HIPAA Notice of Privacy Practices

Acts of Service Home Care Agency LLC

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Effective Date: June 1, 2026

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Acts of Service Home Care Agency LLC ("Acts of Service Home Care," "we," "our," or "us") is committed to protecting the privacy and confidentiality of your health information. This Notice describes how your medical and personal information may be used and disclosed and how you can access this information.

Our services include non-medical in-home care and support services designed to help clients maintain independence, dignity, and quality of life in the comfort of their homes.

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Your Protected Health Information (PHI)

Protected Health Information (PHI) includes information that identifies you and relates to:

• Your physical or mental health condition

• Healthcare services you receive

• Payment for healthcare services

• Personal information collected during intake, assessment, and care planning

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How We May Use and Disclose Your Information

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

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Treatment and Care Coordination

To coordinate services with healthcare providers, family members involved in your care, hospitals, physicians, and other authorized individuals.

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Payment

To obtain payment for services provided, verify insurance coverage, process claims, and manage billing activities.

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Healthcare Operations

To improve service quality, conduct staff training, perform audits, ensure compliance, and manage business operations.

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As Required by Law

We may disclose PHI when required by federal, state, or local law, including reporting abuse, neglect, or public health concerns.

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Health and Safety

To prevent or lessen a serious threat to your health or safety or the health and safety of others.

Government and Regulatory Activities

For audits, investigations, inspections, licensing, accreditation, and other regulatory activities.

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Uses Requiring Your Authorization

We will obtain your written authorization before:

• Sharing information for marketing purposes

• Disclosing psychotherapy notes (if applicable)

• Selling your health information

• Any other use not described in this Notice

You may revoke your authorization at any time in writing.

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Your Rights

You have the right to:

• Access Your Records - Request copies of your health and service records.

• Request Corrections - Ask us to amend information you believe is incorrect or incomplete.

• Request Restrictions- Request limitations on certain uses or disclosures of your PHI.

• Request Confidential Communications - Ask us to contact you at a specific phone number, email address, or mailing address.

• Receive an Accounting of Disclosures - Request a list of certain disclosures we have made of your PHI.

• Obtain a Copy of This Notice - Receive a paper or electronic copy of this Notice at any time.

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Our Responsibilities

Acts of Service Home Care Agency LLC is required by law to:

• Maintain the privacy and security of your PHI

• Provide you with this Notice of Privacy Practices

• Follow the terms of this Notice

• Notify you if a breach occurs that may compromise your protected information

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Complaints

If you believe your privacy rights have been violated, you may file a complaint with us without fear of retaliation.

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Privacy Officer

Acts of Service Home Care Agency LLC
Houston, Texas
Phone: (346) 200-9886
Email: info@actsofservicehomecare.com

You may also file a complaint with the:

U.S. Department of Health and Human Services Office for Civil Rights

 

Changes to This Notice

We reserve the right to change this Notice and make revised terms effective for all information we maintain. Any updated Notice will be posted on our website and made available upon request.

 

Acknowledgment: By receiving services from Acts of Service Home Care Agency LLC, you acknowledge receipt of this Notice of Privacy Practices.