Subject to some restrictions, you may inspect and copy medical information that may be used to make decisions about you. To do so, submit a written request to MYCB1 at the address listed below.
Right to Amend
If you believe medical information about you is incorrect or incomplete, you may ask us to amend the information. Such request must be made in writing and submitted to MYCB1 at the address listed below. In addition, you must provide a reason supporting your request to amend.
Right to an Accounting of Disclosures
You have the right to request an accounting of disclosures of your medical information. This accounting identifies the disclosures we have made of your medical information other than for treatment, payment or healthcare operations. You must submit your request in writing to MYCB1 at the address listed below. The provision of an accounting of disclosures is subject to certain restrictions.
Right to be Notified
You have the right to be notified following a breach of data security. This notification will be made by mail unless we do not have a correct mailing address for you, then we may use our web site, media stories or ads to inform you.
Right to Request Restrictions
You have the right to request a restriction or limitation on the medical information we use and disclose about you for treatment, payment or healthcare operations. You also may request that your medical information not be disclosed to family members or friends who may be involved in your care or paying for your care. Your request must 1) be in writing; 2) state the restrictions you are requesting; and 3) state to whom the restriction applies. We are not required to agree to your request. If we do agree, we will comply with your request unless the restricted information is needed to provide you with emergency treatment.
You may ask that we communicate with you in a particular way and in a particular place to protect the confidentiality of your medical information. Your request must be submitted in writing to MYCB1 at the address listed below and you must state an alternate method or location you would like us to use to communicate your medical information to you.
We reserve the right to revise this statement. A revised statement will be effective for information we already have about you as well as any information we may receive in the future.
MYCB1 B.V. is located at:
Science Park 106 Amsterdam
1098 XG , Netherlands