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Notice of Privacy Practices
 
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NOTICE OF PRIVACY PRACTICES ("Notice")
MEDICAL SUPPLIES DISTRIBUTORS,INC. d/b/aDIABETICONE
NOTICE OF PRIVACY PRACTICES ("Notice")
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

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MEDICAL SUPPLIES DISTRIBUTORS, INC. d/b/a DIABETICONE ("DIABETICONE")
is required to comply with the following health care privacy rules as they relate to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which is a federal program that requires that all medical records and other individually identifiable health information used or disclosed by us in any form, whether electronically, on paper or orally, are kept properly confidential:


1) Ensure that medical information that identifies you is maintained confidential;
2) Provide you with this Notice of Privacy Practices of our legal duties and privacy
practices with respect to medical information about you; and
3) Follow the terms of this Notice that are currently in effect.

HOW DIABETICONE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION

Uses and Disclosures of your protected health information

Your protected health information may be used or disclosed by DiabeticOne for purposes of:

For Treatment. We may use and disclose your protected health information to provide you with medical services and products. We may disclose protected health information about you to physicians, nurses or other health care entities to provide you with your supplies. For example, we may request diagnosis information from your physician to ensure that the correct supplies are being provided for treatment.

For Payment. We may use and disclose your protected health information to seek and collect payment for health care services and products we provide from your insurance provider, or from credit card


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companies that you may use to pay for the services provided to you.

For Health Care Operations. We may use and disclose your protected health information, as necessary, for a variety of day-to-day activities called health care operations. For example, information on the services and products you received that may be used to support budgeting and financial reporting, to evaluate the performance of our staff, and activities to promote quality.

For Business Associates. We may use and disclose your protected health information to our business associates, such as subcontractors, so they can perform the jobs we have asked them to do. To protect your health information, we require the business associate to appropriately safeguard your health information.

Alternative Treatment/Supplies.
We may use and disclose protected health information to inform you of new alternatives and products that may help you manage your health.

Marketing. We may use medical information about you to contact you by telephone or by other means to advise you of services or products that may be available. However, your protected health information will not be disclosed to third parties for marketing purposes without your prior written authorization.

Individuals involved in your care or payment for your care. We may release protected health information about you to a friend or family member who you have listed as a contact involved in your medical care. Additionally, we may give information to an individual who helps pay for your care.

For Law enforcement. We may release protected health information about you if asked to do so by law enforcement agencies to support government audits and inspections, to facilitate law-enforcement investigations, and to comply with government-mandated reporting.

As Required By Law. We will use and disclose protected health information about you when required to do so by federal, state or local law.

Lawsuits/Disputes/Court Proceedings. If you are involved in a lawsuit, dispute or court proceeding, we may disclose protected health information about you in response to a court or administrative order. We may disclose protected health information about you in response to the following: subpoenas, discovery requests or other lawful processes by others involved in the dispute. This will only be done if efforts have been made to inform you about the request or to obtain an order protecting the information requested.


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Worker's Compensation. Your We may release protected health information about to comply with worker's compensation laws or similar programs that provide benefits for work-related injuries or illnesses.

Other uses and disclosures of medical information not included in this Notice or by laws that apply to its use will require your written authorization. If you provide us with permission to use or disclose medical information about you, you may revoke that authorization in writing at any time. If you revoke your authorization, we will no longer use or disclose medical information about you for the reasons covered by your written request. Note: We are unable to take back any disclosure(s) that we have already made with your authorization or pursuant to this Notice of Privacy Practices. Additionally, we are required by law to retain records of the medical services and products that we provided to you for a specific period of time.


SUPPLY REMINDERS

We may use and disclose your protected health information to contact you about your supply needs and provide supply reminders.

RIGHTS CONCERNING YOUR MEDICAL INFORMATION
  • The right to request restrictions on the use and disclosure of your protected health information.
  • The right to receive confidential communications concerning your medical condition and treatment.
  • The right to inspect and copy your protected health information.
  • The right to amend or submit corrections to your protected health information.
  • The right to receive an accounting of how and to whom your protected health information has been disclosed.
  • The right to receive a printed copy of this notice.
  • The right to choose how we may contact you.
  • The right to find out what disclosures have been made.
  • The right to file a complaint about our privacy practices.

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RIGHT TO REVISE PRIVACY PRACTICES

As permitted by law, we reserve the right to amend or change our privacy practices described in this Notice. These changes in our policies and practices may be required by changes in federal and state laws and regulations. A copy of our current Notice will be posted in our offices and at our website, www.diabeticone.com. Prior to a material change in this Notice, we will promptly revise and repost it. The Notice will contain the effective date in the bottom left corner. The revised policies and practices will be applied to all protected health information we maintain.

Complaints Contact
If you would like to submit a comment or complaint about our privacy practices, please send us a letter outlining your concerns to:

 

    Privacy Officer
    Medical Supplies Distributors, Inc.
    DiabeticOne
    1001 West Cypress Creek Road, Suite 302W
    Fort Lauderdale, FL 33309
Effective Date July 30, 2007
     
         


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