This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please read it carefully.

CareLink, Inc., may use and disclose your Protected Health Information (PHI) for:

• Treatment Purposes
  We may use and disclose your PHI to personnel in this and other organizations who are involved in your health care or who provide health care services to you. For example, we may provide information about your health status to your physician.
• Payment Purposes
  We may use and disclose your PHI in order to bill for and collect payment for the services we provide. For example, we may provide PHI to your health insurance company or health plan administrator so that claims can be processed and paid.
• Health Care Operations
  We may use and disclose your PHI in order to operate our company. For example, we may use your PHI to evaluate the quality of health care services we provide.

CareLink, Inc., may also use and disclose your PHI for the following reasons and/or under the following circumstances:

• When a disclosure is required by federal, state or local law, administrative proceedings or law enforcement. For example, we may disclose your PHI when a law requires that we report to government agencies about victims of abuse.
• For public health purposes. For example, information collected by a public health authority, as authorized by law to prevent or control disease, or to coroners, medical examiners and funeral directors when necessary.
• For health over site activities. For example, we will provide information to government agencies for criminal investigations, disciplinary actions or general oversight activities relating to the community's health.
• For organ, eye or tissue donation, if you are an organ donor, to the entity which will receive the donation.
• For research, but subject to measures to protect the privacy of your information.
• To avert a threat to health or safety. We may provide PHI to law enforcement personnel or persons able to prevent or lessen such harm.
• For specialized government functions, related to military or veteran activity , and for national security activities and other purposes delineated by law.
• For workers' compensation purposes. For example, if you are involved in a workers' compensation claim, we may disclose PHI to an entity that is part of your workers' compensation system.
• For communication to help you maintain your good health. For example, we may call you to remind you about a visit, or give you or send you information about how to manage your disease or condition or about treatment and management alternatives.
  

Other uses and disclosures of your PHI require your written authorization.

• In situations other than Treatment, Payment and Healthcare Operations and the circumstances described above, we will ask for your written authorization before using or disclosing your PHI.
• If you choose to sign an authorization, you may later revoke that authorization in writing to stop any further uses and disclosures (to the extent that we have not already taken action relying on the authorization).
  
  

You have the right to:

• Receive a paper copy of this notice.
• Request limits on the uses and disclosures of your PHI, which we will consider but are not legally required to accept. You may request limits in writing, detailing what information you want to limit and to whom you want that limit to apply. If we agree to your request, we will comply except in emergency situations.
• Choose how we send PHI to you when you have requested it. For example, you may choose email instead of regular mail. We must accommodate all reasonable requests.
• Inspect and copy your PHI, when you make that request in writing and after paying for the cost of copying and sending the PHI. The law defines certain situations when we may deny your request, but if we deny your request we will provide the denial in writing and explain that you have the right to have the denial reviewed.
• Request corrections or amendments, through a written request which includes the reason for the request. If we agree to your request, we will make the change, tell you what we have done and tell others that need to know about the change. We may deny your request if the information to be amended is correct and complete, was not created by us, is not allowed to be disclosed, or is not part of our record. If you disagree with our denial, you have the right to submit a written statement of disagreement which we will attach to all future disclosures of your PHI.
• A list of certain disclosures, although not those made for Treatment, Payment or Health Care Operations, or those authorized by you, or incidental disclosures, or those part of a de-identified data set.
  
  

CareLink, Inc., is required to:

• Maintain the privacy of Protected Health Information and provide you with this Notice of our legal duties and privacy practices with respect to PHI.
• Abide by the terms of the Notice currently in effect.
  

CareLink, Inc., has the right to:

• Change the terms of its Notice
• Make the new Notice effective for all PHI it maintains. We will distribute any revisions to the Notice to you prior to implementation.

If you believe your privacy rights have been violated, you may complain to the CareLink Privacy Officer (see below) and to the Secretary of the Department of Health and Human Services. You will not be retaliated against for filing a complaint. Send complaints to: Privacy Officer, CareLink, Inc., 900 Broadway., P.O. Box 3552, Quincy, IL 62305, 217-222-8480.