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. Our Responsibilities

Homevale Infusions, LLC is required by law to maintain the privacy and security of your protected health information ("PHI"), to provide you with this notice of our legal duties and privacy practices, to follow the terms of the notice currently in effect, and to notify you promptly if a breach occurs that may have compromised the privacy or security of your information.

2. How We May Use and Disclose Your Health Information

Treatment: We may use and share your PHI to provide, coordinate, or manage your care, for example with your physicians, pharmacies, and other providers involved in your treatment.

Payment: We may use and share your PHI to bill and receive payment from health plans or other payers, including to verify coverage and obtain prior authorization.

Health care operations: We may use and share your PHI to run our organization, improve care quality, train staff, and conduct audits and compliance activities.

Other uses and disclosures permitted or required by law include: as required by law; for public health and safety activities; to health oversight agencies; for judicial and administrative proceedings; for law enforcement purposes; to coroners, medical examiners, and funeral directors; for organ and tissue donation; to avert a serious threat to health or safety; for specialized government functions; for workers' compensation; and to business associates who perform services on our behalf under written agreements to protect your information.

Family and friends: Unless you object, we may share relevant information with a family member, friend, or other person involved in your care or payment for your care.

3. Uses Requiring Your Written Authorization

We will not use or share your information for marketing purposes, sell your information, or share most psychotherapy notes without your written authorization. Other uses and disclosures not described in this notice will be made only with your written authorization, which you may revoke in writing at any time, except to the extent we have already relied on it.

4. Your Rights

Right to access: You may request to inspect or obtain an electronic or paper copy of your health and claims records. We may charge a reasonable, cost-based fee.

Right to amend: You may ask us to correct health information you believe is incorrect or incomplete. We may deny your request, and if so, we will tell you why in writing.

Right to request confidential communications: You may ask us to contact you in a specific way or at a different address. We will accommodate reasonable requests.

Right to request restrictions: You may ask us to limit what we use or share for treatment, payment, or operations. We are not required to agree, except that if you pay for a service out of pocket in full, you may ask us not to share that information with your health plan.

Right to an accounting of disclosures: You may request a list of certain disclosures we have made of your PHI in the six years prior to your request.

Right to a paper copy: You may request a paper copy of this notice at any time, even if you have agreed to receive it electronically.

Right to choose someone to act for you: If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.

5. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us by contacting our Privacy Officer at privacy@homevaleinfusions.com, or with the U.S. Department of Health and Human Services Office for Civil Rights at 200 Independence Avenue, S.W., Washington, D.C. 20201, by calling 1-877-696-6775, or by visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.

6. Changes to This Notice

We may change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request and on our website.

7. Nondiscrimination

Homevale Infusions complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Language assistance services and appropriate auxiliary aids are available free of charge upon request.

8. Contact

Privacy Officer, Homevale Infusions, LLC: privacy@homevaleinfusions.com