July 1, 2018
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review this section carefully.
Who will follow this notice
This notice describes our nurse registry’s privacy practices and including:
- Any health care professional authorized to enter information into your medical chart.
- All departments and units of Babcock Nurses, Aides and Companions, LLC
- All employees, contractors and office personnel.
- All these individuals, sites and locations follow the terms of this notice. In addition, these individuals, sites and locations may share medical information with each other or with third party specialists for treatment, payment or office operations purposes described in this notice.
Our pledge regarding your medical information
We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. Babcock Nurses, Aides and Companions obtains and stores records about the service you receive. This notice applies to all intake, service records, billing records and any other information stored electronically and in hard copy at our office. This notice will tell you about the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information.
We are required by law to
- Make sure that medical information stored with us that identifies you is kept private;
- Give you this notice of our legal duties and privacy practices with respect to medical information about you; and
- Follow the terms of the notice that is currently in effect.
How we may use and disclose medical information about you
The following categories describe different ways that we use and disclose medical information, not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.
For Treatment. We also may disclose medical information about you to others who may be involved in your care, such as family members or others provided you have consented to such disclosure. Other entities include physicians, hospitals, nursing homes, pharmacies or clinical labs.
For Payment. We may use and disclose medical information about you so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company or a third party. For example, we may need to give your long-term care insurance provider information about the care you received so your long-term care insurance provider will pay the care provider, a third party or reimburse you for the services. We may also tell your long-term care insurance provider about a change in your care to determine whether your plan will cover the service.
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 or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care, like a family member or friend. For example, you could ask that we not use or disclose information about a surgery you had.
We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.
To request restrictions, you must make your request in writing to Babcock Nurses, Aides and Companions, LLC. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply, for example, disclosures to your spouse.
Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way. For example, you can ask that we only contact you by mail.
To request confidential communications, you must make your request in writing to the Administrator at Babcock Nurses, Aides and Companions, LLC. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.
Right to a Paper Copy of This Notice. You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice.
Changes to this notice
We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in the office. The notice will contain on the first page, the effective date.
If you believe your privacy rights have been violated, you may file a written complaint with the Compliance Officer at the Babcock Nurses, Aides and Companions, LLC, 1222 SE 47th Street – Suite 223, Cape Coral, Florida 33904 or with the Office of Civil Rights within the
Department of Health and Human Services by visiting their Web site at https://www.hhs.gov/ocr/index.html
All complaints must be submitted in writing.
You will not be penalized or retaliated against for filing a complaint.
Other uses of medical information
Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time.
If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the services care providers provide to you.