HIPAA Policy

We at Craft Wheel Chair Repair practice all of HIPAA Privacy Security rules and regulations at all times.

If you would like to have a copy of this publication please contact atwc@att.net Shay Moore at (323) 931-6164/65 Office, and (866) 931-6164 Toll Free.

Notice of Privacy Practices

Effective April 14, 2003

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TOTHIS INFORMATION.

Please Review This Notice Carefully

Craft Wheelchair Repair is required to maintain the privacy of your Protected Health Information (“PHI”) and to provide you with a notice of our legal duties and privacy practices with respect to PHI. PHI is information about you, including basic demographic information that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services. This Notice of Privacy Practices (“Notice“) describes how we may use and disclose your PHI to carry out treatment, payment, or health care operations and for other specified purposes that are permitted by law. The Notice also describes your rights with respect to your PHI.

Craft Wheelchair Repair is required to follow the terms of this Notice. We will use your PHI for purposes of treatment, payment or health care operations. We will not use or disclose your PHI for any other purposes about you without your written authorization, except as described in this Notice. We reserve the right to change our practices and this Notice and to make the new Notice effective for all PHI we maintain. Upon request, we will provide a revised Notice to you.

For Treatment

How Craft Wheelchair Repair May Use or Disclose Your Health Information

Craft Wheelchair Repair may use your health information to provide, coordinate and manage your health care and related services. For example, information obtained by a health care provider, such as a physician, nurse or pharmacist providing health services to you will record information in your record that is related to your treatment. This information is necessary for health care providers to determine what treatment you should receive. Health care providers will also record actions taken by them in the course of your treatment and note how you respond to the actions. Craft Wheelchair Repair for example, will use this information to confer with your physician or dentist regarding your prescription needs.

This notice is effective in its entirety as of April 14, 2003.

For Payment

Craft Wheelchair Repair may use and disclose your health to others for purposes of receiving payment for treatment and services that you receive. For example, Craft Wheelchair Repair will contact your insurer, pharmacy benefit manager, or other third-party payors to determine whether it will pay for your prescription and the amount of your co-payment responsibility. Craft Wheelchair Repair will bill you or a third-party payor for the cost of prescription medication dispensed to you. The information on or accompanying the bill may include information that identifies you, as well as the prescriptions that you are taking.

For Health Care Operations

Craft Wheelchair Repair may use and share information about you for operational purposes. For example, your health information may be used by members of the Craft Wheelchair Repair staff to:

evaluate the performance of technicians or other staff

assess the quality of care and outcomes in your cases and similar cases

learn how to improve our facilities and services

determine how to continually improve the quality and effectiveness of the health care and services we provide to you

Craft Wheelchair Repair Will Use or Disclose PHI in Its Regular Course of Business for The Following Reasons:

Communication With You

Craft Wheelchair Repair will use your information to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you (if applicable to provider).

Communication With Individuals Involved In Your Care or Payment For Your Care

Craft Wheelchair Repair using our professional judgment, may disclose to other healthcare professional such as physicians and pharmacists, a family member, other relative, close personal friend or any person you identify, PHI relevant to that persons involvement in your care or payment related to your care.

Notification

Craft Wheelchair Repair may use or disclose PHI about you to notify or assist in notifying a family member, personal representative, or another person responsible for your care, your location and general condition.

Required By Law

Craft Wheelchair Repair may use and disclose information about you as required by

law. For example, Craft Wheelchair Repair may disclose information for the following purposes:

for judicial and administrative proceedings pursuant to legal authority

to report information related to victims of abuse, neglect or domestic violence

to assist law enforcement officials in their law enforcement duties

This notice is effective in its entirety as of April 14, 2003.

Incidental Disclosures

Craft Wheelchair Repair may disclose PHI incidental to our provision of treatment, payment or health care operations. For example, in our telephone discussions with physicians, PHI might be overheard by a member of our staff other that the staff member placing the call.

Public Health

Your health information may be used or disclosed for public health activities such as assisting public health authorities or other legal authorities to prevent or control disease, injury or disability or for other health oversight activities.

Food and Drug Administration (FDA)

Craft Wheelchair Repair may disclose to the FDA or its agents PHI adverse events with respect to drugs, foods, supplements, products and product defects or post marketing surveillance information to enable product recalls, repairs or replacement (if applicable to provider).

Health Oversight Activities

Craft Wheelchair Repair may disclose PHI about you to an oversight agency for activities authorized by law. These oversight activities include audits, investigations, inspections, as necessary for our licensure and for the government to monitor the health care system, government programs, and compliance with civil rights laws.

Business Associates

These are some services provided by us through contracts with business associates. Examples may include, from time to time, mailing or delivery services. When these services are contracted for, we may disclose PHI about you to our business associate only to the extent necessary so that they can perform the job we have asked them to do. To protect the PHI about you, we require the business associate to appropriately safeguard the PHI.

Worker’s Compensation

Your health information may be used or disclosed in order to comply with laws and regulations related to Workers Compensation.

Craft Wheelchair Repair Is Further Permitted To Use Or Disclose PHI About You For The Following Purposes

Coroners, Medical Examiners and Funeral Directors

Craft Wheelchair Repair may release PHI about you to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. Craft Wheelchair Repair may also disclose PHI to funeral directors consistent with applicable law to carry out their duties.

Organ or Tissue Procurement Organizations

Consistent with applicable law, Craft Wheelchair Repair may disclose PHI about you to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of tissue donation and transplant.

This notice is effective in its entirety as of April 14, 2003.

Correctional Institution

If you are or become an inmate of a correctional institution, Craft Wheelchair Repairmay disclose to the institution or its agents PID necessary for your health and the health and safety of others.

Threat to Health or Safety

Craft Wheelchair Repair may use and disclose PHI about you when necessary to prevent a serious threat to your health and safety or the health and safety of another person.

Military and Veterans

If you are a member of the Armed Forces, Craft Wheelchair Repair may release PHI about you as required by military command authorities. Craft Wheelchair Repair may also release PHI about foreign military personnel to the appropriate military authority.

National Security and Intelligence Activities

Craft Wheelchair Repair may release PHI about you to authorized federal officials for intelligence, counterintelligence, or other national security activities authorized by law.

Protective Government Functions

Craft Wheelchair Repair may disclose PHI about you to authorized federal officials so they provide protection to the President, other authorized persons, or foreign heads of state or conduct special investigations.

Victims of Abuse, Neglect or Domestic Violence

Craft Wheelchair Repair may disclose PHI about you to a government authority, such as a social service or protective services agency if we reasonably believe you are a victim of abuse, neglect, or domestic violence. We will only disclose this type of information to the extent required by law, if you agree to the disclosure or if the disclosure is allowed by law and we believe it is necessary to prevent serious harm to you or someone else or the law enforcement or public official that is to receive the report represents that it is necessary and will not be used against you.

Research

Craft Wheelchair Repair may disclose PHI about you to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your information (if applicable to provider).

Other Uses and Disclosures of PHI

Other uses and disclosures, other than those described above or otherwise permitted or required by law, will only be made with your written authorization. You may revoke such a written authorization in writing at any time. Upon receipt of the written revocation, we will stop using or disclosing PHI about you, except to the extent that we have already taken action in reliance on your authorization.

This notice is effective in its entirety as of April 14, 2003.

Your Privacy Rights

You have the following rights with respect to PHI about you:

Obtain a Paper copy of the Notice Upon Request

You may request a copy of the most current version of this Notice at any time. Even if you have agreed to receive the notice electronically, you are still entitled to a paper copy. To obtain a paper copy, contact Shay Moore Chief Privacy Officer.

Inspect and Obtain a Copy of PHI

You have the right to inspect and obtain a copy of the PHI about you contained in a designated record set forth as long as Craft Wheelchair Repair maintains the PHI. The designated record setusually will include prescription, physician orders and billing records. To inspect or receive a copy of your PHI for your inspection, you must send a written request to Privacy Officer, Shay Moore. Under federal law, however you may not inspect or copy the following records: information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to law that prohibits access to protected health information. We may charge you a fee for the costs of copying, mailing or other supplies that are necessary to grant your request. We may deny your request to inspect and copy in certain limited circumstances. If you are denied access to PHI about you, you may request that the denial be reviewed.

Request an Amendment of PHI

If you feel that PHI we maintain about you is incomplete or incorrect, you may request that we amend it. You may request an amendment for as long as we maintain the PHI. To request an amendment, you must send a written request to the Chief Privacy Officer, Shay Moore. In addition, you must include a reason that supports your request. In certain cases, we may deny your request for amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with the decision and we will reply to your statement.

Request a Restriction on Certain Uses and Disclosures if PHI

You have the right to request restrictions on our use and disclosure of PHI about you by sending a written request to the Chief Privacy Officer, Shay Moore. You may request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in the Notice of Privacy Practices. Your request must state the specific restriction and to whom you want the restriction to apply. We are not required to agree to those restrictions.

Receive an Accounting of Disclosure PHI

You have the right to receive an accounting of the disclosures we have made of PHI about you after April 14, 2003 for most purposes other than treatment, payment, or health care operations. The accounting will exclude disclosures we have made directly to you, disclosures to friends or family members involved in your care, incidental disclosures permitted by law, and disclosures for notification purposes. The right to receive an accounting is subject to certain other exceptions, restrictions and limitations. To request an accounting, you must submit your request in writing to

This notice is effective in its entirety as of April 14, 2003.

the Chief Privacy Officer, Shay Moore. You request must specify the time period, but may not be longer than six years. The first accounting you request within a 12-month period will be provided free of charge, but you may be charged for their cost of providing additional accountings. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time.

Request Communication of PHI By Alternative Means or At Alternative Locations

You may request that we communicate with you by alternative means or at an alternate location. For example, you may request that we contact you about medical matters only in writing or at a different residence or post office box. We will not request an explanation from you as to the basis for the request. To request confidential communication of PHI about you, you must submit your request in writing to the Chief Privacy Officer, Shay Moore. We will accommodate all reasonable requests.

Complaints

You may complain to Craft Wheelchair Repair and to the Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against for filling a complaint. If you wish to file a complaint, please contact our Chief Privacy Officer at 5515 West San Vicente Blvd., Los Angeles, CA 90019.

Contact Information

If you have any questions or other concerns, please contact Chief Privacy Officer, Shay Moore at 5515 West San Vicente Blvd Los Angeles, CA 90019. We reserve the right to change this notice. Its effective date is at the top of the first page and at the bottom of each consecutive page. We reserve the right to make the revised or changed notice effective for health information about you that we already have and information we receive in the future. We will post a copy of our current notice in our office in a prominent location. You may obtain any revised Notice of Privacy Practices by calling our office and requesting a revised copy be sent to you in the mail.

Sincerely,

Shay Moore

This notice is effective in its entirety as of April 14, 2003.

Your Privacy Rights

You have the following rights with respect to PHI about you:

Obtain a Paper copy of the Notice Upon Request

You may request a copy of the most current version of this Notice at any time. Even if you have agreed to receive the notice electronically, you are still entitled to a paper copy.

To obtain a paper copy, contact Shay Moore Chief Privacy Officer.

Inspect and Obtain a Copy of PHI

You have the right to inspect and obtain a copy of the PHl about you contained in a designated record set forth as long as Craft Wheelchair Repair maintains the PHl. The designated record setusually will include prescription, physician orders and billing records. To inspect or receive a copy of your PHI for your inspection, you must send a written request to Privacy Officer, Shay Moore. Under federal law, however you may not inspect or copy the following records: information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to law that prohibits access to protected health information. We may charge you a fee for the costs of copying, mailing or other supplies that are necessary to grant your request. We may deny your request to inspect and copy in certain limited circumstances. If you are denied access to PHI about you, you may request that the denial be reviewed.

Request an Amendment of PHI

If you feel that PHI we maintain about you is incomplete or incorrect, you may request that we amend it. You may request an amendment for as long as we maintain the PHI. To request an amendment, you must send a written request to the Chief Privacy Officer, Shay Moore. In addition, you must include a reason that supports your request. In certain cases, we may deny your request for amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with the decision and we will reply to your statement.

Request a Restriction on Certain Uses and Disclosures if PHI

You have the right to request restrictions on our use and disclosure of PHI about you by sending a written request to the Chief Privacy Officer, Shay Moore. You may request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in the Notice of Privacy Practices. Your request must state the specific restriction and to whom you want the restriction to apply. We are not required to agree to those restrictions.

Receive an Accounting of Disclosure PHI

You have the right to receive an accounting of the disclosures we have made of PHI about you after April 14, 2003 for most purposes other than treatment, payment, or health care operations. The accounting will exclude disclosures we have made directly to you, disclosures to friends or family members involved in your care, incidental disclosures permitted by law, and disclosures for notification purposes. The right to receive an accounting is subject to certain other exceptions, restrictions and limitations.

This notice is effective in its entirety as of April 14, 2003.

Make an Appointment:

Contact Us

Toll Free:(866) 931-6164

Phone: (323) 931-6164/65

Fax: (323) 931-2907

Email: atwc@att.net

Shay Moore

Name * 5515 San Vicente Blvd.

E-mail * Los Angeles CA, 90035

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Hours:

Monday- Thursday 10:00AM-4:00PM
Saturday 10:00AM-4:00PM