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Notice of Privacy Practices
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.
Although your company is sponsoring this biometric screening event, your participation in this program is voluntary. The results of this screening will not be shared with your employer. I understand that BaySport staff will have access to my test results for ascertaining if the results are within normal ranges. Group statistics may be used by BaySport and shared with IBEW 595 representatives for summary report purposes only. Personal health information and test results may be shared between BaySport staff solely for the purpose of additional and specific follow-up, results counseling services and targeted educational outreach. No other individual or entity will have access to your individual test results without express written permission from you or via court order. Any third party vendor will be contractually obligated to comply with the HIPAA Act of 1996 to protect the confidentiality of your test results. The responsibility for initiating any medical examination for possible abnormalities identified by this Wellness Screening program is yours. Neither BaySport, IBEW 595 nor its contractors has any such responsibility. If you have any questions regarding this program, please do not hesitate to ask a BaySport representative or the BaySport Health Screening Program Manager, Brian Schonfeld at [email protected] .