THIS SECTION DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

MED SUPPLY US’s Protection of Protected Health Information (“PHI”). Under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), MED SUPPLY US is required by law to maintain the privacy of health information that identifies you and to provide you with notice of our legal duties and privacy practices regarding PHI. MED SUPPLY US is committed to the protection of your PHI and will make reasonable efforts to ensure the confidentiality of your PHI, as required by statute and regulation. We take this commitment seriously and will work with you to comply with your right to receive certain information under HIPAA.

MED SUPPLY US’s Use and Disclosure of PHI. As permitted under HIPAA, the following categories explain the types of uses and disclosures of PHI that MED SUPPLY US may make. Please contact our Privacy Officer ([email protected]), using the contact information provided at the end of this notice, for specific information regarding your state.

For treatment – MED SUPPLY US may use or disclose PHI for treatment purposes, including disclosure to health care professionals who provide you with health care services.

For payment – MED SUPPLY US may use or disclose PHI to bill and collect payment for Products. For example, MED SUPPLY US may provide PHI to your health plan to receive payment for the health care services provided to you.

For health care operations – MED SUPPLY US may use or disclose PHI for health care operations purposes. These uses and disclosures are necessary, for example, to evaluate the quality of our Products, accreditation functions and for MED SUPPLY US’s operation and management purposes. MED SUPPLY US may also disclose PHI to other health care providers or health plans that are involved in your care for their health care operations. For example, MED SUPPLY US may provide PHI to manage disease, or to coordinate health care or health benefits.

Health-related benefits and services – MED SUPPLY US may use and disclose PHI to tell you about health-related benefits and services that may be of interest to you. For example, MED SUPPLY US may contact you about a new patient service center in your area or about new Products available at MED SUPPLY US based on services ordered by your physician.

Individuals involved in your care or payment for your care – MED SUPPLY US may disclose PHI to a person who is involved in your care or helps pay for your care, such as a family member or friend. We also may notify your family about your location or general condition or disclose such information to an entity assisting in a disaster relief effort. As allowed by federal and state law, we may disclose the PHI of minors to their parents or legal guardians.

Business associates – MED SUPPLY US may disclose PHI to its business associates to perform certain business functions or provide certain business services to MED SUPPLY US. For example, we may use another company to perform billing services on our behalf. All of our business associates are required to maintain the privacy and confidentiality of your PHI. In addition, at the request of your health care providers or health plan, MED SUPPLY US may disclose PHI to their business associates for purposes of performing certain business functions or health care services on their behalf. For example, we may disclose PHI to a business associate of Medicare for purposes of medical necessity review and audit.

Disclosure for judicial and administrative proceedings – Under certain circumstances, MED SUPPLY US may disclose your PHI in the course of a judicial or administrative proceeding, including in response to a court or administrative order, subpoena, discovery request, or other lawful process.

Law enforcement – MED SUPPLY US may disclose PHI for law enforcement purposes or in response to a court order, warrant, subpoena or summons, or similar process authorized by law. We may also disclose PHI when the information is needed: 1) for identification or location of a suspect, fugitive, material witness or missing person, 2) about a victim of a crime, 3) about an individual who has died, 4) in relation to criminal conduct on MED SUPPLY US premises, or 5) in emergency circumstances to report a crime, the location of the crime or victims, or the identity, description, or location of the person who committed the crime.

As required by law – MED SUPPLY US must disclose your PHI if required to do so by federal, state, or local law.

Public Health – MED SUPPLY US may disclose PHI for public health activities. These activities generally include: 1) disclosures to a public health authority to report, prevent or control disease, injury, or disability; 2) disclosures to report births and deaths, or to report child abuse or neglect; 3) disclosures to a person subject to the jurisdiction of the Food and Drug Administration (“FDA”) for purposes related to the quality, safety or effectiveness of an FDA-regulated product or activity, including reporting reactions to medications or problems with products or notifying people of recalls of products they may be using; 4) disclosures to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; and 5) disclosures to an employer about an employee to conduct medical surveillance in certain limited circumstances concerning work-place illness or injury.

Disclosure about victims of abuse, neglect, or domestic violence – MED SUPPLY US may disclose PHI about an individual to a government authority, including social services, if we reasonably believe that an individual is a victim of abuse, neglect, or domestic violence.

Health oversight activities – MED SUPPLY US may disclose PHI to a health care oversight agency for activities authorized by law such as audits, civil, administrative, or criminal investigations and proceedings/actions, inspections, licensure/disciplinary actions, or other activities necessary for appropriate oversight of the health care system, government benefit programs, and compliance with regulatory requirements and civil rights laws.

Coroners, medical examiners, and funeral directors – MED SUPPLY US may disclose PHI to a coroner, medical examiner, or funeral director for the purpose of identifying a deceased person, determining cause of death, or for performing some other duty authorized by law.

Personal Representative – MED SUPPLY US may disclose PHI to your personal representative, as established under applicable law, or to an administrator, executor, or other authorized individual associated with your estate.

Serious threat to health or safety – MED SUPPLY US may disclose PHI if necessary, to prevent or lessen a serious and/or imminent threat to health or safety to a person or the public or for law enforcement authorities to identify or apprehend an individual.

Government functions – In certain situations, MED SUPPLY US may disclose the PHI of military personnel and veterans, including Armed Forces personnel, as required by military command authorities. Additionally, we may disclose PHI to authorized officials for national security purposes, such as protecting the President of the United States, conducting intelligence, counter-intelligence, other national security activities, and when requested by foreign military authorities. Disclosures will be made only in compliance with U.S. Law.

Workers’ compensation – As authorized by applicable laws, MED SUPPLY US may use or disclose PHI to comply with workers’ compensation or other similar programs established to provide work-related injury or illness benefits.

De-identified Information and Limited Data Sets – MED SUPPLY US may use and disclose health information that has been “de-identified” by removing certain identifiers making it unlikely that you could be identified. MED SUPPLY US also may disclose limited health information, contained in a “limited data set”. The limited data set does not contain any information that can directly identify you. For example, a limited data set may include your city, county and zip code, but not your name or street address.

Other Uses and Disclosures of PHI. For purposes not described above, including uses and disclosures of PHI for marketing purposes and disclosures that would constitute a sale of PHI, MED SUPPLY US will ask for patient authorization before using or disclosing PHI. If you signed an authorization form, you may revoke it, in writing, at any time, except to the extent that action has been taken in reliance on the authorization.

Information Breach Notification. MED SUPPLY US is required to provide patient notification if it discovers a breach of unsecured PHI unless there is a demonstration, based on a risk assessment, that there is a low probability that the PHI has been compromised. You will be notified without unreasonable delay and no later than 60 days after discovery of the breach. Such notification will include information about what happened and what can be done to mitigate any harm.

Patient Rights Regarding PHI. Subject to certain exceptions, HIPAA establishes the following patient rights with respect to PHI:

Right to Receive a Copy of the MED SUPPLY US Notice of Privacy Practices – You have a right to receive a copy of the MED SUPPLY US Notice of Privacy Practices at any time by contacting us at [email protected], calling us at 954-398-4474 and asking for the HIPAA Privacy Officer, or by sending a written request to: HIPAA Privacy Officer, MED SUPPLY US LLC, 913 N Federal Hwy, Fort Lauderdale, FL 33304.. This Notice will also be posted on the MED SUPPLY US internet site at www.MedSupply.US.

Right to Request Limits on Uses and Disclosures of your PHI – You have the right to request that we limit: 1) how we use and disclose your PHI for treatment, payment, and health care operations activities; or 2) our disclosure of PHI to individuals involved in your care or payment for your care. MED SUPPLY US will consider your request, but is not required to agree to it unless the requested restriction involves a disclosure that is not required by law to a health plan for payment or health care operations purposes and not for treatment, and you have paid for the service in full out of pocket. If we agree to a restriction on other types of disclosures, we will state the agreed restrictions in writing and will abide by them, except in emergency situations when the disclosure is for purposes of treatment.

Right to Request Confidential Communications – You have the right to request that MED SUPPLY US communicate with you about your PHI at an alternative address or by an alternative means. MED SUPPLY US will accommodate reasonable requests.

Right to See and Receive Copies of Your PHI – You and your personal representative have the right to access any PHI about your use of our Products. Within 30 days after our receipt of your request, you will receive a copy of the requested PHI from MED SUPPLY US unless an exception applies. Exceptions include a determination by a licensed health care professional that the access requested is reasonably likely to endanger the life or safety of you or another person, and our inability to provide access to the PHI within 30 days, in which case we may extend the response time for an additional 30 days if we provide you with a written statement of the reasons for the delay and the date by which access will be provided. You have the right to access and receive your PHI in an electronic format if it is readily producible in such a format. You also have the right to direct MED SUPPLY US to transmit a copy to another person you designate, provided such request is in writing, signed by you, and clearly identifies the designated person and where to send the copy of your PHI. To request a copy of your PHI, contact the Privacy Officer at [email protected], calling us at 954-398-4474 and asking for the HIPAA Privacy Officer.

Right to Receive an Accounting of Disclosures – You have a right to receive a list of certain instances in which MED SUPPLY US disclosed your PHI. This list will not include certain disclosures of PHI, such as (but not limited to) those made based on your written authorization or those made prior to the date on which MED SUPPLY US was required to comply. If you request an accounting of disclosures of PHI that were made for purposes other than treatment, payment, or health care operations, the list will include disclosures made in the past four years, unless you request a shorter period of disclosures. If you request an accounting of disclosures of PHI that were made for purposes of treatment, payment, or health care operations, the list will include only those disclosures made in the past three years for which an accounting is required by law, unless you request a shorter period of disclosures.

Right to Correct or Update your PHI – If you believe that your PHI contains a mistake, you may request, in writing, that MED SUPPLY US correct the information. If your request is denied, we will provide an explanation of the reasoning for our denial.

How to Exercise Your Rights. To exercise any of your rights described in this notice, you must send a written request to: HIPAA Privacy Officer, MED SUPPLY US LLC, 913 N Federal Hwy, Fort Lauderdale, FL 33304. Patients may update insurance and/or billing information through our website or by contacting the Patient Billing Department using the phone number indicated on the billing invoice.

How to Contact Us or File a Complaint. If you have questions or comments regarding the MED SUPPLY US Notice of Privacy Practices, or have a complaint about our use or disclosure of your PHI or our privacy practices, please contact: [email protected], call us at 954-398-4474 and ask for the HIPAA Privacy Officer, or send a written request to: HIPAA Privacy Officer, MED SUPPLY US LLC, 913 N Federal Hwy, Fort Lauderdale, FL 33304. You also may file a complaint with the Secretary of the U.S. Department of Health and Human Services. MED SUPPLY US will not take retaliatory action against you for filing a complaint about our privacy practices.

Changes to the MED SUPPLY US Notice of Privacy Practices. MED SUPPLY US reserves the right to make changes to this notice and to our privacy policies from time to time. Changes adopted will apply to any PHI we maintain about you. MED SUPPLY US is required to abide by the terms of our notice currently in effect. When changes are made, we will promptly update this notice and post the information on the MED SUPPLY US website at www.MedSupply.US. Please review this site periodically to ensure that you are aware of any such updates.