Health at Home Consultants Website HIPAA Notice
HIPAA Notice
Health at Home Consultants, LLC is committed to protecting your health information. The following Notice describes how medical information about you may be used and disclosed and how you can access this information.
NOTICE OF PRIVACY PRACTICES
Health at Home Consultants, LLC
Effective Date: February 16, 2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE
USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
OUR LEGAL DUTY
Health at Home Consultants, LLC (“HAHC”) is required by federal law, including the Health
Insurance Portability and Accountability Act (HIPAA), to maintain the privacy of your Protected
Health Information (PHI), provide you with this Notice of our legal duties and privacy practices,
abide by the terms of this Notice currently in effect and notify you in the event of a breach of
unsecured PHI.
WHAT IS PROTECTED HEALTH INFORMATION (PHI)?
Protected Health Information includes information that Identifies you:
Relates to your physical or mental health condition
Relates to the provision of health care
Relates to payment for health care
This includes primary care services, mental health care, medication management, and, when
applicable, substance use disorder treatment information.
HOW WE MAY USE AND DISCLOSE YOUR INFORMATION
For Treatment: We may use and disclose your PHI to provide and coordinate your care. This
includes communication with physicians and Advanced Practice Registered Nurses (APRNs)
Nurses and facility staff in assisted living, skilled nursing, or independent living communities
Pharmacies, laboratories, hospice, and home health agencies and other health care providers
involved in your care.
For Payment: We may use and disclose PHI to bill Medicare, Medicaid, or commercial
insurance, verify coverage and collect payment for services
For Health Care Operations: We may use PHI for quality assessment and improvement, training
and supervision, licensing and credentialing, compliance and audit activities and business
management functions
Substance Use Disorder (SUD) Records: Certain records related to the diagnosis, treatment, or
referral for treatment of a substance use disorder are subject to additional federal confidentiality
protections under 42 CFR Part 2. This means some SUD-related information may require your
written authorization before disclosure, unless otherwise permitted by law. Recipients of such
information may be restricted from redisclosing it. These protections may apply even in facility-
based or coordinated care settings.
We comply with all applicable federal and state laws regarding the confidentiality of substance
use disorder information.
Other Permitted or Required Disclosures: We may disclose PHI as required by federal or state
law, for public health activities, to report abuse or neglect, for health oversight activities, in
response to a court order or lawful subpoena, and to avert a serious threat to health or safety
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
Under federal law, you have the right to:
1. Inspect and Obtain a Copy
Request access to your medical record, subject to limited exceptions.
2. Request an Amendment
Request correction of information you believe is incorrect or incomplete.
3. Request Restrictions
Request limitations on certain uses or disclosures. We are not required to agree to all requests
except where required by law.
4. Request Confidential Communications
Request that we communicate with you in a specific manner or at a specific location.
5. Receive an Accounting of Disclosures
Request a list of certain disclosures of your PHI made by us.
6. Obtain a Paper Copy of This Notice
You may request a paper copy at any time.
OUR RESPONSIBILITIES
We are required to protect the privacy and security of your PHI, limit disclosures to the minimum
necessary when appropriate, obtain authorization when required by law, maintain policies and
procedures to safeguard information and train our workforce regarding privacy protections
COMPLAINT PROCESS
If you believe your privacy rights have been violated, you may file a complaint with:
Privacy Officer
Health at Home Consultants, LLC
PO Box 67295 Lincoln, NE 68506
402-440-5268
admin@healthathomeconsultants.com
You may also file a complaint with the
U.S. Department of Health & Human Services, Office for Civil Rights.
We will not retaliate against you for filing a complaint.
CHANGES TO THIS NOTICE
We reserve the right to revise this Notice. Any revised Notice will apply to all PHI we maintain
and will be:
Posted on our website
Available upon request
Provided to new patients at intake
ACKNOWLEDGMENT OF RECEIPT
I acknowledge that I have received a copy of this Notice of Privacy Practices.
Patient Name: _______________________________
Signature: __________________________________
Date: ______________________________________
Personal Representative (if applicable): __________________________
Authority: __________________________________
Notice of Privacy Practices
Effective February 16, 2026