404-287-4426|[email protected]Serving Atlanta & Surrounding Communities

HIPAA Privacy Notice & Consent

Please read and acknowledge the following before completing your intake form.

Your health information is protected. Passion Care LLC is fully compliant with the Health Insurance Portability and Accountability Act (HIPAA) of 1996. All information you provide is encrypted, stored securely, and accessible only to authorized personnel involved in your care.

Notice of Privacy Practices

Passion Care LLC ("we," "us," or "our") is committed to protecting the privacy of your Protected Health Information (PHI) as required by the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and its implementing regulations.

How We Use Your Information: We use and disclose your health information for the following primary purposes:

Treatment: To provide, coordinate, and manage your health care and related services.
Payment: To obtain payment for services rendered, including billing and insurance coordination.
Healthcare Operations: For quality assessment, training, licensing, and business management activities.

Your Rights Under HIPAA: You have the right to:

Request a copy of your health information
Request corrections to your health information
Request restrictions on how your information is used or disclosed
Request confidential communications
Receive an accounting of disclosures of your health information
Receive a paper copy of this Notice of Privacy Practices
File a complaint if you believe your privacy rights have been violated

Information Security: We implement administrative, physical, and technical safeguards to protect your PHI from unauthorized access, use, or disclosure. All staff members are trained in HIPAA compliance and are bound by confidentiality obligations.

Disclosures Required by Law: We may disclose your health information when required by federal, state, or local law, including for public health activities, law enforcement purposes, or judicial proceedings.

Contact Information: For questions about this Notice or to exercise your rights, contact our Privacy Officer at [email protected] or 404-287-4426.

For the complete Privacy Policy, please visit our HIPAA Notice page.

I have read and understand the HIPAA Notice of Privacy Practices above. I acknowledge that Passion Care LLC will use and disclose my protected health information as described, and I consent to the collection and use of my health information for the purposes of receiving home care services.

You must check the box above to acknowledge the HIPAA notice before proceeding.

Your information is encrypted and protected. We will never sell or share your data without consent.