CPAPdiscount.com is required under the Health Insurance Portability and Accountability Act (HIPAA) and under applicable state laws to maintain the privacy of your protected health information and to provide you with notice of our legal duties and privacy practices with respect to protected health information. CPAPdiscount.com is required to abide by the terms of the Notice currently in effect. We reserve the right to change the terms of this Notice and to make new notice provisions effective for all protected health information we maintain. We will post the current Notice in our offices and will make available the current Notice upon written request.

CPAPdiscount.com used and discloses your medical information in the following ways without your authorization:

Uses for Treatment Purposes – These records and disclosures may be made for the purpose of allowing our employees, including clinicians, technicians and customer service employees to provide you with high quality care including the best equipment and supplies to meet your needs. Examples of how CPAPdiscount.com may use your information include the following:

• All records created from each visit to our facility. These records may include treatment notes, delivery slips, CPAPdiscount.com clinical documentation; and
• All prescriptions, sleep studies, and other documentation received from your physician(s) and other health care providers and insurance carriers.
• Uses for Payment Uses – These disclosures allow our employees to create and maintain records related to the equipment, supplies and services we provide to you in order to obtain payment by you.
• Uses for Operations Purposes – We will use and disclose your medical information to improve the services we provide, to train staff, for business management and customer service purposes.

Your information may be shared amongst CPAPdiscount.com affiliates, other health care providers, and third party payors.

ADDITIONAL USES AND DISCLOSURES:
CPAPdiscount.com may use and disclose your personally identifiable information for the additional purposes without your authorization in the following circumstances:

When required by law;

• For reporting abuse, neglect or domestic violence;
• Disclosures for judicial and administrative proceedings;
• For law enforcement purposes including pursuant to a warrant or subpoena;
• For disclosures about decedents under certain circumstances;
• To a correctional institution if you are an inmate;
• To avert a serious threat to health or safety of a person or to the public;
• For specialized government functions including military activities and relating to national security.

AUTHORIZATION FOR ADDITIONAL USES AND DISCLOSURES
• For appointment reminders;
• To provide information on treatment alternatives
• To talk to you about other health related services that may be of interest to you including eligibility for new or replacement equipment.

NOTICE OF PRIVACY RIGHTS AND PRACTICES
Any other uses and disclosures your individually identifiable information other than those mentioned above and those authorized by law, will not be made without your written authorization. You have the right to revoke such authorization by providing written notice to the Privacy Officer, except to the extent we have already relied on your authorization.

In addition, you have the right to request in writing:

To request restrictions on uses and disclosures of your health information about treatment, payment or health care operations; uses and disclosures to a family member or other relative or a close personal friend related to your care or payment for health care.
Copies of any confidential communications of protected health information to an alternative address other than your home or by alternative means;

• To inspect and obtain a copy of your protected health information;
• To amend your protected health information if you feel changes are necessary;
• To receive an accounting of disclosures of protected health information;
• To receive a paper copy of this notice upon request

All written requests shall be submitted to the Privacy Officer; we will review each request carefully. Please note that we are not required to agree to any requested restrictions and will provide information to the extent required and authorized in the HIPAA laws.

COMPLAINTS
You may complain to us and to the Secretary of Health and Human Services if you believe your privacy rights have been violated by including a brief description of how your rights were violated and filing a complaint with us. You will not be retaliated against for filing a complaint.

CONTACT
For any questions, comments, requests or complaints, contact:
CPAPdiscount.com, 2415 E. Yandell, El Paso, TX 79903. • 1-866-749-2727