HIPAA Privacy Policy

Your Information. Your Rights. Our Responsibilities.

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.

The words “180 Medical” in this Notice describe the privacy practices of 180 Medical Incorporated and its designated affiliated entities.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record

• You can ask for a list (accounting) of the times we have shared your health information for six (6) years prior to the date you request an accounting. We will respond to your request within sixty (60) days.
• We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free, but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Ask us to correct your medical record

• You can ask us to correct health or billing information about you that you think is incorrect or incomplete. Ask us how to do this.
• We may say “no” to your request, for example, if your provider feels that the information currently in your record is complete and accurate.
• If we deny your request, we’ll tell you why in writing within 60 days.
• If we agree to your request, we will ask you to give us the names of the people you want to receive the corrected information.

Request confidential communications

• You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
• We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

• You can ask us not to use or share (outside of 180 Medical, Inc.) certain health information for treatment, payment, or our operations.
• We are not required to agree to your request, and we have the option to say “no.”
• If you pay for a service or health care item out-of-pocket in full, you have the right to ask us not to share that information for the purpose of payment or our operations with your health insurer.
• We will say “yes” unless a law requires us to share that information.

Choose someone to act for you

• If you are unable to make health care decisions for yourself and have given someone medical power of attorney, or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
• We will make sure the person has this authority and can act for you before we allow them to make decisions for you.

Get a list of those with whom we’ve shared information (outside of 180 Medical Inc.)

• You can ask for a list (accounting) of the times we have shared your health information for six (6) years prior to the date you request an accounting. We will respond to your request within sixty (60) days.
• We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free, but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this Privacy Notice

• You can ask for a paper copy of this Notice at any time, even if you have agreed to receive the Notice electronically. We will promptly provide you with a paper copy.

File a complaint if you feel your privacy rights are violated

• You can complain if you feel we have violated your privacy rights by contacting the 180 Medical, Inc. Privacy Office at Compliance@180medical.com.
• You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to:
  • U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201
  • Or call: 1-800-368-1019, 800-537-7697 (TDD)
• We will not retaliate against you for filing a complaint.

Your Choice

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions. We will treat you the same, no matter what choices you make.

In these cases, you have both the right and choice to tell us to:

• Share information with your family, close friends, or others involved in your care.
• Share information in a disaster relief situation.
• Use your information for fundraising to support 180 Medical, but you can tell us not to contact you again.

If you are not able to tell us your preference, for example, if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases, we never share your information unless you give us written permission for:

• Marketing purposes
• Sale of your information

Our Uses and Disclosures

How do we typically use or share your health information? We typically use or share your health information in the following ways.

How else can we use or share your health information?

We are allowed or required to share your information in other ways, usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.

For more information, see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
• HIPAA expressly allows using health information to create de-identified information. The privacy principles described above do not apply to de-identified information. Health information is considered de-identified if (i) it does not identify an individual and (ii) there is no reasonable basis to believe it can be used to identify an individual. HIPAA does not restrict the use or disclosure of de-identified information.
• For more information, see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html

Contact Us

If you have questions about this notice or would like to exercise any of the above rights, please contact us:

By phone: 1 (877) 688-2729
By email: DataPrivacy@180medical.com
By mail: 180 Medical, Inc.
Attention: Data Privacy Office
8516 NW Expressway
Oklahoma City, OK 73162

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request at our office and on our website.

Effective Date of Notice: June 26, 2024

This Notice of Privacy Practices applies to the following organizations: USHSG, 180 Medical, Inc., PRN Medical Services, aka Symbius Medical, South Shore Medical Supply, J&R Medical, LLC, WPI Acquisition, Wilmington Medical Supply, Inc., A Better Choice Medical Supply, LLC, and All American Medical Supply Corp.