Should you have inquiries, contact us 602-742-0370

We Care for You Meet with Us! Volunteer

Effective Date: 04/01/2026

Our Commitment to Your Privacy

We are required by law to maintain the privacy and security of your Protected Health Information (“PHI”) and to provide you with this Notice of Privacy Practices. We are also required to abide by the terms of this Notice currently in effect.

This Notice describes how we may use and disclose your PHI and your rights regarding that information.

Protected Health Information (PHI) includes information about your past, present, or future physical or mental health condition, the care provided to you, and payment for that care that can identify you.

How We May Use and Disclose Your PHI

We may use and disclose your PHI without your written authorization for the following purposes:

Treatment

We may use and share your PHI to provide, coordinate, or manage your hospice and palliative care. This includes communication among physicians, nurses, social workers, chaplains, volunteers, pharmacies, and other providers involved in your care.

Payment

We may use and disclose your PHI to bill and receive payment from Medicare, Medicaid, insurance companies, or other third parties for services provided to you.

Healthcare Operations

We may use your PHI for healthcare operations, including:

  • Quality assessment and improvement activities
  • Staff training
  • Licensing and accreditation
  • Compliance and administrative functions

Other Permitted and Required Uses and Disclosures

We may also use or disclose your PHI without your authorization as required or permitted by law, including:

  • Public health and safety activities
  • Reporting abuse, neglect, or domestic violence
  • Health oversight activities (audits and inspections)
  • Judicial and administrative proceedings
  • Law enforcement purposes
  • Disclosures to coroners, medical examiners, and funeral directors
  • Organ and tissue donation (if applicable)
  • Preventing or reducing a serious threat to health or safety

Family Members and Caregivers

We may share relevant PHI with family members, caregivers, or others involved in your care or payment for your care, unless you object.

Personal Representatives

We will treat a personal representative (such as a legal guardian or person with medical power of attorney) as the individual for purposes of this Notice, in accordance with applicable law.

Uses and Disclosures Requiring Your Written Authorization

We will not use or disclose your PHI for the following purposes without your written authorization:

  • Marketing communications (where required by law)
  • Sale of your PHI
  • Uses and disclosures not described in this Notice

You may revoke your authorization at any time in writing, except where we have already acted in reliance on it.

Fundraising Communications

We may contact you for fundraising efforts to support our organization. You have the right to opt out at any time by following the instructions in the communication or contacting us directly.

Your Rights Regarding Your PHI

You have the following rights:

Right to Access

You may inspect and obtain a copy of your PHI, including medical and billing records, with limited exceptions.

Right to Amend

You may request corrections to your PHI if you believe it is incorrect or incomplete.

Right to Request Restrictions

You may request limits on certain uses or disclosures of your PHI

We are not required to agree to all requests, but we will comply when:

  • The disclosure is to a health plan
  • It is for payment or healthcare operations
  • The service was paid in full out-of-pocketRight to Confidential Communications

Right to Confidential Communications

You may request communication in a specific way or at a specific location.

Right to an Accounting of Disclosures

You may request a list of certain disclosures we have made of your PHI.

Right to Be Notified of a Breach

You will be notified if your unsecured PHI is breached.

Right to a Paper Copy of This Notice

You may request a paper copy at any time, even if you agreed to receive it electronically.

To exercise any of these rights, please contact our Privacy Officer using the information below.

Our Responsibilities

We are required to:

  • Maintain the privacy and security of your PHI
  • Provide this Notice of our legal duties and privacy practices
  • Abide by the terms currently in effect
  • Notify you of any breach of unsecured PHI

We implement administrative, physical, and technical safeguards to protect your PHI and limit its use to the minimum necessary.

Changes to This Notice

We reserve the right to change this Notice at any time. Changes will apply to all PHI we maintain. The updated Notice will be posted on our website with a new effective date and will be available upon request.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services.

You will not be retaliated against for filing a complaint.

  • To file a complaint with us, contact:
  • Caring Hands Palliative and Hospice Care
  • 📞 602-742-0370
  • 📍 4015 McClintock Dr., Tempe, Arizona 85282

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

Contact Information

If you have questions about this Notice or your privacy rights, please contact: