Notice of Privacy Practices

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medic ambulance service notice of privacy practices medic ambulance obligations we are required by law to maintain the privacy of protected health information give you this notice of our legal duties and privacy practices regarding health information about you follow the terms of our notice that is currently in effect how we may use and disclose health information the following categories describe ways that we may use and disclose health information that identifies you health information some of the categories include examples but every type of use or disclosure of health information in a category is not listed except for the purposes described below we will use and disclose health information only with your written permission if you give us permission to use or disclose health information for a purpose not discussed in this notice you may revoke that permission in writing at any time for treatment we may use health information to treat you or provide you with health care services we may disclose health information to doctors nurses technicians or other personnel including people outside our facility who may be involved in your medical care for payment we may use and disclose health information so that we or others may bill or receive payment from you an insurance company or a third party for the treatment and services you received for health care operations we may use and disclose health information for health care operations purposes these uses and disclosures are necessary to make sure that all our patients receive quality care and for our operation and management purposes fun raising activities we may use health information to contact you in an effort to raise money we may disclose health information to a related foundation or to our business associates so they may contact you to raise money for us for interfacing with other individuals who were involved in your care for payments relation to your care we may release health information to a person who is involved in your medical care or helps pay for your care such as a family member or friend we also may notify your family about your location or general condition or disclose such information to an entity assisting in a disaster relief effort for research under certain circumstances we may use and disclose health information for research purposes for example a research project may involve comparing the health and recovery of all patients who received one medication or treatment to those who received another for the same condition before we use or disclose health information for research though the project will go through a special approval process this process evaluates a proposed research project and its use of health information to balance the benefits of research with the need for privacy of health information even without special approval we may permit researchers to look at records to help them identify patients who may be included in their research project or for other similar purposes so long as they do not remove or take a copy of any health information.

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medic ambulance service notice of privacy practices special circumstances as required by law we will disclose health information when required to do so by international federal state or local law to avert a serious threat to health or safety we may use and disclose health information when necessary to prevent or lessen a serious threat to your health and safety or the health and safety of the public or another person any disclosure however will be to someone who may be able to help prevent the threat business associates we may disclose health information to our business associates that perform functions on our behalf or provide us with services if the information is necessary for such functions or services organ and tissue donation if you are an organ donor we may release health information to organizations that handle organ procurement or organ eye or tissue transplantation or to an organ donation bank as necessary to facilitate organ or tissue donation and transplantation military and veterans if you are a member of the armed forces we may release health information as required by military command authorities we also may release health information to the appropriate foreign military authority if you are a member of a foreign military workers compensation we may release health information for workers compensation or similar programs these programs provide benefits for work related injuries or illness public health risks we may disclose health information for public health activities these activities generally include disclosures to prevent or control disease injury or disability report births and deaths report child abuse or neglect report reactions to medications or problems with products notify people of recalls of products they may be using track certain products and monitor their use and effectiveness notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition and conduct medical surveillance of the hospital in certain limited circumstances concerning workplace illness or injury we also may release health information to an appropriate government authority if we believe a patient has been the victim of abuse neglect or domestic violence but we will only release this information if you agree or when we are required or authorized by law health oversight activities we may disclose health information to a health oversight agency for activities authorized by law lawsuits and disputes if you are involved in a lawsuit or a dispute we may disclose health information in response to a court or administrative order we also may disclose health information in response to a subpoena discovery request or other lawful process by someone else involved in the dispute but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested law enforcment we may release health information if asked by a law enforcement official for the following reasons 1 in response to a court order subpoena warrant summons or similar process 2 limited information to identify or locate a suspect fugitive material witness or missing person 3 about the victim of a crime if under certain limited circumstances we are unable to obtain the person s

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medic ambulance service notice of privacy practices agreement 4 about a death we believe may be the result of criminal conduct 5 about criminal conduct on our premises and 6 in emergency circumstances to report a crime the location of the crime or victims or the identity description or location of the person who committed the crime coroners medical examiners and funeral directors we may release health information to a coroner or medical examiner this may be necessary for example to identify a deceased person or determine the cause of death we also may release health information to funeral directors as necessary for their duties national security and intelligence activities we may release health information to authorized federal officials for intelligence counter-intelligence and other national security activities authorized by law protective services for the president and others we may disclose health information to authorized federal officials so they may provide protection to the president other authorized persons or foreign heads of state or conduct special investigations inmates or individuals in custody if you are an inmate of a correctional institution or under the custody of a law enforcement official we may release health information to the appropriate correctional institution or law enforcement official this release would be made only if necessary 1 for the institution to provide you with health care 2 to protect your health and safety or the health and safety of others or 3 for the safety and security of the correctional institution.

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