcid-e2bc81b9-deae-4c56-9ec9-479689f0799f” toggle_font=”DM Sans|700|||||||” closed_toggle_font=”DM Sans|700|||||||”]<\/p>\n
Shifa Free Clinic complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Shifa Free Clinic protects confidential health care information, known as \u201cProtected Health Information\u201d (PHI). Below is a summary of your privacy rights under HIPAA. Shifa Free Clinic legal duties and privacy practices regarding your PHI are also included in this Summary Notice.<\/span><\/p>\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Summary of Your Privacy Rights” open_toggle_text_color=”gcid-e2bc81b9-deae-4c56-9ec9-479689f0799f” closed_toggle_text_color=”gcid-e2bc81b9-deae-4c56-9ec9-479689f0799f” _builder_version=”4.19.4″ _module_preset=”default” global_colors_info=”{%22gcid-e2bc81b9-deae-4c56-9ec9-479689f0799f%22:%91%22toggle_text_color%22,%22open_toggle_text_color%22,%22closed_toggle_text_color%22%93}” toggle_text_color=”gcid-e2bc81b9-deae-4c56-9ec9-479689f0799f” toggle_font=”DM Sans|700|||||||” closed_toggle_font=”DM Sans|700|||||||” open=”off”]<\/p>\n
Shifa Free Clinic may use and give your health information to:<\/span><\/p>\n\n- Treat you<\/span><\/li>\n
- Operate health care services<\/span><\/li>\n<\/ul>\n
Shifa Free Clinic may use and give your health information for:<\/span><\/p>\n\n- Law enforcement requests<\/span><\/li>\n
- Judicial and administrative proceedings related to legal actions<\/span><\/li>\n
- Healthcare fraud and abuse detection or compliance with the law<\/span><\/li>\n
- Use by another healthcare provider treating you<\/span><\/li>\n
- Government health oversight activities<\/span><\/li>\n
- Reports required by law related to births, deaths or diseases<\/span><\/li>\n
- Reports required by law related to neglect and abuse, or domestic violence<\/span><\/li>\n
- Notifying a party about exposure to a possible communicable disease<\/span><\/li>\n
- Military, national defense and security or other governmental functions<\/span><\/li>\n
- Workers\u2019 compensation purposes and in compliance with related laws<\/span><\/li>\n
- Averting a serious threat to public health and safety<\/span><\/li>\n<\/ul>\n
You have the right to:<\/span><\/p>\n\n- Inspect or get a copy of your medical record<\/span><\/li>\n
- Change information on your medical record if you think it is incorrect<\/span><\/li>\n
- Get a list of persons with whom Shifa Free Clinic has shared your PHI<\/span><\/li>\n
- Ask Shifa Free Clinic to limit the information it shares<\/span><\/li>\n
- Ask for a copy of your privacy notice<\/span><\/li>\n
- Write a letter of complaint to Shifa Free Clinic or the federal government<\/span><\/li>\n<\/ul>\n
If you have any questions, wish to file a complaint, or exercise any rights listed in this Summary or the complete Notice, please contact Shifa Free Clinic at shifa.sc@icnarelief.org<\/span><\/p>\n[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
BECOME A SHIFA PATIENT
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<\/h3>\r\n \r\n <\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>SHIFA FREE CLINIC ELIGIBILITY REQUIREMENTSTo be eligible for Shifa Free Clinic services, you must: \u00b7 Have no health insurance \u00b7 Have a total household income not exceeding 250% of the Federal Poverty Level \u00b7 Submit the Required Documents found below:\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t
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Please Add New Tab Item.<\/strong><\/h2>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t
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Can be any of the following: Driver\u2019s License DMV ID Card Passport Valid Green Card Other forms of identification on a case by case basis <\/div> <\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>
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<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div> Employed: Copy of Paystub (4 Weeks or More) Letter from employer via Employer Exchange Form Self-Employed: Copy of most recent Tax Return Self Declaration of Income Unemployed: No Income Form Letter of support from benefactor. (I.E, Whomever is supporting the applicant and providing food & shelter. The identified person who is meeting basic needs is the one who must submit the Letter of Support on behalf of the […]<\/p>\n","protected":false},"author":17,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_crdt_document":"","inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"difl_page_category":[],"class_list":["post-12488","page","type-page","status-publish","hentry"],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"jakob","author_link":"https:\/\/www.icnarelief.org\/shifaclinics\/author\/jakob\/"},"rttpg_comment":0,"rttpg_category":false,"rttpg_excerpt":" BECOME A SHIFA PATIENT [df_adh_heading _builder_version=\"4.27.4\" _module_preset=\"default\" global_colors_info=\"{}\"][\/df_adh_heading]SHIFA FREE CLINIC ELIGIBILITY REQUIREMENTSTo be eligible for Shifa Free Clinic services, you must: \u00b7 Have no health insurance \u00b7 Have a total household income not exceeding 250% of the Federal Poverty Level \u00b7 Submit the Required Documents found below:[difl_advancedtab content_container_bgcolor=\"RGBA(255,255,255,0)\" nav_container_bgcolor=\"#009A50\" use_sticky_nav=\"off\" nav_item_bgcolor=\"#009A50\" nav_item_active_bgcolor=\"#F28D1D\"…","_links":{"self":[{"href":"https:\/\/www.icnarelief.org\/shifaclinics\/wp-json\/wp\/v2\/pages\/12488","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.icnarelief.org\/shifaclinics\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.icnarelief.org\/shifaclinics\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.icnarelief.org\/shifaclinics\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icnarelief.org\/shifaclinics\/wp-json\/wp\/v2\/comments?post=12488"}],"version-history":[{"count":126,"href":"https:\/\/www.icnarelief.org\/shifaclinics\/wp-json\/wp\/v2\/pages\/12488\/revisions"}],"predecessor-version":[{"id":23264,"href":"https:\/\/www.icnarelief.org\/shifaclinics\/wp-json\/wp\/v2\/pages\/12488\/revisions\/23264"}],"wp:attachment":[{"href":"https:\/\/www.icnarelief.org\/shifaclinics\/wp-json\/wp\/v2\/media?parent=12488"}],"wp:term":[{"taxonomy":"difl_page_category","embeddable":true,"href":"https:\/\/www.icnarelief.org\/shifaclinics\/wp-json\/wp\/v2\/difl_page_category?post=12488"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}