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

The agency is required by law to maintain the privacy of your protected health information (PHI). Furthermore, the agency must abide by the terms of this notice and any update to this notice.

Uses and disclosures:

We will use and disclose elements of your protected health information in the following ways:

1. For the provisions of health care treatment:

Examples include:

A. Written and oral communications with your physician for the oversight and supervision of the care provided by the agency. Such as, review, approval and changes to your plan of care, summary reports of care given and your response care given.
B. Written and oral communications with facilities which provide you with in-patient and/or outpatient care.
C. Written and oral communications with other home health, hospice or personal assistance agencies which are currently giving care to you.
D. Written and oral communications with laboratory or x-ray facilities required to provide or have provided care. For instance, for the purpose of giving monitoring and diagnosis of your condition.
E. Written and oral communication with contacted health care providers involved in the care given to you by the agency.
F. In emergency situation or to avert emergency situations. Also, to avert serious health/safety issues.

2. Payment:

Examples include:

A. Written and oral communications with Medicare and Medicaid. Also, with your private insurance carrier.
B. Electronically submitted health claims.

3. Health Care Options:

Examples include:

A. Referral to Durable Medical Equipment Companies and Pharmacies for the purpose of getting medical equipment and supplies. Also, medications necessary to give treatment.
B. Doing quality assessments and improvements activities. For instance, outcomes evaluations and development of clinical guidelines.
C. Conducting training programs in which to practice or better their skills such as health care providers.

4. When release is required by law, including in judicial settings and to health oversight and law enforcement.

5. To medical examiners, coroners of funeral directors to aid in identifying your help in doing their duties.

6. All other uses and disclosures by us will require us to get from a written authorization.

You have the Following Rights Concerning your PHI:

Restrictions:

To request restricted access to all or part of your PHI. Thus, to do this you must inform agency verbally. Secondly, sign an authorization that identifies what PHI you are requesting restricted access to. Furthermore, the agency staff member will give a form for this request. Certainly, we are not required to grant you your request.

Confidential Communications:

To get correspondence for confidential information by alternate means or location. Thus, you must inform the agency verbally and in writing of the alternate means and location you wish to use to get correspondence of confidential information. Moreover, the agency staff member will give you a form for this request.

Close Menu