NOTICE OF PRIVACY PRACTICES This notice describes how information about you may be used and disclosed. Please review it carefully. Superior Mobility must maintain the privacy of your personal health information and give you this notice that describes our legal duties and privacy practices concerning your personal health information. In general, when we release your health information, we must release only information we need to achieve the purpose of the use or disclosure. However, all of your personal health information that you designate will be available for release if you sign an authorization from, if you request the information for yourself, to a provider regarding your treatment or due to a legal requirement. We must follow the privacy practices described in this notice. We reserve the right to change the privacy practices described in this notice, in accordance with the law. If we change our privacy practices, you will receive a revised copy. Your Health Information Rights Our Responsibilities * Maintain the privacy of your health information We are permitted or required to use or disclose your Protected Health Information without your authorization under the circumstances listed in A and B below. A. Disclosures for Treatment, Payment and Health Care Operation We will use your Protected Health Information to obtain Payment Notification: We may use or disclose information about your location, and general condition to notify or assist a family member, caregiver, or another person responsible for your care. Communication with Family: Health professionals, using their best judgment , may disclose Protected Health Information to a family member, other relative, close personal friend, or any other person you identify if it is relevant to that person's involvement in your care or the payment related to your care. Marketing: We may contact you to provide appointment reminders or information about equipment or services that may be of interest to you. Plan Sponsors: We may use or disclose Protected Health Information to the Plan Sponsor of a Group Health Plan. Workers' Compensation: We may disclose Protected Health Information 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. Public Health: As required by law, we may disclose your Protected Health Information to public health or legal authorities charged with preventing or controlling disease, injury, or disability. Law Enforcement: We may disclose Protected Health Information for law enforcement purposes as required by law or in response to a valid subpoena. Effective Date: The effective date of the Notice of Privacy Practices is April 1, 2003. For More Information or to Report a Problem If you have questions about this Notice or would like additional information, you may contact If you believe your privacy rights have been violated, you can file a complaint with the Douglas V. Zaer, President or with the Secretary of Health and Human Services. You will not be subject to any retaliation for filing a complaint.
SUPERIOR MOBILITY THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION
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:
* Request a restriction on certain uses and disclosures of your Protected Health Information
* Obtain a paper copy of the Notice of Information Practices upon request
* Inspect and copy your health record
* Amend your health record
* Obtain an accounting of disclosures of your health information
* Request communication of your health information by alternative means or at alternative locations
* Revoke your authorization to use or disclose health information except to the extent that action has already been taken.
* Provide you with a notice as to our legal duties and privacy practices with respect to your health information we collect and maintain about you
* Abide by the terms of this notice
* Notify you if we are unable to agree to a requested restriction
* Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.
Permitted/Required Uses and Disclosures of Your Protected Health Information
We will use your Protected Health Information for Treatment
For Example: Protected Health Care Information obtained from you or a member of your health care team will be used to help determine the most appropriate equipment for your needs.
For Example: A bill may be sent to you or to a third-party payer such as an insurance company. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and equipment provided.
We will use your Protected Health Information for regular Health Care Operations
For Example: Members of our staff or members of the quality improvement team may use information in your health record to assess the outcomes in your case and others like it. The information will then be used in an effort to continually improve the quality and effectiveness of the service we provide.
B. Other Uses and Disclosures That We Are Permitted or Required to Make
Business Associates: To protect your Protected Health Information, we require the Business Associate to appropriately safeguard your information.
310-533-4840 Operations Manager Torrance Blvd
310-218-2040 Operations Manager Plaza Del Amo, Torrance
805-604-1332 Operations Manager Oxnard
