Notice of Privacy Practices

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.

Medtrek Ambulance ("Medtrek," "we," "us," or "our") is a licensed medical transportation provider in Florida and is required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to maintain the privacy of your protected health information (PHI), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.

1. How We May Use and Disclose Your Health Information

• Treatment — We may use and share your health information to provide medical transportation and coordinate your care. For example, our EMTs and paramedics may share information about your condition with the hospital or facility receiving you.
• Payment — We may use and share your health information to bill and collect payment for transport services, including submitting claims to Medicare, Medicaid, or your insurance company and verifying benefits.
• Healthcare operations — We may use and share your health information to run our organization, including quality improvement, staff training, licensing, and audits.
• As required by law — We will share information when federal or Florida law requires it, including reporting to public health authorities, responding to court orders, and cooperating with health oversight agencies.
• Safety and emergencies — We may share information to prevent a serious threat to health or safety, for disaster relief efforts, or with emergency responders involved in your care.
• Family and others involved in your care — We may share relevant information with a family member, guardian, or other person involved in your care or payment for your care, unless you object.
• Business associates — We may share information with contractors who perform services for us (such as billing services), who must protect it under written agreements.

Other uses and disclosures not described in this Notice — including most uses of psychotherapy notes, uses for marketing purposes, and the sale of health information — will be made only with your written authorization, which you may revoke at any time in writing.

2. Your Rights Regarding Your Health Information

• Right to inspect and copy — You may ask to see or receive a copy (paper or electronic) of your health records. We will respond within the time required by law and may charge a reasonable, cost-based fee.
• Right to amend — You may ask us to correct health information you believe is inaccurate or incomplete. We may deny the request in certain cases, but we will tell you why in writing.
• Right to an accounting of disclosures — You may request a list of certain disclosures we have made of your health information in the six years prior to your request.
• Right to request restrictions — You may ask us to limit how we use or share your information. We are not required to agree in all cases, but we must agree if you pay for a service in full out of pocket and ask us not to share that information with your health plan.
• Right to confidential communications — You may ask us to contact you in a specific way (for example, at a different phone number or address), and we will accommodate reasonable requests.
• Right to a paper copy of this Notice — You may request a paper copy of this Notice at any time, even if you agreed to receive it electronically.
• Right to be notified of a breach — We will notify you if a breach occurs that may have compromised the privacy or security of your information.
• Right to choose a personal representative — If you have given someone medical power of attorney or someone is your legal guardian, that person can exercise your rights and make choices about your health information.

To exercise any of these rights, contact us using the information at the end of this Notice.

3. Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will not use or share your information other than as described here unless you tell us we can in writing.
• We will follow the duties and privacy practices described in this Notice and give you a copy of it upon request.

4. Changes to This Notice

We may change the terms of this Notice at any time, and the new Notice will apply to all health information we maintain. The current Notice will be posted on our website and available upon request, with its effective date listed at the top.

5. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below, or with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue S.W., Washington, D.C. 20201, by calling 1-877-696-6775, or online at www.hhs.gov/ocr/complaints. We will not retaliate against you for filing a complaint.

6. Contact / Privacy Officer

Questions about this Notice or your privacy rights? Contact our Privacy Officer at:

Medtrek Ambulance — Privacy Officer
3892 Prospect Ave, Ste 2, Naples, Florida 34104
Phone: (239) 228-7900
Email: info@medtrek.com

See also our Privacy Policy and Terms of Service.