General
TRY US Health Care Services respects your confidentiality and privacy. We keep anything we learn about you
confidential, and we have policies and procedures in place that protect your personal health information. In addition,
federal and state governments oversee home health care to be sure that we furnish and you receive quality home health
care services.

Collection & Use of Personal Health information
To provide services to you, we must collect information about you and your health care needs from you and from
others (e.g., insurance companies, hospitals, physicians, family members, other caregivers). We may also share
information about you and your health care needs with the members of our health care team, as well as with physicians,
hospitals, other healthcare providers, people involved directly in your care, insurance companies, and so forth. Here are
some examples of how we may use your personal health information:

• To communicate with your physician about your care to ensure that your care plan is kept up-to-date and your
  needs are met.
• To share information about your care with your insurer or health plan in order to receive payment and authorization
  for your care.
• For review and learning purposes within our company to help ensure we are providing quality care.

For other disclosures not related to your treatment, payment to TRY US Health Care Services, or our general health
care operations, we must have your signature on a specific authorization form. For example, if you change physicians,
we will need your authorization to release your records to your new doctor. There are a few situations in which we
may release information about your care without seeking your permission. These are all clearly defined in laws and
government regulations, which we must follow. For example:

• When a law enforcement official presents us with a subpoena, warrant or court order to see your records
• When an accrediting body (like the Commission on Accreditation for Home Care (CAHC) or the Community Health
  Accreditation Program) asks to see your records to ensure that we are providing quality healthcare
• When a government regulatory agency or oversight board asks to see your records to ensure that we are conforming
  to laws and regulations, including the Health Insurance Portability and Accessibility Act (HIPAA).

You have the right:

• To know and see the information about your care in our files and to request copies of your medical chart. You
  must give us reasonable time to prepare for your visit to our office to see the records or to make copies of your
  information. If you cannot see the records personally, you may designate someone to do so on your behalf.
• To request that certain people NOT have access to your personal health information. We ask that you provide this
  information to our staff.
• To ask us to amend information in our files that you think is incorrect or incomplete. You may use our “Request
  to Amend My Personal Health Information Form” for this purpose. Under some circumstances we may deny your
  request.
  
  This may happen if:
  • - We did not create the information
  • - The medical information is not kept by us
  • - The information we have is accurate and complete
• To request an accounting of any disclosures that you did not authorize. This is a list of any releases of your medical
  information that is not related to treatment, payment or TRY US Health Care Services operations. It may also include
  releases to attorneys, law enforcement officials, and government agencies. To request a copy of this list, please
  contact your Staff or Nursing Supervisor or the local office Director.

Visual Images
Photographs, videotapes, and digital or other images may need to be recorded to document your care. TRY US Health
Care Services Nurses retain ownership rights to these photographs, videotapes, and digital or other images. We will
store them in a secure manner in order to protect your privacy. You have the right to view these images or to obtain
copies. You must give us reasonable time to prepare for your visit to our office to see them or to make copies. If you
cannot see them personally, you may designate someone to do so on your behalf.

E-mail
TRY US Health Care Services may occasionally communicate information about your care via e-mail. There are a
number of risks associated with e-mail.

• E-mail can be circulated, forwarded and stored electronically.
• E-mail messages can be printed.
• E-mail senders can misaddress an e-mail.
• E-mail is easier to falsify than handwritten or signed documents.
• Backup copies of e-mail exist even after the sender or the recipient has deleted the message.
• E-mail can be intercepted, altered, forwarded or used without authorization and often without detection.
• E-mail can contain viruses, which may be introduced into computer systems.

TRY US Health Care Services uses reasonable means to protect the security and confidentiality of e-mail information
that is sent and received. However, because of the risks outlined above, TRY US Health Care Services cannot guarantee
the security and confidentiality of the information.

We take the following precautions with e-mail containing confidential information:

• We will, where possible, remove any detailed identifying information (e.g., refer to you by first name and last initial
  or by our internal client number, instead of by your full name).
• We will print all e-mails about your health care treatment or payment and make them part of your record.
• We will only send e-mails from TRY US Health Care Services computer systems, which are password-protected to
  help guard against unauthorized access and use.
• TRY US Health Care Services employees who receive e-mail regarding your treatment and payment may forward
  messages internally to other TRY US Health Care Services’ employees. However, e-mail will not be forwarded to
  independent third parties without your written authorization unless required by law.

TRY US Health Care Services does not use e-mail to communicate sensitive medical information regarding sexually
transmitted diseases, AIDS/HIV, mental health, developmental disabilities or substance abuse. If there are other types of
information you do not wish to be transmitted via e-mail, please notify us as soon as possible.

We recommend that any e-mail you send or third parties send regarding your treatment by TRY US Health Care Services
should only be sent to an e-mail address at info@tryushealthcare.com.

TRY US Health Care Services employees endeavor to read and respond to e-mails promptly. However, we recommend
that you avoid e-mail for emergencies or time-sensitive matters.

Changes to this Notice
On occasion we may need to update or change this Privacy Notice. Copies of the updated Notice will be available in
our local office and will also be posted on our web site. If you would like to receive another copy of this Notice, please
ask your Staff or Nursing Supervisor at any time.

Questions
If you feel your privacy rights have been violated or if you have any questions or concerns regarding possible violations
of your privacy, please contact your local TRY US Health Care Services’ office or TRY US Health Care Services’ Privacy
Officer using the methods listed below.

Toll Free Compliance Hot Line: 1-800-901-9060

Compliance E-mail Address: info@tryushealthcare.com