HIPAA Compliance
Protecting Your Health Information Privacy
Important: 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.
Our Commitment to Your Privacy
Adjuvant Ambulance Transport is committed to protecting the privacy and confidentiality of your health information. We are required by law to maintain the privacy of your protected health information (PHI) and to provide you with this notice of our legal duties and privacy practices.
What is Protected Health Information (PHI)?
Protected Health Information includes any information about your health status, provision of health care, or payment for health care that can be linked to you. This includes:
- Medical records and treatment information
- Insurance and billing information
- Personal identifiers (name, address, phone number, etc.)
- Medical history and diagnoses
- Medication information
- Transportation records and care notes
How We May Use and Disclose Your Health Information
Treatment
We may use and disclose your health information to provide, coordinate, or manage your health care and any related services. This includes sharing information with other healthcare providers involved in your care.
Payment
We may use and disclose your health information to obtain payment for services we provide to you. This may include billing your insurance company, Medicare, or Medicaid.
Healthcare Operations
We may use and disclose your health information for our healthcare operations, including quality assessment, training programs, and administrative activities.
Special Situations
Required by Law
We may disclose your health information when required by federal, state, or local law.
Public Health Activities
We may disclose your health information for public health activities such as disease reporting, health surveillance, and investigations.
Law Enforcement
We may disclose your health information in response to a court order, subpoena, or other lawful process.
Serious Threat to Health or Safety
We may disclose your health information if we believe it is necessary to prevent or lessen a serious threat to your health or safety or that of another person.
Your Rights Regarding Your Health Information
Right to Inspect and Copy
You have the right to inspect and copy your health information, with some exceptions.
Right to Request Amendment
You may request that we amend your health information if you believe it is incorrect or incomplete.
Right to Request Restrictions
You may request restrictions on how we use or disclose your health information.
Right to Confidential Communications
You may request that we communicate with you in a specific way or at a specific location.
Our Security Measures
We have implemented appropriate administrative, physical, and technical safeguards to protect your health information against unauthorized access, use, or disclosure. These measures include:
- Secure storage of physical records
- Encrypted electronic communications
- Access controls and user authentication
- Regular security training for staff
- Regular security assessments and updates
Breach Notification
In the event of a breach of your unsecured health information, we will notify you in writing as required by law. We will also notify the appropriate authorities and take steps to mitigate any harm.
Changes to This Notice
We reserve the right to change this notice and our privacy practices. Any changes will apply to all health information we maintain. We will post the revised notice on our website and provide you with a copy upon request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of Health and Human Services. We will not retaliate against you for filing a complaint.
Contact Information
Privacy Officer: Adjuvant Ambulance Transport
Address: 6776 Southwest Fwy # 532, Houston, TX 77074
Phone: 979-633-8437
Email: privacy@adjuvantambulance.com
U.S. Department of Health and Human Services:
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Effective Date: January 1, 2025
Last Updated: January 1, 2025