Notice of Privacy Practices

Effective Date: September 18, 2026

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

OUR COMMITMENT TO YOUR PRIVACY

Metro Medical Services Inc. (Metro Medical Hospice) is committed to protecting your Health Insurance Portability and Accountability Act (HIPAA) Protected Health Information (PHI). We are required by law to maintain the privacy of your health information, provide you with this notice of our legal duties and privacy practices, and abide by the terms currently in effect.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

• Treatment: We use your medical information to coordinate and provide your hospice care, sharing details among our nurses, physicians, social workers, and spiritual counselors.
• Payment: We disclose PHI to bill and collect payment from Medicare, Medi-Cal, private insurance companies, or other third-party payers.
• Healthcare Operations: We use PHI to conduct quality assessments, perform clinical audits, evaluate staff performance, and manage daily administrative operations.
• Required by Law: We may disclose PHI when mandated by federal, state, or local law, including public health reporting, oversight audits, judicial proceedings, or mandatory abuse reporting.
• With Your Authorization: Any other uses or disclosures—such as marketing, sale of PHI, or release of psychotherapy notes—will be made only with your written authorization, which you may revoke at any time.

YOUR HEALTH INFORMATION RIGHTS

You have the right to:

• Inspect and Copy: Request to see or obtain an electronic or paper copy of your medical record.
• Amend Records: Request a correction to your health record if you feel information is incorrect or incomplete.
• Request Restrictions: Request limits on how we use or share your PHI for treatment, payment, or operations (we are not required to agree unless paying fully out-of-pocket).
• Confidential Communications: Request that we contact you in a specific way (e.g., home phone vs. mobile) or send mail to an alternate address.
• Accounting of Disclosures: Request a list of certain disclosures we have made of your PHI over the past six years.
• Paper Copy: Request a physical copy of this notice at any time, even if you agreed to receive it electronically.

QUESTIONS AND COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint directly with our Privacy Officer or with the Secretary of the U.S. Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.

Metro Medical Services Inc. – Privacy Officer
9504 Topanga Canyon Blvd, Suite A
Chatsworth, CA 91311
☎ (818) 280-3249 | ✉ compliance@metromedhospice.com