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471 • To. the Secretary of the U.S. Department of Health and Human Services to investigate or determine the City's compliance with privacy regulations. • To your family member, other relative, close personal friend, or other person identified by you that. is directly involved in your care. Such disclosures will be limited to information relevant to the person's involvement in your care and, except in the case of an emergency or your incapacity, you will be given an opportunity to agree or to object to the disclosure. • For public health activities. _ • To report suspected abuse, neglect, or domestic violence to public authorities. • To a public oversight agency. • When required for judicial or administrative proceedings. • When required for law enforcement purposes. • To organ procurement organizations or other organizations to facilitate organ, eye, or tissue donation or transplantation. • To a coroner or medical examiner for the purpose of identifying a deceased person, determining a cause of death, or other duties required by law. • To a funeral director when permitted by law and when necessary for the funeral director to carry out his/her duties with respect to the deceased person. • To avert a serious threat to health or safety. • For specialized government functions, as required by law. • When otherwise required by law. • Information that has been de- identified. This means that all individual identifiers have been removed and it is reasonable to believe that the organization receiving the information will not be able to identify the person to whom the information belongs. YOUR RIGHTS REGARDING YOUR PROTECTED HEALTH INFORMATION You have the right to: • Request in writing that the City's Privacy Officer not use or disclose your protected health information for certain purposes, unless the use or disclosure is required by law. However, since most of the uses and disclosures made by the City are necessary to administer your health plan, the City does not have to agree to your request. • Request that the City refuse disclosure of your protected health information for any purpose not included in this notice, unless the City first receives your written authorization. To be valid, an authorization must include: the name of the person or organization making the disclosure, the name of the person or organization receiving the disclosure, specifics on the information that may be disclosed, the purpose of the disclosure, and an end date or end event. You may revoke any authorization that you 74 Revised 01 -25 -05