Effective Date: September 15, 2026
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.
Hemo-Health.com LLC ("Hemo-Health") is committed to protecting the privacy of your health information.
We are required by applicable law to maintain the privacy and security of protected health information ("PHI"), provide you with this Notice describing our legal duties and privacy practices, and follow the terms of the Notice currently in effect.
We will notify affected individuals following a breach of unsecured PHI when required by law.
You may ask to inspect or obtain an electronic or paper copy of health information maintained about you. We will respond as required by applicable law. We may charge a reasonable, cost-based fee where permitted.
You may ask us to correct health information you believe is incorrect or incomplete. We may deny certain requests as permitted by law, but we will explain the reason when required.
You may ask us to contact you in a particular way or at a particular location. We will accommodate reasonable requests as required by law.
You may request restrictions on certain uses or disclosures of your health information. We are not required to agree to every request. If you pay for a healthcare item or service entirely out of pocket, you may ask us not to disclose information about that item or service to your health plan for payment or healthcare operations when applicable law requires us to honor that request.
You may request an accounting of certain disclosures of your PHI as provided by law.
You may request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.
If you have given someone medical power of attorney or another person has legal authority to act for you, that individual may exercise applicable rights on your behalf. We may verify that person's authority before taking action.
You may file a complaint if you believe your privacy rights have been violated. You may complain directly to Hemo-Health using the contact information below. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. Hemo-Health will not retaliate against you for filing a privacy complaint.
We may use or disclose your health information to provide, coordinate, or manage your healthcare. For example, we may communicate with another physician, pharmacy, laboratory, hospital, or healthcare professional involved in your treatment.
We may use or disclose health information as necessary to obtain or facilitate payment for healthcare services when applicable.
We may use and disclose health information for healthcare operations permitted by law. Examples may include quality assessment, compliance activities, credentialing, training, business management, and improving healthcare services.
We may share PHI with organizations that perform services on our behalf when permitted by law. When HIPAA requires it, those organizations must enter into agreements requiring appropriate protection of PHI.
We may disclose information for certain public health and safety activities when permitted or required by law.
We may use or disclose health information when federal or state law requires us to do so.
We may disclose health information to appropriate governmental or regulatory authorities for legally authorized oversight activities.
We may disclose information in response to certain court or administrative orders or other lawful legal processes as permitted or required by law.
We may disclose health information for certain law-enforcement purposes when permitted or required by law.
We may disclose information as permitted by law for these purposes.
We may disclose health information as authorized by and necessary to comply with workers' compensation or similar programs.
Certain uses and disclosures of PHI require your written authorization unless otherwise permitted by law. Where required by HIPAA, this includes certain marketing activities, sales of PHI, and uses or disclosures not otherwise described in this Notice. If you authorize Hemo-Health to use or disclose PHI, you generally may revoke that authorization in writing, subject to applicable legal limitations.
Hemo-Health will comply with applicable federal requirements concerning the use and disclosure of reproductive healthcare information, including applicable restrictions, attestations, and other protections required by federal law.
Where Hemo-Health creates, receives, or maintains records protected by 42 CFR Part 2 or other applicable substance-use-disorder confidentiality laws, those records will be handled in accordance with applicable federal requirements. Certain uses and disclosures of substance-use-disorder records may require written consent or authorization as provided by law.
Hemo-Health is required to maintain the privacy and security of PHI as required by law, provide this Notice describing our privacy practices and legal duties, follow the terms of the Notice currently in effect, and notify affected individuals when required following a breach of unsecured PHI. We reserve the right to change this Notice and our privacy practices as permitted by law. A revised Notice may apply to health information already maintained by Hemo-Health as well as information received in the future. The current Notice will be available on Hemo-Health.com.
Contact:
Hemo-Health.com LLC
Privacy Officer
Email: privacy@hemo-health.com
Phone: [INSERT BUSINESS PHONE]
Mailing Address: [INSERT BUSINESS MAILING ADDRESS]
You may also submit a complaint to:
U.S. Department of Health and Human Services
Office for Civil Rights
Information about filing a complaint is available through HHS.gov
Important: Hemo-Health will not retaliate against you for exercising your privacy rights or filing a complaint.