PRIVACY

NOTICE OF PRIVACY PRACTICES
T.C.C.H.A.P., Inc
Effective Date: April 14, 2003
Responsibilities of T.C.C.H.A.P., Inc

T.C.C.H.A.P., Inc is required to protect the privacy of your health information that may identify you. This health information includes health care services that are provided to you, payment for those health care services or other health care operations provided on your behalf.
This agency is required by law to inform you of our legal duties and privacy practices with respect to your health information through a “Notice of Privacy Practices”. This Notice describes the ways we may share your past, present and future health information, ensuring that we use and/or disclose this information only as we have described in this Notice.

This notice is available at our agency office at 1200 Waters Place, Suite 106, Bronx, NY 10461 or through the mail with a request in writing to our mailing address.. We reserve the right to change our privacy practices and the terms of this Notice, and to make the new Notice provisions effective for all health information that we maintain. Any changes to this Notice will be posted in our agency office and on our agency web site at www.tcchomecare.com Copies of any revised Notices will be available to you upon request.

If at any time, you have questions or concerns about the information in this Notice or about our agency’s privacy policies, procedures and practices, you may contact our agency Privacy Official at
1-718-239-0608.

Complaints

If you believe your privacy rights have been violated, or if you want to make a complaint about our privacy practices, you may contact our agency Privacy Official. All complaints should be submitted in writing. Contact information is as follows:

T.C.C.H.A.P., Inc Privacy Official
1200 Waters place, Suite 106
BRONX, NY 10461
1-718-239-0608
1-718-239-1323

hipaaagent@tcchomecare.com

You may also send a written complaint to the United States Secretary of the Department of Health and Human Services. Contact information is as follows:

Office for Civil Rights
U.S. Department of Health and Human Services
26 Federal plaza - Suite 3313
New York, NY 10278
Voice Phone (212)264-3313
FAX (212)264-2355
TDD (212)264-3039

If you file a complaint, we will not take any action against you or change our treatment of you, in any way.


Tremont Community Council Home Attendant Program, Inc.
1200 Waters Place, Ste. 106
Bronx, NY 10461
Phone: 718-239-0608
Fax: 718-239-1323

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