Elite Medical Inc., Responsibility
Elite Medical Inc. will use your individual health information to provide services, supplies or equipment that are ordered by your doctor and to bill your insurance company for these services. Elite Medical Inc. may also share this information with other health care providers to meet your health care needs. Medical information that can be shared might include medical test results, physician and other health care provider notes, and/or insurance information. However, Elite Medical Inc. will only provide information to those individuals that need to have the information for billing purposes or to care for your medical needs. Any organizations that Elite Medical Inc. works with are also required to follow these privacy practices.

In some instances, medical information will be shared without your written permission such as in an emergency, a public safety risk, for law enforcement or with legal orders.

We review our policies regularly to make sure we are compliant to laws and regulations, and can change them at anytime, without prior notification to you. A current Notice of Privacy Practices can be found posted at each Elite Medical Inc. location. You may also request a copy of this Notice by contacting our Privacy Officer (Listed below).

Your Rights
In most cases, you have the right to look at your individual health information. You have the right to request a list of the information that is being shared, to whom and how we are sharing it. Should Elite Medical Inc. need to supply any health information to another party for purposes other than providing safe medical care or for billing of services, we will request your written permission to share the information with the individuals or organizations requesting it.

If you want to review the health information we have on file for you, it will need to be requested in writing to our Privacy Officer (listed below). The first request of the documentation will be provided for tree for medical information within the last 12 months. You will be charged a reasonable fee for any requests after the first one or for requests for documentation more than one year old. If you find any information that is missing or needs to be corrected, you may send the information to Elite Medical Inc. to be added or corrected in your file. Please send this information to the Privacy Office (listed below).

If you do not want us to share certain private information about you, please send your request in writing to Elite Medical Inc. stating exactly what information is not to be shared and which individuals or organizations you do not want to have it. Elite Medical Inc. will review your request and honor it unless legally required to share the information. If you request critical information not be shared with individuals or organizations this may prevent us from providing services, supplies or equipment that are ordered by your doctor or from billing your insurance company for those service.

Complaints
If you have a complaint about how we maintained the privacy of your health information, you may contact our Privacy Officer. You may also send a written complaint to the U.S. Department of Health and Human Services. The contact listed below can provide you with the appropriate address.

Contact
If you have any questions about our privacy practices, please contact Elite Medical Inc.,
Attn: Privacy Officer, 8187 Rhode, Suite B, Shelby Twp. MI 48317 Phone: 866-247-1888