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 principal goal at American Industrial Medical, Inc is to provide management tools and onsite health screening services for employer OSHA compliance and health promotion programs. We are dedicated to keeping your health information private, in accordance with federal and state law. As required by the federal Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), we provide you with this notice of our legal duties with respect to health information. We are required to follow the terms of this notice or any revision to it that is in effect. We reserve the right to make changes to this notice as allowed by law. Changes to our privacy practices willapply to all health information we maintain. 

This notice is effective on and after April 14, 2003, unless and until it is revised by American Industrial Medical, Inc.

You can access the revised notice using one of these options: 
From our website www.AIMedical.com or by calling 414-425-9500.

A NOTE ON OTHER DISCLOSURE RESTRICTIONS

Please be aware that state and federal law may have more requirements than HIPAA on how we use and disclose your health information. If there are specific more restrictive requirements, even for some of the purposes listed below, we may not disclose your health information without your written permission as required by such laws.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

We may use your health information and disclose it to appropriate persons, authorities and agencies, as allowed by federal and state law. We may do this without your written permission for the following purposes:

OSHA Compliance. We may disclose health information to your employer and applicable government agencies as required by the Department of Labor – Occupational Health and Safety Administration.

Required by Law. We may disclose your health information when required by Federal, State, and Local laws to do so.

Public Health. We may disclose your health information with authorities to help prevent or control disease, injury, or disability. We may report work-related illnesses and injuries to your employer for workplace safety purposes.

Reporting Victims of Abuse or Neglect. We may disclose your health information, if we believe you have been a victim of abuse or neglect, to a government authority if required or allowed by law, or if you agree to the disclosure.

Health Care Oversight. We may disclose your health information to authorities and agencies for oversight activities allowed by law, including audits, investigations, inspections, licensing, disciplinary actions, or legal proceedings. These activities are necessary for oversight of the health care system, government programs and civil rights laws.

Legal Proceedings. We may disclose your health information in the course of certain legal proceedings. For example, we may disclose your information in response to a court order.

Law Enforcement. We may disclose your health information to law enforcement officials for specific purposes.

Serious Threats to Health or Safety. We may disclose your health information to the proper authorities if we believe in good faith that this will help prevent or lessen a serious threat to your or the public's health or safety. We do so as allowed by law and standards of ethical conduct.

Military, National Security, Law Enforcement Custody. We may disclose your health information with the proper authorities so they may carry out their duties under the law. This applies if you are or were involved with the military, national security or intelligence activities. It also applies if you are in the custody of law enforcement officials or an inmate in a correctional institution.

Workers' Compensation. We may disclose your information in order to comply with the laws related to workers' compensation or similar programs. These programs may provide benefits for work-related injuries or illness.

We may use or disclose your information only with your written permission, except as described in the preceding sections. If you give us your permission, you may withdraw such permission at any time by notifying us in writing, except if we have already taken action based upon your permission.

YOUR HEALTH INFORMATION RIGHTS

As a patient or customer who receives health care services from American Industrial Medical, Inc. you have the right to:

Read and copy your health information. With a few exceptions, you have the right to read and obtain a copy of your health information. We may charge you a reasonable fee if you want a copy of your health information. If we deny your request to review or obtain a copy, you may submit a written request for a review of that decision.

Request to correct your health information. If you believe there is an error in your health information or something has been left out, you may ask us to correct the information. You must make the request in writing and give the reason why your health information should be changed. If we did not create the information you believe is incorrect, or if we disagree with you and believe your health information is correct, we will deny your request. You may appeal to us in writing if we deny your request.

Request to restrict certain uses and disclosures of your information. You have the right to ask that we restrict how your health information is used or disclosed. Under the law, we are not required to agree to your request. In some cases, we may not be able to agree to your request because we do not have a way to tell everyone who would need to know about the restriction. There are other instances in which we are not required to agree with your request. We will inform you when we cannot find a way to carry out your request.

Receive information at a different place or by different means. You have the right to ask that we send information to you in different ways or at different places. For example, you may wish to receive a test result at an address other than your home address. We will grant reasonable requests.

Receive a record of how we disclosed your health information. You have the right to ask us in writing for a list of places or persons with whom your health information was disclosed during the past six years. The list will contain the date your health information was disclosed to others, who received the information, a brief description of what was disclosed and why. However, the list will not include disclosures for the following purposes: national security or intelligence and law enforcement/corrections. In addition, the list will not include information that was disclosed to you and to others with your permission, incidental disclosures and disclosures of limited or de-identified health information. We must provide you the list within 60 days of your request, unless you agree to a 30-day extension. You will not be charged for this list, unless you request more than one list per year.  The request must be for health information disclosed on or after April 14, 2003.

File a complaint. You have the right to file a complaint with us if you believe your privacy rights have been violated. To file a complaint please do so in writing or call 414-425-9500. You also have the right to complain to the United States Secretary of the Department of Health and Human Services. We will not take any action against you for filing a complaint.

WHO WILL USE THIS NOTICE TO MEET FEDERAL LAW

NOTICE REQUIREMENTS

The following persons and entities, who have agreed to be bound by this notice, will jointly use this notice for convenience to meet federal law requirements; provided that, each person and entity is solely and separately responsible and liable for complying with this notice and applicable law (American Industrial Medical, Inc. is only liable for its own violations):

All employed staff or volunteers of American Industrial Medical, Inc.

Any health care professional who agrees to be bound by this notice and who conducts health screening services in any of our mobile test centers, with respect to your information stored in our mobile test centers. Please be aware that many health care professionals are independent contractors, which means they are not employed or controlled by American Industrial Medical, Inc. Such independent health care professionals may have different policies or notices regarding the use or disclosure of your health information stored at their office and that each person or entity is independently responsible for their own compliance with this notice and federal and state law. You should determine if your health care professional is employed or controlled by American Industrial Medical, Inc.

Any of our business partners or associates with whom we share health information and who have agreed to be bound by this notice.