Privacy, Quality and Safety

Notice of Privacy Practice

This Notice outlines your rights to the access and release of medical information regarding your care and treatment at Edgerton Hospital and Health Services. This information is provided in accordance with Federal regulations described in

R.S. 40:1299.96, 45 CFR 164.524 and 45 CFR 164.528.

Understanding Your Health Records and Information 

A record of your visit is created each time you visit a hospital, physician or other healthcare provider. Typically, these records contain essential information about your care and treatment. They describe the reason for you visit, examination and test results, your medical history, any diagnoses and treatments, your plan of care and the ultimate disposition of your care. All of this information is usually referred to as you “medical records” or “health information.” Your medical record essentially serves as a:

  • Basis for planning your care and treatment.
  • Means of communication between the multiple health care professionals involved in your care and treatment.
  • Legal document describing the care provided and follow-up care needed.
  • Source of information required for use by public health officials to assess the effectiveness of providers and health care programs in the State.
  • Source of data for the hospital to assess its performance and plan for future service needs.
  • Source of data and statistics for use in medical research.

By law, hospitals, physicians and health care providers own the medical records they create and are held responsible for their storage and safekeeping in accordance with applicable State and Federal laws. While you have specific rights to the access and release of information concerning your personal medical records, you do not own them.

Please review our full Notice of Privacy Practice. (link to PDF)

Requests for Information and Problem Reporting

 If you have any questions regarding health information policies and practices, or you would like to report a problem, please contact our Health Information Office at 608-884-1625. If you believe your privacy rights have been violated, you may file a written complaint with the Edgerton Hospital Health Information Office or directly with the Secretary of Health and Human Services. 

Edgerton Hospital and Health Services, Medical Record Department
11101 N. Sherman Road
Edgerton, WI 53534
Phone: 608-884-3441
Fax: 608-884-1626

Download our Patients’ Rights and Responsibilities
English version
Spanish version

To report concerns about patient safety and quality of care, contact:

Quality Director
Edgerton Hospital and Health Services
11101 N. Sherman Road
Edgerton, WI 53534
608-561-6620 

Office of Quality Monitoring
The Joint Commission
One Renaissance Blvd.
Oakbrooke Terrace, IL 60181
800-994-6610
Fax: 630-792-5636
complaint@jointcommission.org

Wisconsin Department of Health Services
Wisconsin Division of Quality Assurance
PO Box 2969
Madison, WI 53701
608-266-8481