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.
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.
Phoenix Home Health ("we," "us," or "our") is dedicated to maintaining the privacy of your protected health information ("PHI"). In the course of providing home health, personal care, and related services, we create records regarding your care and treatment.
We are required by law to maintain the privacy of your PHI, to provide you with this Notice of our legal duties and privacy practices with respect to your PHI, and to abide by the terms of this Notice while it is in effect.
The following categories describe the ways we may use and disclose your PHI. Not every use or disclosure in a category will be listed; however, all of the ways we are permitted to use and disclose information will fall within one of these categories.
We may use and disclose your PHI to provide, coordinate, or manage your health care and related services. For example, a caregiver may share information about your condition with a nurse supervisor, physician, or other member of your care team involved in your treatment.
We may use and disclose your PHI so that services you receive may be billed to and payment collected from you, an insurance company, Medicare, Medicaid, or a third party. For example, we may give your health plan information about your care so they will pay or reimburse you.
We may use and disclose your PHI for health care operations necessary to run our agency and ensure our clients receive quality care — including staff performance evaluation, quality improvement activities, and training purposes.
We may use or disclose your PHI without your written authorization for the following purposes, as permitted or required by law:
Other uses and disclosures not described in this Notice will be made only with your written authorization. This includes, for example, most uses and disclosures of psychotherapy notes (if applicable), uses and disclosures of PHI for marketing purposes, and disclosures that constitute a sale of PHI.
You may revoke an authorization at any time, in writing, except to the extent we have already relied on it.
You have the following rights regarding the PHI we maintain about you. To exercise any of these rights, please contact our Privacy Officer using the information below. We may require you to submit your request in writing.
| Your Right | What It Means |
|---|---|
| Inspect & Copy | You have the right to inspect and obtain a copy of PHI that may be used to make decisions about your care, with certain exceptions. |
| Request Amendment | You have the right to request that we amend PHI we maintain about you if you believe it is incorrect or incomplete, for as long as we maintain the information. |
| Accounting of Disclosures | You have the right to request a list of certain disclosures we have made of your PHI. |
| Request Restrictions | You have the right to request a restriction on certain uses and disclosures of your PHI. We are not required to agree to the restriction, except in certain circumstances involving disclosures to a health plan when you have paid out of pocket in full for a service. |
| Confidential Communications | You have the right to request that we communicate with you about your health matters in a certain way or at a certain location (for example, only at a specific phone number or address). |
| Paper Copy of This Notice | You have the right to obtain a paper copy of this Notice at any time, even if you have agreed to receive it electronically. |
| Notification of a Breach | You have the right to be notified in the event of a breach of your unsecured PHI. |
We are required by law to take the following steps with respect to your PHI:
Maintain the privacy and security of your protected health information.
Provide you with this Notice describing our legal duties and privacy practices.
Abide by the terms of the Notice currently in effect.
Notify you if we are unable to agree to a requested restriction.
We reserve the right to change the terms of this Notice and to make the new provisions effective for all PHI we maintain. If we make a material change to this Notice, we will make the revised Notice available upon request and, where required, post it prominently.
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. You will not be retaliated against in any way for filing a complaint.
To file a complaint with the Secretary of HHS:
Office for Civil Rights, U.S. Department of Health and Human Services
200 Independence Avenue SW, Washington, D.C. 20201
Phone: 1-800-368-1019
Online:
www.hhs.gov/ocr/privacy/hipaa/complaints/
If you have questions about this Notice, or would like to exercise any of the rights described above, please contact our Privacy Officer:
Phoenix Home Health
Serving Maricopa County & Pinal County, Arizona
This Notice is effective as of July 1st, 2026 and remains in effect until we replace it.
