Mountain States Health Alliance Notice of Privacy Practices

Effective 9/23/13

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 Mountain States Health Alliance Notice of Privacy Practices
View the updated Notice of Privacy Practices here

 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 

If you have any questions about this notice, please contact the Mountain States Health Alliance Corporate Compliance Department 
at 423-302-3345 or the MSHA AlertLine at 

Providers who will follow Privacy Notice

Mountain States Health Alliance provides services to our patients in partnership with other healthcare professionals.  The information privacy practices in this notice will be followed by:

In Tennessee:

  • Franklin Woods Community Hospital
  • Indian Path Medical Center
  • Johnson City Medical Center
  • Johnson County Community Hospital
  • Kingsport Ambulatory Surgery Center
  • Niswonger Children's Hospital
  • James H. and Cecile C. Quillen Rehabilitation Hospital
  • Sycamore Shoals Hospital
  • Unicoi County Memorial Hospital
  • Woodridge Hospital

In Virginia:

  • Dickenson Community Hospital
  • Johnston Memorial Hospital
  • Norton Community Hospital
  • Russell County Medical Center
  • Smyth County Community Hospital

All departments and units of MSHA, including Skilled Nursing Facilities, Home Health and Hospice.

Healthcare professionals and others who may be involved directly or indirectly in your care such as employees, physicians, residents, students, volunteers, business associates affiliated with MSHA, and others. 


Our Pledge to You 

We understand that medical information about you is personal. MSHA is committed to insuring confidentiality and safeguards to protect your information. We create a record of the care and services you receive; and use this record to provide quality care and to comply with legal requirements. This notice applies to all of the records of your care that we maintain. Your personal doctor may have different policies or notices regarding the use and disclosure of your medical information created in the doctor's office. This notice will tell you about the ways in which we may use and disclose medical information about you; and describes your rights regarding the use and disclosure of medical information. We are required by law to make sure that medical information that identifies you is kept private; to give you this notice of our privacy practices; and to follow the terms of the notice that is currently in effect.