Notice of Privacy Practices

Effective Date: January 1, 2025

Cardinal Hospice
2251 Country Club Dr. STE 123
Mansfield, TX 76063

Phone: 817-745-9816
Email: brad@cardinalhospicetx.com

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.

Our Commitment to Your Privacy

At Cardinal Hospice, we are committed to protecting your personal health information. This Notice describes how we may use and disclose your Protected Health Information (PHI), and your rights under HIPAA.

How We May Use and Disclose Your Health Information

· Treatment: Sharing info with doctors, pharmacists, and hospitals.

· Payment: Billing Medicare, Medicaid, or insurance.

· Operations: Quality assessments, audits, and staff training.

· Other disclosures as required by law: Public health, abuse reporting, law enforcement, and legal obligations.

Your Rights Regarding Health Information

· Access and request a copy of your medical records

· Request corrections to your records

· Request restrictions on certain uses or disclosures

· Request confidential communications

· Receive a list of disclosures

· Receive a paper copy of this notice at any time

Our Duties

We are required by law to maintain the privacy and security of your health information, notify you of any breach of unsecured PHI, and follow the terms of this Notice.

Questions or Complaints

If you have questions or believe your privacy rights have been violated, you may contact our Privacy Officer:

Cardinal Hospice
Privacy Officer
2251 Country Club Dr. STE 123
Mansfield, TX 76063
Phone: 817-745-9816
Email: brad@cardinalhospicetx.com

You may also file a complaint with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.