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Notice of Privacy Practices

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Threat to Health or Safety. Home Medix may use and disclose PHI about you when necessary to prevent a serious threat to your health arid safety or the health and safety of the public or another person.

Military and Veterans. If you are a member of the armed forces, Home Medix may release PHI about you as required by military command authorities. Home Medix may also release PHI about foreign military personnel to the appropriate military authority.

National Security and Intelligence Activities. Home Medix may release PHI about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.

Protective Government Functions. Home Medix may disclose PHI about you to authorized federal officials so they may provide protection to the President, other authorized persons, or foreign heads of state or conduct special investigations.

Victims of Abuse, Neglect, or Domestic Violence. Home Medix may disclose PHI about you to a government authority, such as a social service or protective services agency, if we reasonably believe you are a victim of abuse, neglect, or domestic violence. We will only disclose this type of information to the extent required by law, if you agree to the disclosure, or if the disclosure is allowed by law and we believe it is necessary to prevent serious harm to you or someone else or the law enforcement or public official that is to receive the report represents that it is necessary and will not be used against you.

Other Uses and Disclosures of PHI

Other uses and disclosures, other than those described above or otherwise permitted or required by law, will only be made with your written authorization. You may revoke such a written authorization in writing at any time. Upon receipt of the written revocation, we will stop using or disclosing PHI about you, except to the extent that we have already taken action in reliance on your authorization.

Your Privacy Rights

You have the following rights with respect to PHI about you:

Obtain a Paper Copy of the Notice Upon Request. You may request a copy of the most current version of this Notice at any time. Even if you have agreed to receive the Notice electronically, you are still entitled to a paper copy. To obtain a paper copy, contact Home Medix's Chief Privacy Officer at 3811 Atlantic Ave., Long Beach, CA 90807.

Inspect and Obtain a Copy of PHI. You have the right to inspect and obtain a copy of the PHI about you contained in a designated record set forth as long as Home Medix maintains the PHI. The 'designated record set' usually will include prescriptions, physician orders, and billing records. To inspect or receive a copy of your PHI for your inspection, you must send a written request to our Privacy Officer at 3811 Atlantic Ave., Long Beach, CA 90807. Under federal law, however, you may not inspect or copy the following records: information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to law that prohibits access to protected health information. We may charge you a fee for the costs of copying, mailing, or other supplies that are necessary to grant your request. We may deny your request to inspect and copy in certain limited circumstances. If you are denied access to PHI about you, you may request that the denial be reviewed.

Request an Amendment of PHI. If you feel that PHI we maintain about you is incomplete or incorrect, you may request that we amend it. You may request an amendment for as long as we maintain the PHI. To request an amendment, you must send a written request to the Chief Privacy Officer at 3811 Atlantic Ave., Long Beach, CA 90807. In addition, you must include a reason that supports your request. In certain cases, we may deny your request for amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with the decision and we will reply to your statement.

Request a Restriction on Certain Uses and Disclosures of PHI. You have the right to request restrictions on our use or disclosure of PHI about you by sending a written request to the Chief Privacy Officer at 381 1 Atlantic Ave., Long Beach, CA 90807. You may request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction and to whom you want the restriction to apply. We are not required to agree to those restrictions.

Receive an Accounting of Disclosure of PHI. You have the right to receive an accounting of the disclosures we have made of PHI about you after April 14, 2003 for most purposes other than treatment, payment, or health care operations. The accounting will exclude disclosures we have made directly to you, disclosures to friends or family members involved in your care, incidental disclosures permitted by law, and disclosures for notification purposes. The right to receive an accounting is subject to certain other exceptions, restrictions, and limitations. To request an accounting, you must submit your request in writing to the Chief Privacy Officer at 3811 Atlantic Ave., Long Beach, CA 90807. Your request must specify the time period, but may not be longer than six years. The first accounting you request within a 12-month period will be provided free of charge, but you may be charged for the cost of providing additional accountings. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time.

Request Communication of PHI by Alternative Means or At Alternative Locations. You may request that we communicate with you by an alternative means or at an alternative location. For example, you may request that we contact you about medical matters only in writing or at a different residence or post office box. We will not request an explanation from you as to the basis for the request. To request confidential communication of PHI about you, you must submit your request in writing to the Chief Privacy Officer at 381 l Atlantic Ave., Long Beach, CA 90807. Your request must state how, or when, you would like to be contacted. We will accommodate all reasonable requests.

Complaints

You may complain to Home Medix and to the Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against for filing a complaint. If you wish to file a complaint, please contact our Chief Privacy Officer at 3811 Atlantic Ave., Long Beach, CA 90807

Contact Information

If you have any questions or other concerns, please contact Home Medix's Chief Privacy Officer at 3811 Atlantic Ave., Long Beach, CA 90807.

Effective Date. This Notice was published and becomes effective on October 7, 2009

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Home Medix Inc.
3811 Atlantic Avenue • Long Beach, California 90807
(800)403-1010 • Fax (888)553-0051