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.

1. Below is a description, including at least one (1) example of the types of uses and

disclosures that the above organization is permitted to make for each of the following

purposes: treatment, payment, and health care operations.

Disclosures to other health care providers, including, for example, to patients' attending

physicians. Submission of claims and supporting documentation including, for example,

to organizations responsible to pay for services provided by the organization.

Disclosures to conduct the operations of the organization, including, for example, sharing

information to supervisors of staff members who provide care to patients.

2. Below is a description of each of the other purposes for which the organization is

permitted or required to use or disclose protected health information without an

individual's written consent or authorization.

To patients, incident to another permitted use or disclosure, by agreement, to the

Secretary of the U.S. Department of Health and Human Services, as required by law, for

public health activities, information about victims of abuse, neglect, or domestic violence,

health oversight activities, for judicial and administrative proceedings, for law

enforcement proceedings, about decedents, for cadaveric organ, eye, or tissue donation,

for research purposes, to avert a serious threat to health or safety, for specific government

functions, to business associates of the organization, to personal representatives, deidentified information, to workforce members who are victims of crimes, to workers'

compensation programs, for involvement in the individual's care and for notification

purposes, with the individual present, for limited uses and disclosures when the

individual is not present, and for disaster relief purposes.

3. Other uses and disclosures, such as disclosure of psychotherapy notes, use of protected

health information for marketing activities and the sale of protected health information,

will be made only with the individual's written authorization and the individual may

revoke such authorization.

4. The organization may contact the individual to schedule visits and for other coordination

of care activities.

5. The individual has the right to request further restrictions on certain uses and disclosures

of protected health information, but the organization is not required to agree to any

requested restriction(s), except disclosures must be restricted to health plans if the

disclosure is for the purpose of carrying out payment or health care operations and is not

otherwise required by law and the protected health information pertains solely to a health

care item or service for which the individual or person other than the health plan on

behalf of the individual has paid the organization in full.

6. The individual has the right to receive confidential communications of protected health

information, the right to inspect and copy protected health information, the right to

amend protected health information, the right to receive an accounting of disclosures of

protected health information and the right to obtain a paper copy of this Notice from the

organization upon request.

7. The organization is required by law to maintain the privacy of protected health

information and to provide individuals with notice of its legal duties and privacy

practices with respect to protected health information and to notify affected individuals

following a breach of unsecured protected health information.

8. The organization is required to abide by the terms of this Notice currently in effect.

9. The organization reserves the right to change the terms of its Notice and to make the new

notice provisions effective for all protected health information that it maintains.

Individuals may obtain a revised copy of this Notice upon request.

10. Individuals may complain to the organization and to the Secretary of the U.S. Department

of Health and Human Services if they believe their privacy rights have been violated.

Complaints should be directed to the Privacy Officer at Emma’s Home Healthcare Service’s at the

following telephone number: 346-780-2098.

Individuals will not be retaliated against for

filing a complaint.

11. For further information, individuals should contact the Privacy Officer at Emma’s Home

Healthcare Service’s at the following telephone number:346-780-2098.

12. This Notice is in effect as of October 23, 2021.