Privacy Policy | Gaylord Specialty Healthcare

Gaylord Hospital, Inc.
Notice of Privacy Practices
Effective: 2/16/2026

JOINT NOTICE OF PRIVACY PRACTICES

Effective: February 16, 2026
This Notice of Privacy Practices (“Notice”) explains how Gaylord Hospital and its affiliated entities may use and disclose your health information, how we protect it, and how you can exercise your rights.

Gaylord Hospital values your privacy and is committed to protecting the medical and other personal information about you and all our patients. Federal and state law require us to maintain the privacy and security of your protected health information (“PHI”) and to provide you with notice of our legal duties and privacy practices, as well as your rights regarding your health information.

Who Will Follow This Notice?

This Notice describes the privacy practices of Gaylord Hospital, Gaylord Farms Rehabilitation Center, related entities, and their respective facilities and programs, including facilities located throughout Connecticut (collectively, “Gaylord”).

This is a Joint Notice of Privacy Practices and applies to Gaylord inpatient, outpatient, therapy clinics, and other Gaylord-affiliated programs involving the use or disclosure of PHI. The privacy practices described in this Notice will also be followed by:

• Physicians and other practitioners who are members of Gaylord’s medical staff or who practice at Gaylord facilities

• All employees, trainees, students, and volunteers at any Gaylord location

• Health care professionals who provide services to you at Gaylord

• Business associates and partners who perform services for Gaylord and require access to PHI

These individuals and entities may share PHI with one another as necessary to coordinate your care and for other purposes described in this Notice. While many of these entities work together in a clinically integrated setting, some are separate legal entities.

Purpose of This Notice

This Notice describes:

• How we may use and disclose your PHI for treatment, payment, and health care operations (TPO) and other lawful purposes

• Your rights regarding your health information

• Our legal responsibilities to safeguard your information

This Notice applies to all PHI created or received by Gaylord Hospital, whether in paper, electronic, or verbal form.

Gaylord Hospital, Inc.

Notice of Privacy Practices

Effective: 2/16/2026

How We Provide This Notice

We will:

• Post this Notice in prominent locations throughout our facilities

• Make it available on our website

• Offer a paper or electronic copy to patients upon request

You may request a paper copy at any time, even if you previously agreed to receive this Notice electronically.

We reserve the right to change this Notice. Any changes will apply to PHI we already have and to information received in the future. Updated Notices will be available upon request, posted in our facilities, and posted on our website.

What Is Protected Health Information (PHI)?

PHI is information that:

• Identifies you or could reasonably be used to identify you

• Relates to your past, present, or future physical or mental health or condition

• Relates to the provision of health care to you or payment for that care

PHI may be created, used, stored, or shared verbally, electronically, or in writing.

How We Use and Disclose Your PHI (Without Your Authorization)

For Treatment

We may use or disclose PHI to provide, coordinate, or manage your health care. Example: Sharing therapy notes or discharge summaries with your referring provider.

For Payment

We may use or disclose PHI to bill and collect payment from health plans or other payers. Example: Submitting claims or providing documentation to support medical necessity.

Your Right to Restrict Insurance Disclosure: If you pay out-of-pocket, in full, for a specific service or item, you may request that we not disclose information about that service to your health plan for payment or operations. We will honor this request unless disclosure is required by law.

For Health Care Operations

We may use or disclose PHI for operational purposes such as quality improvement, training, accreditation, licensing, auditing, compliance, and business management activities.

Gaylord Hospital, Inc.

Notice of Privacy Practices

Effective: 2/16/2026

Use of Artificial Intelligence and Ambient Listening Tools We may use secure technologies, including artificial intelligence (AI) tools, to support treatment, payment, and healthcare operations. This may include tools that listen to and process conversations between you and your healthcare providers to assist with clinical documentation. These tools are designed to help improve accuracy and allow your care team to focus on you. Your healthcare providers review and approve all information before it becomes part of your medical record.

Other Permitted Uses and Disclosures

Subject to applicable law, we may disclose PHI for:

• Public health activities (disease reporting, public health surveillance)

• Health oversight activities (audits, investigations, inspections, licensure, accreditation)

• Reporting abuse, neglect, or domestic violence

• Judicial and administrative proceedings

• Law enforcement purposes

• Coroners, medical examiners, and funeral directors

• Organ and tissue donation

• Approved research activities with required safeguards

• Disaster relief efforts

• Public safety threats

• Workers’ compensation and similar programs

Business Associates

We may share PHI with business associates who perform services for us. All business associates are required by law and contract to protect the privacy and security of your PHI.

Additional Ways We May Contact You or Use Information

• Appointment reminders (mail, phone, voicemail, or electronic messaging)

• Care coordination and treatment alternatives

• Health-related services that may benefit you

• Hospital directory listings (unless you opt out)

• Individuals involved in your care or payment for care, unless you object

• Fundraising communications (you may ask to opt out at any time)

• Identity verification during registration

You may request confidential communications, such as using an alternate address or phone number.

Gaylord Hospital, Inc.

Notice of Privacy Practices

Effective: 2/16/2026

Health Information Exchange (HIE)

Gaylord Hospital participates in the Connecticut Health Information Exchange (HIE), which allows health care providers involved in your care to securely share health information electronically for treatment, care coordination, quality improvement, and public health purposes, as permitted by law.

You have the right to opt out of having your health information shared through the HIE. Opting out will not affect your ability to receive care or benefits. To learn more about the HIE or to opt out, you may visit the Connecticut HIE website at https://www.conniect.org or contact Gaylord Hospital’s Privacy Officer for assistance.

Sensitive Health Information (Non-Part 2 Facility)

Gaylord Hospital is not a federally designated Substance Use Disorder (SUD) Part 2 program. However, certain types of health information receive additional protection under state or federal law, including:

• Mental health information

• HIV-related information

• Certain substance-related treatment information

When required, we will obtain your specific written authorization or comply with applicable legal requirements before disclosing such information.

Uses and Disclosures Requiring Your Written Authorization

We will obtain your written authorization before using or disclosing PHI for purposes not otherwise permitted by law. You may revoke an authorization in writing at any time, except to the extent action has already been taken.

Your Rights Regarding Your Health Information

You have the right to:

• Access your health information and obtain a paper or electronic copy in the format you request, when readily producible

• Request amendments to your health information

• Receive an accounting of disclosures made in the past six years (excluding TPO)

• Request confidential communications

• Request restrictions on certain uses or disclosures (we are not required to agree, except as required by law)

• Be notified of breaches of unsecured PHI without unreasonable delay

• File a complaint without fear of retaliation

Requests may be made during registration, during your stay, or by contacting the Privacy Officer. Some requests must be submitted in writing.

Gaylord Hospital, Inc.

Notice of Privacy Practices

Effective: 2/16/2026

Patient Portal and Electronic Access to Health Information

Gaylord Hospital offers a secure patient portal that allows patients to access certain health information electronically, communicate with members of their care team, and manage aspects of their care. Use of the patient portal is optional.

We may make your protected health information available to you through the patient portal or by other electronic means, as permitted by law. You may also request access to your health information in paper form or in an electronic format of your choosing, when readily producible.

Gaylord Hospital uses reasonable administrative, technical, and physical safeguards to protect the privacy and security of health information accessed through the patient portal. However, no electronic system can be guaranteed to be completely secure. You are responsible for safeguarding your portal login credentials and for choosing whether to access your information electronically.

For Questions regarding this Notice or to Discuss Privacy Concern

• Contact Gaylord Hospital’s Privacy Officer (203) 284-2800

• Call Anonymous Compliance Hotline (203) 679-3537

• Send letter in writing to Gaylord Hospital at address below

How to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with:

Gaylord Hospital – Privacy Officer P.O. Box 400 Gaylord Farm Road Wallingford, CT 06492

Office for Civil Rights U.S. Department of Health and Human Services Boston Regional Office

John F. Kennedy Federal Building

15 New Sudbury St

Boston, MA 02109

There will be no retaliation for filing a complaint.

Gaylord Hospital understands how important it is to protect your health information. We are committed to safeguarding your privacy, complying with the law, and supporting your rights.

Notice of Availability of Language Assistance Services

English: If you speak English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call (203) 741-3385 (TTY (203) 284-2700) or speak to your provider.

Spanish: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al (203) 741-3385 (TTY (203) 284-2700) o hable con su proveedor.

Portuguese: Se você fala Português, serviços gratuitos de assistência linguística estão disponíveis para você. Auxílios e serviços auxiliares apropriados para fornecer informações em formatos acessíveis também estão disponíveis gratuitamente. Ligue para (203) 741-3385 (TTY (203) 284-2700) ou fale com seu provedor.

Polish: Osoby mówiące po polsku mogą skorzystać z bezpłatnej pomocy językowej. Dodatkowe pomoce i usługi zapewniające informacje w dostępnych formatach są również dostępne bezpłatnie. Zadzwoń pod numer (203) 741-3385 (TTY (203) 284-2700) lub porozmawiaj ze swoim dostawcą.

Simplified Chinese: 如果您说中文，我们将免费为您提供语言协助服务。我们还免费提供适当的辅助工具和服务，以无障碍格式提供信息。致电 (203) 741-3385 (文本电话： (203) 284-2700 ) 或咨询您的服务提供商。

Italian: se parli Italiano, sono disponibili servizi di assistenza linguistica gratuiti. Sono inoltre disponibili gratuitamente ausili e servizi ausiliari adeguati per fornire informazioni in formati accessibili. Chiama l’ (203) 741-3385 (TTY (203) 284-2700)o parla con il tuo fornitore.

French: Si vous parlez Français, des services d’assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement. Appelez le (203) 741-3385 (TTY (203) 284-2700) u parlez à votre fournisseur.

Haitian Creole: Si w pale kreyòl ayisyen, gen sèvis èd ki disponib pou ou gratis pou lang ou pale a. Gen èd ak sèvis siplemantè apwopriye pou bay enfòmasyon nan fòma aksesib yo ki disponib gratis tou. Rele nan (203) 741-3385(TTY (203) 284-2700) oswa pale avèk founisè w la.

Russian: Если Вы говорите по-русски, Вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону (203) 741-3385 (TTY (203) 284-2700) или обратитесь к своему поставщику услуг.

Vietnamese: Nếu quý vị nói [tiếng Việt], chúng tôi cung cấp miễn phí các dịch vụ trợ giúp ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Xin vui lòng gọi theo số

(203) 741-3385 (TTY (203) 284-2700)hoặc trao đổi với người cung cấp dịch vụ của quý vị.

Korean: 한국어를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. (203) 741-3385 (TTY (203) 284-2700) 번으로 전화하거나 서비스 제공업체에. 문의하십시오.

Albanian: Nëse flisni Shqip, shërbime falas të ndihmës gjuhësore janë në dispozicion për ju. Mjetet dhe shërbimet e përshtatshme për të ofruar informacion në formate të aksesueshme janë gjithashtu në dispozicion falas. Telefononi (203) 741-3385 (TTY (203) 284-2700) ose flisni me ofruesin tuaj të shërbimit.

Hindi:

Tagalog: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa (203) 741-3385 (TTY (203) 284-2700) o makipag-usap sa iyong provider.

Greek: Εάν μιλάτε ελληνικά, υπάρχουν διαθέσιμες δωρεάν υπηρεσίες υποστήριξης στη συγκεκριμένη γλώσσα. Διατίθενται δωρεάν κατάλληλα βοηθήματα και υπηρεσίες για παροχή πληροφοριών σε προσβάσιμες μορφές. Καλέστε το (203) 741-3385 (TTY (203) 284-2700) ή απευθυνθείτε στον πάροχό σας.

Created 6/2025

Interpretation Services AvailableConnecticutwww.Если Вы говорите по-русски, Вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону (TTY: ) или обратитесь к своему поставщику услуг.Vietnamese: Nếu quý vị nói [tiếng Việt], chúng tôi cung cấp miễn phí các dịch vụ trợ giúp ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Xin vui lòng gọi theo số (TTY: ) hoặc trao đổi với người cung cấp dịch vụ của quý vị. إذا كنت تتحدث اللغة العربية، فستتوفر لك خدمات المساعدة اللغوية المجانية. كما تتوفر :Arabicوسائل مساعدة وخدمات مناسبة لتوفير المعلومات بتنسيقات يمكن الوصول إليها مجانًا. اتصل على

أو تحدث إلى مقدم الخدمة الخاص بك. ( :TTY) الرقم

Korean: 한국어를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. (TTY: ) 번으로 전화하거나 서비스 제공업체에 문의하십시오.Albanian: Nëse flisni Shqip, shërbime falas të ndihmës gjuhësore janë në dispozicion për ju. Mjetet dhe shërbimet e përshtatshme për të ofruar informacion në formate të aksesueshme janë gjithashtu në dispozicion falas. Telefononi (TTY: ) ose flisni me ofruesin tuaj të shërbimit.Hindi: यदि􀀪 आप हिं􀀽ं􀀪ी बोोलतेे 􀀽ं, तेो आपकेे लिलए निः􀀬ःशुुल्के भााषाा स􀀽ायतेा सेवााएं उपलब्ध 􀀽ं। सुलभा प्राारूपं मेंं जाा􀀬केारीी प्रा􀀪ा􀀬 केरी􀀬े केे लिलए उपयुक्त स􀀽ायके साध􀀬 औरी सेवााएँ निः􀀬ःशुुल्के उपलब्ध 􀀽ै। (TTY: ) परी केॉल केरीं या अप􀀬े प्रा􀀪ातेा से बोाते केरीं।Tagalog: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa (TTY: ) o makipag-usap sa iyong provider.203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx203-Arabic

(203) 741-3385 (TTY (203) 284-2700)

أو تحدث إلى مقدم الخدمة الخاص بك. ( :TTY) الرقم

Korean: 한국어를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. (TTY: ) 번으로 전화하거나 서비스 제공업체에 문의하십시오.Albanian: Nëse flisni Shqip, shërbime falas të ndihmës gjuhësore janë në dispozicion për ju. Mjetet dhe shërbimet e përshtatshme për të ofruar informacion në formate të aksesueshme janë gjithashtu në dispozicion falas. Telefononi (TTY: ) ose flisni me ofruesin tuaj të shërbimit.Hindi: यदि􀀪 आप हिं􀀽ं􀀪ी बोोलतेे 􀀽ं, तेो आपकेे लिलए निः􀀬ःशुुल्के भााषाा स􀀽ायतेा सेवााएं उपलब्ध 􀀽ं। सुलभा प्राारूपं मेंं जाा􀀬केारीी प्रा􀀪ा􀀬 केरी􀀬े केे लिलए उपयुक्त स􀀽ायके साध􀀬 औरी सेवााएँ निः􀀬ःशुुल्के उपलब्ध 􀀽ै। (TTY: ) परी केॉल केरीं या अप􀀬े प्रा􀀪ातेा से बोाते केरीं।Tagalog: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa (TTY: ) o makipag-usap sa iyong provider.Greek: Εάν μιλάτε ελληνικά, υπάρχουν διαθέσιμες δωρεάν υπηρεσίες υποστήριξης στη συγκεκριμένη γλώσσα. Διατίθενται δωρεάν κατάλληλα βοηθήματα και υπηρεσίες για παροχή πληροφοριών σε προσβάσιμες μορφές. Καλέστε το (TTY: ) ή απευθυνθείτε στον πάροχό σας.203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx203-284-28471-xxx-xxx-xxxx

(203) 741-3385 (TTY (203) 284-2700)