Effective Date: April 14, 2003
Revised Date: March 8, 2017 (currently in effect)
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.
If you have any questions about this Notice please contact:
Tri-County Medical & Ostomy Supply
Attn: Timothy M. Moore, Privacy Officer
2979 SE Gran Park Way
Stuart, Florida 34997
Tri-County Medical & Ostomy Supply (“Tri-County Medical,” “we,” or “our”) is required by law to maintain the privacy of its patients’ Protected Health Information (“PHI”). “Protected Health Information” includes certain information about a Tri-County Medical patient (“you” or “your”) 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, revised and currently in effect as of March 8, 2017 (the “Notice”), describes how we may use or disclose PHI to carry out treatment, payment, and/or health care operations, and for other purposes that are permitted or required by law.
We are required to abide by the terms of the Notice that are currently in effect. We reserve the right to revise the terms of the Notice at any time. Any revised Notice shall be posted on www.tri-countymedical.com and shall contain an effective date. Any PHI maintained by Tri-County Medical shall be subject to the terms of the Notice that are currently in effect. Upon your request, we will provide you with a copy of the Notice currently in effect. Requests can be made by contacting Tri-County Medical in the manners identified below.
In your request, please indicate whether you would like to receive a copy of the Notice (a) by mail or (b) by email. Based on your choice, make sure to include your email address or mailing address.
Although your health record is the physical property of the health care practitioner or facility that compiled it, the information belongs to you. You have the right to:
Tri-County Medical is required to:
1 We will provide a copy or a summary of your PHI, usually within 30 days of your request. We may charge a reasonable cost-based fee.
2 If we decline your request, we will inform you of our rationale, in writing, within 60 days of your request.
3 We will provide one accounting per year for free, but will charge a reasonable, cost-based fee for additional accountings requested within a 12-month period.
We may use or disclose your PHI for the following permitted reasons:
We may use and share your PHI with other professionals who are treating you.
Example: We may provide your treating physician with various medical records that he or she requested as part of deciding how to treat you.
We may use and share your PHI to bill and receive payment for services we provide.
Example: We may need to give your health plan information about products you received so that your health plan will pay us for the care. We may also tell your health plan about a product you may receive so we can obtain prior approval or determine whether your plan will cover the product provided to you.
3. Health Operations
We may use and share your PHI to review our services, evaluate the performance of our staff, and contact you when necessary.
Example: We may combine medical information about many patients to decide what additional services or products we should offer and what services or products we should not.
We may use or disclose your PHI for the following other reasons:
1. Public Health and Safety
We may use or disclose your PHI for public health activities, such as to (i) prevent or control disease, injury, or disability; (ii) notify people of product recalls; (iii) report reactions to medications or problems with products; (iv) notify the appropriate government authority if we believe a patient who is a minor or disabled adult has been a victim of abuse, neglect or exploitation; (v) notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; or (vi) report births or deaths.
We may use or disclose your PHI to researchers when their research has been approved by an institutional review board that has established protocols to ensure the privacy of your PHI.
3. Law Enforcement
We may release PHI (i) in response to a court order, criminal subpoena, warrant, summons or similar process, or whenever otherwise authorized by law; (ii) if asked to do so by a law enforcement official investigating criminal conduct; and (iii) 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.
4. Organ Tissue and Donation Requests
We may use or disclose your PHI to organ procurement organizations.
5. Medical Examination/Funerals
We may use or disclose your PHI with a coroner, medical examiner, or funeral director, if you die.
6. Workers Compensation
We may use or disclose your PHI to the extent authorized by, and to the extent necessary to comply with, laws relating to workers compensation or other similar programs established by law.
7. Lawsuits and Disputes
We may disclose PHI in response to a court or administrative order. We may also disclose PHI in response to a civil subpoena, discovery request, or other lawful process under the law. Parties using these legal procedures to get PHI may have an obligation to tell you about the request or to obtain an order protecting the information requested.
8. Military and Veterans
If you are a member of the armed forces, we may release PHI as required by military command authorities.
9. As Required by Laws
We will disclose PHI when required to do so by federal, state, or local law.
10. Business Associates
We may disclose PHI to business associates who provide services to or on behalf of us. Our business associates have the same obligation to keep PHI confidential as we do. We must require our business associates to ensure that PHI is protected from unauthorized use or disclosure.
Once health information about you has been disclosed pursuant to your authorization, HIPAA protections may no longer apply to the disclosed health information, and that information may be re-disclosed by the recipient without your or our knowledge or authorization.
1. Communication with Family
Under most circumstances, you have the right and choice to identify if or to whom you would like us to provide your PHI (i.e., family, close friends, significant others).
Although we may contact you for fundraising efforts, you have the right and choice to tell us not to contact you again.
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
Except as identified in the Notice or otherwise permitted or required by HIPAA, Tri-County Medical will not use or disclose your PHI without a valid authorization. You may revoke an authorization at any time, provided that (i) the revocation is in writing and (ii) Tri-County Medical has not taken any action based on your authorization. Tri-County Medical cannot retract any PHI disclosed pursuant to your authorization
Unless you give us separate written authorization, we will not use or disclose your PHI for marketing.
2. Sale of PHI
Unless you give us separate written authorization, we will not sell your PHI.
4 “Marketing” does not include, among other things, communications related to your treatment or to a product or service we offer.
3. Psychotherapy Notes
Unless you give us separate written authorization, we will not use or disclose any of your PHI related to psychotherapy notes.
If you believe your privacy rights have been violated, you can file a complaint with our Privacy Officer or with the Secretary of Health and Human Services. There will be no retaliation for filing a complaint. You may contact:
Tri-County Medical and Ostomy Supply
Attn: Timothy M. Moore, Privacy Officer
2979 SE Gran Park Way
Stuart, Florida 34997
US Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
General Privacy Policies
Tri-County Medical has created this statement in order to demonstrate our firm commitment to privacy.
Your Personal Information
We at Tri-County Medical recognize your right to confidentiality and are committed to protecting your privacy. We use the information that we collect on our site to provide you with a superior shopping experience. When you order, we will ask you to set up an account, which includes your name, e-mail address, mailing address, as well as certain other information that may be required to expedite your orders. In addition, we ask that you indicate whether you would like to receive e-mail from Tri-County Medical keeping you informed of new products or features.
When you place an order online, your personal information and credit card information are encrypted using SSL encryption technology before being sent over the Internet, making it virtually impossible for your information to be stolen or intercepted while being transferred to Tri-County Medical. While on a secure page, such as our order form, the lock icon on the bottom of Web browsers such as Netscape Navigator and Microsoft Internet Explorer becomes locked, as opposed to un-locked, or open, when you are just "surfing".
By submitting your personal information, I agree that Tri-County Medical can contact me at the given email and/or telephone number, which may be dialed manually or through automatic means
Wireless Data Consumption
If Tri-County Medical is provided a wireless data device address or phone number, you agree to receive messages at such address unless and until you notify us you choose not to receive these email's, phone calls, text messages or SMS messages by using the this Opt-Out link. Should you provide Tri-County Medical with a wireless device medium for communication, you understand that all standard wireless carrier rates will apply and that you are authorizing all applicable charges that may occur due to consuming data from Tri-County Medical on your wireless device.
We welcome your feedback. If you have questions or comments about our privacy policies, feel free to send us an e-mail to CustomerService@liberatormedical.com or call us at 1-800-323-0914.
If we have you on our contact list and you would like to be removed please email us at Opt-Out@liberatormedical.com with REMOVE in the subject line and we will remove you from our contact database.