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Resources & Education: 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.

Our Legal Requirements

The law requires us to:

  • Make sure that medical information that identifies you is kept private;
  • Give you this notice of our legal duties and privacy practices with respect to medical information about you;
  • Obtain acknowledgement of receipt of this notice from you;
  • Follow the terms of the notice that is currently in effect;
  • Change the notice only in accordance with federal rules; and
  • Provide our internal complaint process for privacy issues to you
  • ALL EMPLOYEES, STAFF, & OTHER HOME PATIENT SERVICES PERSONNEL WILL FOLLOW OUR PRIVACY PRACTICES

OUR PLEDGE REGARDING MEDICAL INFORMATION

Home Patient Services understands that medical information about you and your health is personal. We are committed to protecting medical information about you. Our records comply with all legal requirements. Our pledge applies to all records of your care.

YOUR RIGHTS REGARDING YOUR MEDICAL INFORMATION

You have the following rights regarding medical information we maintain about you:

  • Right to inspect and copy: You have the right to your medical information. Please write to:

Home Patient Services, Inc.
8240 N McCormick Blvd
Skokie, IL 60076

YOUR RIGHTS REGARDING YOUR MEDICAL INFORMATION (CONT.)

  • Right to Amend. Amendments can be made at any time if the medical information we have about you is incorrect or incomplete. To amend your medical information, please write to:

Home Patient Services, Inc.
8240 N McCormick Blvd
Skokie, IL 60076

You must state a time period, which may not be longer than six years. The first list you request within a one year period will be free. Additional charges may be incurred for these lists.

YOUR RIGHTS REGARDING YOUR MEDICAL INFORMATION (CONT.)

  • Right to Request Restrictions.You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, health care operations, or to someone who is involved in your care or payment for your care, like a family member or friend. We are not obligated to agree to your request. We will comply with your request unless the information is needed in an emergency. To request restrictions, please write to:

Home Patient Services, Inc.
8240 N McCormick Blvd
Skokie, IL 60076

In your request, please tell us what information you want to limit and whether you want to limit or use, disclose or both; also to whom you want the limits to apply.

  • Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you may ask us to communicate with you at work or by mail.

Home Patient Services, Inc.
8240 N McCormick Blvd
Skokie, IL 60076

We will not ask you the reason for your request. We will accommodate all reasonable requests.

  • Right to a Paper Copy of This Notice. You have the right to a hard copy of this notice at any time. You may obtain a copy of this notice at our website, www.homepatientservices.com or by writing to us at:

Home Patient Services, Inc.
8240 N McCormick Blvd
Skokie, IL 60076

How We May Use & Disclose Medical Information About You

The following categories describe different ways that we are permitted to use and disclose medical information as a health care provider. Not every use or disclosure in a category will be listed.

  • For Treatment. We may use medical information about you to others involved in your health treatment.
  • Treatment Alternatives. We may use and disclose medical information to tell you about treatment options that may interest you
  • For Health Care Operations. We may use and disclose medical information about you for our daily health care operations. These operations include training of staff or in an effort to better your care.
  • Health-Related Benefits & Services. We may use and disclose medical information to tell you about health-related benefits or services that may be of interest to you.
  • Delivery Reminders.
  • For Payment. We may use and disclose medical information about you so that the treatment and services provided may be billed to and payment may be collected from you, an insurance company or a third party, such as a health plan.

How We May Use & Disclose Medical Information About You (cont.)

  • Individuals Involved in Your Care4 or Payment for Your Care. Friends or family members involved in your medical care. or payment for such care may have possible access to your medical information.
  • Research. Only with your authorization, under certain circumstances we may disclose your medical information for the purposes of research.
  • As Required By Federal, State, or Local Law
  • To Avert Threats to Health or Safety

Atypical Disclosures

  • Workers‘Compensation
  • Public Health Agencies
  • Judicial and Administrative Proceedings
  • Post-Mortem Agencies (Coroners, Funeral Directors, & Medical Examiners)
  • Organ & Tissue Donation. We may disclose your medical information to facilitate organ & tissue donation.

We reserve The Right To Change This Notice At Any Time

Complaints Can Be Filed With The Department Of Health & Human Services or With Home Patient Services, Inc.

 
 
 
Home Patient Services
8240 McCormick Blvd., Skokie, IL 60076
Toll Free: 1.877.9-HOME-02
                 1.877.946.6362
Local: 1.847.673.5511
Fax: 1.847.673.5566
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