Ø Worker’s Compensation. We may disclose your PHI as authorized by and to the extent
necessary to comply with state law relating to workers’ compensation or other similar
Ø Military and Veterans. We may release medical information about you as required
by military command authorities if you are a member of the armed forces. We may also
release medical information about foreign military personnel to the appropriate foreign
Ø National Security and Intelligence Activities. We may release medical information
about you to authorized federal officials for intelligence, counter-intelligence,
and other national security activities authorized by law.
Ø Protective Services for the President and Others. We may disclose medical information
about you to authorized federal officials so they may provide protection to the President,
other authorized persons or foreign heads of state or conduct special investigations.
Ø Inmates. If you are an inmate of a correctional institution or in the custody of
a law enforcement official, we may release medical information about you to the correctional
institution or law enforcement official. This release would be necessary:
· For the institution to provide you with health care;
· To protect your health and safety or the health and safety of others; or
· For the safety and security of the correctional institution.
Ø As Required by Law. We may use and disclose your PHI when required to do so by
any other law or regulation not already referred to above.
Ø Fundraising Communications. We may contact you to request a tax-deductible contribution
to support important activities of Paladin Medical Transport, Inc. In connection
with any fundraising, we may disclose to our fundraising staff demographic information
about you (e.g., your name, address and phone number) and dates on which we provided
health care to you, without your written authorization. If you do not want to receive
any fundraising requests in the future, you may contact our Privacy Officer at 434-315-5620.
USES and DISCLOSURES REQUIRING YOUR WRITTEN AUTHORIZATION
Ø Use or Disclosure with Your Authorization. For any purposed other than the ones
described above, we only may use or disclose your PHI when you grant us your written
authorization on our authorization form (“Your Authorization”). For instance, you
will need to execute an authorization form before we can send your PHI to your life
insurance company or to the attorney representing the other party in litigation in
which you are involved.
Ø Marketing. We do not use or share medical information for marketing purposes. If
you receive marketing materials from us, it is because we have received your contact
information from another source, such as a zip code listing. We must also obtain
your written authorization prior to using your PHI to send you any marketing materials.
(We can, however, provide you with marketing materials in a face-to-face encounter
without obtaining authorization.) In addition, we may communicate with you about
products or services relating to your treatment, case management or care coordination,
or alternative treatments, therapies, providers or care settings without authorization.
Ø HIV/AIDS Related Information. Your authorization must expressly refer to your HIV/AIDS
related information in order to permit us to disclose your HIV/AIDS related information.
However, there are certain purposes for which we may disclose your HIV/AIDS information,
without obtaining your authorization:
· Your diagnosis and treatment;
· Scientific research;
· Management audits, financial audits or program evaluation;
· Medical education;
· Disease prevention and control when permitted by the Department of Health and Senior
· To comply with a certain type of court order; and
· When required by law, to the Department of Health and Senior Services or another
You also should note that we may disclose your HIV/AIDS related information to third
party payers (such as your insurance company or HMO) in order to receive payment
for the services we provide to you.