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Servants MissionServants MissionTell us if you think your information was handled improperly. We take it seriously, and there is no retaliation.
If you believe your health information may have been improperly used, shared, or exposed, you can tell us, and you do not have to give your name. Submit your concern using the form below, or contact our Privacy Officer at privacy@servantsmission.net; we will review it under our breach-notification policy and take any action the law requires. Servants Mission Inc. will not retaliate against anyone for raising a privacy concern in good faith (45 CFR 164.530(g)). You also have the right to file a complaint directly with the U.S. Department of Health and Human Services, Office for Civil Rights, at www.hhs.gov/ocr/privacy/hipaa/complaints/.
45 CFR 164.530(g)
Do not include PHI in this form
Describe what happened in plain language. Do not include patient names, diagnoses, medications, or treatment details. Compliance will follow up to gather any further details under the appropriate authorization.