License: HHA205014223                                                                            6001 NW 153 St. Suite 152. Miami Lakes, Fl 33014

Professional Home Services ... Notice of Privacy Practices

 Professional Home Services is providing this Notice of Privacy Practices because the privacy of your health information is very important to our Patients and to us, and in compliance with federal regulations.

 By “your health information” we mean the information that we maintain that specifically identifies you and your health status.

Summary

This Notice describes how we use your health information within Professional Home Services and disclose it outside Professional Home Services, and why.

 The Notice covers:

• Uses or disclosures which do not require your written authorization.

• Treatment, payment, and health care operations.

• Uses or disclosures of your health information to which you may object.

• Uses or disclosures required or permitted.

•  Uses or disclosures which require your written authorization.

•  Your rights as a patient regarding privacy of your health information.

• Our duties in protecting your health information.

• Complaints, contact person, effective date, and acknowledgement.

 Uses or Disclosures Which Do Not Require Your Written Authorization

 Treatment, Payment, and Health Care Operations

We use or disclose your health information to carry out your treatment; to obtain payment for your treatment; and to conduct health care operations.

For example:

·        For treatment, we use your health information to plan, coordinate, and provide your care.  We disclose your health information for treatment purposes to physicians and other health care professionals outside our agency who are involved in your care.

·        For payment, we use your health information to prepare documentation required by your insurance company or HMO or by Medicare or Medicaid.  We disclose that part of your health information that these organizations require to pay us.

·        For health care operations, we use or disclose your health information, for example, to improve the quality of our services, to plan better ways of treating patients, and to evaluate staff performance.

 Uses or Disclosures of Your Health Information to Which You May Object

 We may use or disclose your health information for the following purposes, unless you ask us not to.

 ·                    Informing family and friends.  We may disclose your health information to family, friends, or others identified by you who are involved in your care.

·                    Assistance in disaster relief efforts.

·                    For fundraising activities.  We may contact you or your family for fundraising purposes.  If you do not wish to be contacted for this purpose, please contact the Agency Administrator and indicate that you do not wish to receive fundraising communication from us.

·                    Confirming our visits to your home or other appointments.

·                    Informing you about treatment alternatives or other health-related benefits and services that may be of interest to you.

 If you object to our use of your health information for any of these purposes please contact:

The Agency Administrator

Uses or Disclosures Required or Permitted

 Where we are required or permitted to do so, we may use or disclose your health information in the following circumstances without your written authorization.

 ·                    Federal government investigation, when required by the Secretary of Health and Human Services to investigate or determine our compliance with federal regulation.

·                    Federal, state or local law requirements.

·                    Public health activities, for example to report communicable diseases or death; or for matters involving the Food and Drug Administration.

·                    Reporting of abuse, neglect or domestic violence.

·                    Health oversight activities by a health oversight agency.  (A health oversight agency is an organization authorized by the government to oversee eligibility and compliance and to enforce civil rights laws.)

·                    Judicial or administrative proceedings, for example responding to a court order or subpoena.

·                    Law enforcement purposes, for example to report certain types of wounds or other physical injuries or to identify or locate a suspect, fugitive, material witness, or missing person.

·                    Use by coroners, medical examiners, or funeral directors.

·                    Facilitating organ, eye, or tissue donation.

·                    Research, provided that very strict controls are enforced.

·                    Averting a serious threat to your health or safety or that of the public.

·               Specialized government functions such as military or veterans’ affairs; national security, and intelligence activities.

Workers' compensation

| Professional Home Services.  All rights reserved. |