Important Notice
This Notice describes:
– How your medical information may be used and disclosed
– How you can access this information

We are required by federal law to:
– Provide you with this Notice
– Protect the privacy and security of your Protected Health Information (“PHI”)

Purpose

This Notice explains:
– How we may use and share your PHI
– Your rights regarding your PHI
– Our legal obligations under HIPAA and related federal and state laws

Our Legal Duties

We are legally required to:

• Maintain the privacy and security of your PHI

• Follow the terms of this Notice while it is in effect

• Notify you if a breach of unsecured PHI occurs

• Abide by any stricter state privacy laws when applicable

How We May Use and Disclose Your PHI Without Written Authorization

Treatment
We may share PHI with healthcare professionals to:
– Verify medical necessity for DME
– Obtain prescriptions or clinical documentation
– Arrange delivery and training for equipment

Payment
We may use or disclose PHI to:
– Verify your coverage and eligibility
– Submit claims to your health plan
– Obtain payment or reimbursement for services
– Coordinate payment with billing and claims vendors

Healthcare Operations
We may use PHI for:
– Quality assessment and improvement
– Regulatory compliance and CMS supplier standards
– Audits, fraud detection, and compliance monitoring
– Shipping, returns, and warranty coordination

Required or Permitted by Law
We may disclose PHI:
– When required by federal or state law
– For public health reporting and disease prevention
– To prevent or reduce a serious threat to health or safety
– In response to court orders, subpoenas, or law enforcement requests

Reproductive Health Privacy (2024 Final Rule)
– We will not disclose PHI related to reproductive health care for enforcement purposes without federally required attestation
– This section will be updated as needed to remain compliant

When Authorization Is Required

We must obtain your written or electronic authorization before:
– Using PHI for marketing
– Selling PHI to third parties
– Any other purpose not described in this Notice

Note: You may revoke any authorization at any time in writing, except where we have already relied on it.

Your Rights Regarding Your PHI

You have the right to:

• Access your PHI in paper or electronic format

• Request amendments if you believe your PHI is inaccurate

• Receive an accounting of certain disclosures

• Request restrictions on how we use or share your PHI (we may not always be required to agree)

• Request confidential communications (e.g., alternate mailing address or phone number)

• File a complaint with us or with HHS if you believe your rights have been violated — without fear of retaliation

Privacy & Security Safeguards

We follow the HIPAA Security Rule using:
– Administrative safeguards: Policies, staff training
– Physical safeguards: Secure facilities, locked storage
– Technical safeguards: Encryption, access controls, secure transmissions

Breach Notification

If your unsecured PHI is compromised:
– We will notify you promptly
– Notification will follow HIPAA’s Breach Notification Rule

Changes to This Notice

We may change the terms of this Notice at any time.
– Changes apply to all PHI we maintain
– Updated versions will have a new effective date
– Notices will be posted on our website and available upon request

Contact Information

Privacy Officer
Patron Healthcure LLC
📧 Email: info@patronhealthcure.com
📞 Phone: (856) 208-0278
📍 Mailing Address: 27 Stevens Ln, Martinsville, NJ 08836

Acknowledgment of Receipt

By entering your full name and checking the acknowledgment box on the Intake & Assignment of Benefits (AOB) Form, you confirm that:
– You have been provided access to and reviewed Patron Healthcure LLC’s Notice of Privacy Practices
– Your acknowledgment is recorded electronically and has the same legal effect as a written signature under applicable electronic signature laws