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NOTICE OF PRIVACY PRACTICES

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 Legal Duty

Crossroads Medical Supply (“we,” “us,” or “our”) is required by law to: 

  • Maintain the privacy of your protected health information (“PHI”) 

  • Provide you with this Notice of our legal duties and privacy practices 

  • Follow the terms of this Notice currently in effect

How We May Use and Disclose Your Information

We may use and disclose your PHI without your written authorization for the following purposes:

Treatment

We may use your information to provide, coordinate, or manage your healthcare, including: 

  • Communicating with your physicians

  • Providing equipment and supplies

  • Coordinating care with other providers

Payment

We may use and disclose your information to obtain payment for services, including:

  • Billing Medicare, Medicaid, or private insurance 

  • Verifying insurance eligibility 

  • Collecting outstanding balances

Healthcare Operations

We may use your information for business operations, including:

  • Quality improvement

  • Staff training

  • Compliance and auditing

  • Accreditation requirements

Appointment Reminders & Communication

We may contact you regarding:

  • Delivery scheduling

  • Resupply reminders (e.g., CPAP, CGM)

  • Billing or account matters

We may use phone calls, text messages, email, or mail.

Individuals Involved in Your Care

We may share information with family members, caregivers, or others involved in your care, unless you object.

Health & Safety

We may disclose information to prevent or lessen a serious threat to your health or safety or that of others.

Uses Requiring Your Authorization

We will obtain your written authorization for uses not described in this Notice, including: 

  • Marketing purposes (when required)

  • Sale of your health information

  • Certain disclosures of psychotherapy notes (if applicable)

You may revoke your authorization at any time in writing.

Your Rights Regarding Your Health Information

You have the following rights:

Right to Access

You may request a copy of your medical and billing records.

Right to Amend

You may request corrections to your information if you believe it is incorrect or incomplete.

Right to an Accounting of Disclosures

You may request a list of certain disclosures we have made of your information.

Right to Request Restrictions

You may request limits on how we use or disclose your information.

Right to Request Confidential Communications

You may request that we contact you in a specific way (e.g., only by phone or mail).

Right to a Paper Copy

You may request a paper copy of this Notice at any time.

Our Responsibilities

We are required to:

  • Protect the privacy and security of your information

  • Notify you if a breach occurs that may have compromised your information

  • Abide by the terms of this Notice

Changes to This Notice

We reserve the right to change this Notice at any time. Updated versions will be made available: 

  • In our office 

  • On our website (if applicable)

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Natasha Calk Email: natasha.calk@crossroadsmedicalsupply.com

Address: 207 East Greenwood Ave, Suite B • Bowie, Texas 76230

Phone: (940) 353-3969

Fax: (940) 386-5014

​

You may also file a complaint with: U.S. Department of Health & Human Services

Office for Civil Rights

https://www.hhs.gov/ocr/privacy/hipaa/complaints/

You will not be penalized for filing a complaint.

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