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.
If you have any questions about this Notice or have a complaint or concern, please contact the Amada Home Health at (949) 544-1538.
WE HAVE A LEGAL DUTY TO SAFEGUARD YOUR PROTECTED HEALTH INFORMATION (“PHI”).
We are legally required to protect the privacy of your health information. We call this information “Protected Health Information” or “PHI” for short, and it includes information that can be used to identify you that we have created or received about your past, present, or future health or condition; the provision of health care to you; or the payment for this health care. Health Information is considered protected for 50 years after death of the patient.
We must provide you with this notice about our privacy practices that explain how, when, and why we use and disclose your PHI. With some exceptions, we may not use or disclose any more of your PHI than is necessary to accomplish the purpose of the use or disclosure. We are legally required to follow the privacy practices described in this Notice.
We reserve the right to change the terms of this notice and our privacy policies at any time. Any changes will apply to the PHI we already have. Before we make an important change to our policies, we will promptly change this Notice and post a new Notice in the Amada Home Health’s main reception area. You can also request a copy of this Notice from the contact number listed above.
HOW WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU.
The following describes the way we use and disclose (or release) your medical information:
YOUR HEALTH INFORMATION RIGHTS
Although your health record is the property of the Amada Home Health, you have the right to:
If you believe your privacy rights have been violated, you may file a complaint by stating the violation you believe to have occurred or which is occurring and deliver it to the Amada Home Health HIPAA Liaison or the Secretary of the U.S. Department of Health and Human Services. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
OTHER USES OF THIS MEDICAL INFORMATION
Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you give us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.
PRIVACY OFFICER/MEDICAL RECORDS DIRECTOR
Please contact the Amada Home Health HIPAA Liaison at the address and telephone number listed below:
Amada Home Health
Attention: HIPAA Compliance Partner or Privacy Officer
901 Calle Amanecer #360
San Clemente, CA 92673
Phone: (949) 544-1538