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.

Effective September 11, 2025

FloMed Infusion is committed to protecting the privacy of protected health information we gather about you while providing health care related services. This notice explains how we may use and disclose your medical information. It also outlines your rights and our responsibilities concerning the use and disclosure of your medical data. We are required by law to:

• Ensure that personally identifiable medical information is kept private.

• Give you this notice of the legal duties and privacy practices of FloMed Infusion, and your legal rights, with respect to medical information about you.

• Follow the terms of the notice that are currently in effect.

We will comply with the requirements of applicable privacy laws related to notifying you in the event of a breach of your health information. We have the right to change our privacy practices and the terms of this notice. If we make a material change to our privacy practices, we will post a copy of the revised notice on our website. The notice will also be available upon request. We reserve the right to make any revised or changed notice effective for information we already have and for information that we receive in the future.

WHAT HEALTH INFORMATION IS PROTECTED

Your protected health information (PHI) is generally information related to your treatment at FloMed Infusion which encompasses any information within an individual’s medical record that can personally identify them and was generated, utilized, or shared during diagnosis or treatment. This definition extends to various identifiers and diverse information documented throughout routine care and billing processes. Examples of PHI may include, but are not limited to: name, address, social security number, medical record number, telephone number/ email address, date of birth, diagnoses, health plan beneficiary number, and other unique identifying numbers, characteristics, and codes.

HOW WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION

*We may use and/or disclose your PHI without your consent or authorization for the following purposes:

1. For Treatment – We may use or disclose health information to aid in your treatment or the coordination of your care.  For example, we may disclose information to your referring physician to determine your course of treatment and to provide your physician with pertinent information on your care.

2. For Payment – We may use your health information or disclose it to others in order to receive payment for the health care services you receive. For instance, we may share details about you with your health insurance provider. Additionally, we may need to provide your health insurance company with information about your medical condition to obtain prior authorization for your treatment.

3. For Health Care Operations – We may use or disclose your health information as needed to support and manage the business operations involved in delivering and coordinating your health care. For example, we may review data to identify ways to enhance the quality of our services.

4. Business Associates – We may disclose your PHI to our business associates that assist us in our delivery of health care and related services. Business associates may include software providers (electronic medical record), lawyers, accountants and other persons or entities who provide us with items or services used in our business. Before we disclose your PHI to a business associate, we will have a written contract with the business associate that will require the business associate to maintain the privacy of your PHI in accordance with HIPAA.

5. Appointment Reminders, Treatment Alternatives, Benefits And Services – In the course of providing healthcare services to you, we may use your health information to contact you with a reminder that you have an upcoming appointment.  

6. Public Need – We may use your health information, and share it with others, in order to comply with State or Federal laws, licensure, accreditation or regulatory requirements, or to meet important public needs.

1. Uses and Disclosures Required by Law – We may use or disclose your PHI as required by law but must limit such use or disclosure to relevant information and otherwise comply with applicable legal requirements.

2. Public Health Activities – We may use or disclose your PHI for public health activities. For example, we may use or disclose your PHI to public health authorities responsible for collecting information for purposes of preventing or controlling disease and certain disclosures related to regulatory activities of the Food and Drug Administration.

3. Abuse, Neglect, or Domestic Violence – We may use or disclose your PHI in some instances if we reasonably believe that you are a victim of abuse, neglect, or domestic violence.

4. Health Oversight Activities – We may use or disclose your PHI for certain health oversight activities, including, for example, inspections and licensure of health care facilities.

5. Judicial and Administrative Proceedings – We may use or disclose your PHI under some circumstances in response to a subpoena or order by a court or administrative tribunal.

6. Law Enforcement Purposes – We may use or disclose your PHI for certain law enforcement purposes. For example, we may use or disclose your PHI to law enforcement officials for identification of suspects or where a crime has been committed on our premises.

7. Decedents – We may use or disclose PHI of decedents to coroners, medical examiners, and funeral directors.

8. Serious Safety Threat – We may use or disclose your PHI where we believe it is necessary to prevent or lessen a serious threat to the safety of a person or the public.

9. Specialized Government Functions – We may use or disclose your PHI under some circumstances for specialized government functions, including those related to the armed forces, national security, and intelligence.

10. Personal Representatives – We may disclose your PHI to your personal representatives that are appointed by you or authorized by applicable law.

USES/DISCLOSURES FOR WHICH YOU HAVE AN OPPORTUNITY TO AGREE OR OBJECT

Family, Friends And Other Persons Involved In Your Care – We may share your health information with a family member, relative, close personal friend, or other person identified by you, who is involved in your care or responsible for payment for that care, but only that portion of your health information relevant to that person’s involvement with your care. We may also notify a family member, personal representative or another person responsible for your care about your location and condition here at FloMed, unless we are aware that doing so would be inconsistent with a previously expressed preference. If you are present, or otherwise available, we will give you the opportunity to object to such uses and disclosures of your health information.

YOUR RIGHTS TO ACCESS AND CONTROL YOUR HEALTH INFORMATION

* The following are your rights with respect to your health information:

1. The Right to Request Additional Restrictions on Uses and Disclosures of Your PHI You have the right to ask that we put additional restrictions on how we use and disclose your PHI. To request a restriction on our use and disclosure of your PHI, you must make your request in writing to our Privacy Officer. Please note that, except in limited circumstances, we are not required to agree to your requested restrictions. We will notify you if we are unable to agree to the requested restriction.

2. The Right to Inspect and Copy Your PHI – You have the right to inspect and copy PHI that may be used to make decisions about your care, excluding psychotherapy notes. You must put this request to us in writing. We may deny your request to inspect and copy in certain very limited circumstances. You may request a professional review of the denial. If you request a review, then we will designate another licensed health care professional to review your request and the denial. The person conducting the review will not be the person who denied your request. We will comply with the outcome of the review.

• Exception Note: HIV-related information, genetic information, mental health records and other specially protected health information may be subject to certain special confidentiality protections under applicable State and Federal law. Any disclosures of these types of records will be subject to these special protections.

3. The Right to Amend or Correct – If you feel that your PHI maintained by us is incorrect or incomplete, you have the right to ask us to correct or amend the information. To request an amendment to your PHI, you must submit the request in writing using the contact information provided in this Notice, and your written request must include an explanation of the reasons for the amendment. Please note that in certain circumstances, we are not required to agree to your request.

4. The Right to Request Alternative Communications – You have the right to request that we communicate with you about medical matters by different means or at a different location than we currently use. To request communications by alternative means or at alternative locations, you must submit a written request. We will accommodate reasonable requests. You do not need to give a reason for your request. Please specify in your request how or where you wish to be contacted and how payment for your health care will be handled if we communicate with you through this alternative method or location. Please note that in certain circumstances, we are not required to agree to your request.

5. Paper Copy of this Notice – You have the right to request and receive a paper copy of this Notice.

6. The Right to an Accounting of Disclosures – You have the right to request a list of certain disclosures that we and our business associates made for certain purposes for the last six (6) years.

EXERCISING YOUR RIGHTS

You may contact FloMed Infusion at any time if you have any questions about this notice or want information about exercising any of your rights. Please call 561-559-9800 and request to speak to the Privacy Officer. You may also submit a written request to exercise any of your rights, including modifying or cancelling confidential communication, requesting copies of your records, requesting amendments to your record, or if you believe your rights have been violated and to report a complaint. Written requests should be made to the following address:

Privacy Officer

FloMed Infusion

15340 Jog Road, Suite 215

Delray Beach, FL 33446