πŸ”’ HIPAA Compliant • Washington State Licensed • Questions? Call (360) 296-2671mariatmartinez1980@outlook.com
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πŸ”’ HIPAA • 45 CFR Β§164.520 • Washington State RCW 70.02

Notice of Privacy Practices

This notice describes how your health information may be used and disclosed, and how you can get access to this information. Please review it carefully.

βš–οΈ Required by Federal Law β€” HIPAA Privacy Rule (45 CFR Β§164.520)
Effective Date: January 1, 2025 • Last Revised: July 1, 2026 • Version 2.0

πŸ”’ Notice of Privacy Practices

Martinez Heart & Home Care • Washington State Licensed Home Care Agency • LPN-Supervised • HIPAA Covered Entity

βœ… Current • Effective January 1, 2025 • Revised July 1, 2026

πŸ“‹ THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

Martinez Heart & Home Care is required by law to: (1) maintain the privacy of your protected health information; (2) provide you with this notice of our legal duties and privacy practices; (3) notify you if your health information is breached; and (4) follow the terms of this notice currently in effect. We are committed to protecting your health information and your privacy.

πŸ“‹ Your Privacy at a Glance β€” Key Points

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We Protect Your Health InformationYour health information is protected under federal HIPAA law and Washington State law (RCW 70.02).
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We Never Sell Your InformationWe do not sell, rent, or trade your health information to anyone for any commercial purpose β€” ever.
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You Have RightsYou have the right to see, copy, correct, and control your health information.
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Limited SharingWe share your information only to provide your care, process payment, and as required by law.
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File a Complaint AnytimeYou may file a complaint with us or the government if you feel your rights were violated β€” no retaliation.
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Questions? Contact UsCall us anytime at (360) 296-2671 or email mariatmartinez1980@outlook.com.
1

Who We Are

Martinez Heart & Home Care is a Washington State licensed in-home care agency providing compassionate, LPN-supervised home care services to clients in Washington State. We are a HIPAA covered entity β€” federal law requires us to protect your health information and provide you with this notice.

This Notice of Privacy Practices applies to all health information we create or receive about you in connection with your care, including information from your doctors, hospitals, pharmacies, and other providers that we receive to coordinate your care.

ℹ️ Our Legal Duty Under HIPAA (45 CFR Β§164.520)We are required by law to: maintain the privacy of your protected health information; give you this notice; follow the terms of this notice; and notify you if your health information is ever breached. We take this obligation seriously.
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How We May Use & Share Your Health Information

The following explains the main ways we use and share your health information and whether we need your permission first:

PurposeExampleYour Permission Needed?
TreatmentSharing your medication list with your doctor to coordinate your Plan of Care; sharing care notes with our supervising LPN❌ No
PaymentSubmitting a claim to Medicaid (Apple Health), Medicare, long-term care insurance, or the VA for services provided❌ No
Healthcare OperationsTraining our caregivers, conducting quality reviews, managing our agency, and improving our services❌ No
Required by LawReporting suspected abuse or neglect of a vulnerable adult to Adult Protective Services (RCW 74.34) β€” mandatory reporting❌ No
Public HealthReporting communicable diseases to the Washington State Department of Health❌ No
Health OversightResponding to a DSHS or DOH audit, inspection, or investigation of our agency❌ No
Emergency SituationsSharing information to prevent a serious and immediate threat to your health or safety❌ No
Workers' CompensationSharing information as authorized by Washington State workers' compensation laws❌ No
Family Members / FriendsTelling your family member about your care if you are present and agree, or if you are incapacitated and it is in your best interest⚠️ Sometimes
ResearchUsing your information for approved research studies with appropriate safeguards⚠️ Usually
MarketingSending you information about products or services for commercial purposesβœ… Yes β€” always
Sale of InformationSelling your health information to any third party for any purposeβœ… Yes β€” always
Most Other UsesAny use or disclosure not described in this noticeβœ… Yes β€” always
❀️ We Never Sell Your InformationMartinez Heart & Home Care does not sell, rent, trade, or otherwise transfer your health information to any third party for commercial purposes β€” ever. Your health information is used only to provide and coordinate your care.
3

Your Rights Regarding Your Health Information

You have the following rights regarding your health information. To exercise any of these rights, contact us at (360) 296-2671 or mariatmartinez1980@outlook.com. We will respond within the timeframes required by law at no charge for filing a request.

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Right to See & Get a Copy

You have the right to inspect and obtain a copy of your health records. We will provide access within 30 days of your written request. A reasonable fee may apply for copies.

β†’ Submit a written request to us
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Right to Correct Your Records

If you believe your health information is incorrect or incomplete, you may ask us to correct it. We will respond within 60 days of your written request.

β†’ Submit a written request explaining the correction needed
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Right to Know Who We Shared With

You may request a list of the times we shared your health information for purposes other than treatment, payment, and operations β€” going back 6 years.

β†’ Submit a written request to our agency
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Right to Limit How We Use Your Info

You may ask us to limit how we use or share your health information. We are not always required to agree, but we will consider every request carefully.

β†’ Submit a written request specifying the restriction
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Right to Confidential Communications

You may ask us to contact you in a specific way β€” for example, only by cell phone, or only at a certain address. We will accommodate all reasonable requests.

β†’ Tell us your preferred contact method
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Right to a Copy of This Notice

You have the right to receive a paper copy of this Notice of Privacy Practices at any time, even if you agreed to receive it electronically.

β†’ Call us or visit our office
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Right to Withdraw Permission

If you gave us written permission (authorization) to use or share your health information, you may withdraw that permission at any time in writing.

β†’ Submit a written revocation to our agency
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Right to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health & Human Services. We will NEVER retaliate against you for filing a complaint.

β†’ See Section 6 for complaint contacts
βœ… No Retaliation β€” EverFiling a complaint about your privacy rights will never affect the quality of care you receive from Martinez Heart & Home Care. We are committed to protecting your rights and will never retaliate against any client or family member who exercises their rights or files a complaint.
4

How We Protect Your Health Information

Administrative Safeguards

  • All caregivers and staff receive HIPAA privacy and security training upon hire and annually
  • Only authorized personnel have access to your health information on a need-to-know basis
  • We have Business Associate Agreements (BAAs) with all vendors who handle your health information
  • We conduct regular privacy and security risk assessments

Physical Safeguards

  • Paper records are stored in locked, secure files accessible only to authorized staff
  • Records are securely shredded when no longer needed per retention requirements
  • Access to client files is restricted to authorized agency personnel only

Technical Safeguards

  • SSL/TLS encryption for all electronic data transmission
  • Password-protected access to all electronic health records
  • Encrypted email for any health information sent electronically
  • Automatic logoff from electronic systems after periods of inactivity

Breach Notification

If your health information is ever breached, we will notify you, the U.S. Department of Health & Human Services, and if required, the media β€” within 60 days of discovering the breach, in accordance with the HIPAA Breach Notification Rule (45 CFR Part 164, Subpart D) and Washington State data breach notification law (RCW 19.255.010).

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Washington State Additional Protections

Washington Health Care Information Act (RCW 70.02)

Washington State provides additional protections for your health information beyond federal HIPAA requirements. Under RCW 70.02, you have the right to access your health care information within 15 business days of request, request corrections, restrict certain disclosures, and file a complaint with the Washington State Department of Health.

My Health MY Data Act (RCW 70.372)

Washington State's My Health MY Data Act provides additional protections for consumer health data, including restrictions on the collection, sharing, and sale of consumer health data. We comply with all requirements of this law.

Vulnerable Adult Protection (RCW 74.34)

As a home care agency, all of our caregivers are mandatory reporters under RCW 74.34. We are required by law to report suspected abuse, neglect, financial exploitation, or abandonment of vulnerable adults to Adult Protective Services (APS) at 1-877-734-6277 and law enforcement within 24 hours. This reporting obligation is required by law and supersedes confidentiality protections in cases of suspected abuse or neglect.

Data Breach Notification (RCW 19.255.010)

In the event of a data breach affecting your personal information, we will notify you as quickly as possible and without unreasonable delay, consistent with Washington State law and the needs of law enforcement.

πŸ“‹ Record RetentionWe retain your health records for a minimum of 6 years from the date of creation or last effective date, in accordance with HIPAA (45 CFR Β§164.530(j)) and WAC 246-335. After the applicable retention period, records are securely destroyed.
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Contact Us & How to File a Complaint

πŸ“ž Contact Martinez Heart & Home Care

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Office Hours: Monday–Friday 8:00am–6:00pm • Saturday 9:00am–3:00pm
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Washington State β€” Serving our local community with heart-centered care

If you believe your privacy rights have been violated, you may also file a complaint with any of the following agencies. We will not retaliate against you for filing a complaint.

πŸ›οΈ U.S. Dept. of Health & Human Services

Office for Civil Rights (OCR)
πŸ“ž 1-800-368-1019
TDD: 1-800-537-7697
🌐 hhs.gov/hipaa/filing-a-complaint

πŸ₯ Washington State DOH

Department of Health
πŸ“ž 1-800-525-0127
🌐 doh.wa.gov

πŸ›οΈ DSHS Complaint Resolution

Aging & Long-Term Support
πŸ“ž 1-800-562-6078
🌐 dshs.wa.gov

πŸ›‘οΈ Adult Protective Services

Vulnerable Adult Abuse Reporting
πŸ“ž 1-877-734-6277
Available 24 hours / 7 days a week

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Changes to This Notice

We reserve the right to change this Notice of Privacy Practices at any time. We may make the revised notice effective for health information we already have about you as well as any information we receive in the future. We will:

  • Post the current notice on our website with the new effective date
  • Make copies available at our office upon request
  • Provide a copy to new clients before or at the time of their first visit
  • Notify existing clients of material changes by mail or email

The effective date at the top of this notice indicates when the current version took effect. You may always request a copy of the most current notice by calling us at (360) 296-2671.

❀️ Questions About Your Privacy?

We are committed to protecting your health information and your rights. If you have any questions about this notice, your privacy rights, or how we handle your health information, please contact us β€” we are here to help.

This notice is provided in accordance with HIPAA (45 CFR Β§164.520) and Washington State law (RCW 70.02). © 2025 Martinez Heart & Home Care. All rights reserved.