EFFECTIVE DATE:April 14, 2003

FOR QUESTIONS, PLEASE CONTACT OUR PRIVACY OFFICER at:

Focus on Function, 6400 N. Santa Fe, Ste. B, Oklahoma City, OK 73116 (405) 840-2903.

Focus on Function, a Medicare Certified Outpatient Rehabilitation Agency and Licensed Home Care Agency, is required by law to maintain the privacy of protected health information. Protected health information includes any identifiable information we obtain from you or others related to your physical or mental health, the health care you have received or payment for your health care.

Protected health information about you and your health is personal.We are committed to protecting your health information. We retain records regarding the health care you receive in order to provide you with quality care.This notice applies to the protected health information that is retained by Focus on Function and will inform you about the ways in which we may use and disclose your protected health information. It also describes your rights and certain obligations we have regarding the use and disclosure of protected health information.

We are required by law to: 1) make sure protected health information that identifies you is kept private 2) give you this notice of our legal duties and privacy practices with respect to your protected health information 3) follow the terms of this notice.

The following categories describe different ways permitted by law that we use and disclose protected health information. For each category of uses or disclosures, we will explain and give examples. Not every use or disclosure will fall within one of these categories.

For treatment: We may disclose medical information about you to a health care provider who renders treatment on your behalf. For example, we may provide your health history or a statement about your progress to another health care professional, hospital or physician that you are receiving treatment from.

For payment: We may use and disclose medical information about you so that the treatment and services you receive from us may be paid. For example, we may inform your insurance about the treatments you received from us in order for our company to be reimbursed.

For health care operations: We may use and disclose medical information about you so that the we may carry out the administrative, financial, legal and quality improvement activities that are necessary to run our business and to support the core functions of treatment and payment. For example, certification and licensing requirements or conducting medical review including fraud and abuse detection.

To a Business Associate: We may use and disclose medical information about you to a Business Associate. A Business Associate is a person or entity that performs certain functions or activities that involve the use or disclosure of protected health information on behalf of, or provides services to, a covered entity. For example, a Business Associate might be a data destruction company which we pay to destroy discarded documents that may contain protected health information. We require the company, through a contract, to safeguard protected health information.

Individuals Involved in Your Care or Payment of Your Care: Unless you object, we may release medical information about you to a close friend, family member or other person identified by you. For example, we may provide information to someone you have designated to assist you in paying for your treatments.

Workers Compensation: We may release health information about you to comply with workers compensation laws if you were injured on the job.

Public Health Risks: We may disclose health information about you for public health activities to agencies authorized by law to collect such information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. For example, reporting of abuse and neglect or notification of equipment recalls.

Health Oversight Activities: We may disclose protected health information to a health oversight agency for oversight activities authorized by law. For example, audits or inspections for licensure.

For treatment: We may disclose medical information about you to a health care provider who renders treatment on your behalf. For example, we may provide your health history or a statement about your progress to another health care professional, hospital or physician that you are receiving treatment from.

For payment: We may use and disclose medical information about you so that the treatment and services you receive from us may be paid. For example, we may inform your insurance about the treatments you received from us in order for our company to be reimbursed.

For health care operations: We may use and disclose medical information about you so that the we may carry out the administrative, financial, legal and quality improvement activities that are necessary to run our business and to support the core functions of treatment and payment. For example, certification and licensing requirements or conducting medical review including fraud and abuse detection.

To a Business Associate: We may use and disclose medical information about you to a ìBusiness Associateî. A ìBusiness Associateî is a person or entity that performs certain functions or activities that involve the use or disclosure of protected health information on behalf of, or provides services to, a covered entity. For example, a Business Associate might be a data destruction company which we pay to destroy discarded documents that may contain protected health information. We require the company, through a contract, to safeguard protected health information.

Individuals Involved in Your Care or Payment of Your Care: Unless you object, we may release medical information about you to a close friend, family member or other person identified by you. For example, we may provide information to someone you have designated to assist you in paying for your treatments.

Workersí Compensation: We may release health information about you to comply with workersí compensation laws if you were injured on the job.

Public Health Risks: We may disclose health information about you for public health activities to agencies authorized by law to collect such information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. For example, reporting of abuse and neglect or notification of equipment recalls.

Health Oversight Activities: We may disclose protected health information to a health oversight agency for oversight activities authorized by law. For example, audits or inspections for licensure.

health information about an individual whom we reasonably believe to be a victim of abuse, neglect, or domestic violence to a government authority authorized by law to receive reports of such.

Lawsuits: We may disclose protected health information in the course of any judicial or administrative proceedings. For example, in response to a court order, subpoena, discovery request or other lawful process that is not accompanied by an order of a court.

As required by law and law enforcement, national security and intelligence activities: We will disclose medical information about you when required to do so by federal, state or local law. For example, to assist with disaster relief, in response to a court order, in circumstances to report a crime, conduct of lawful intelligence activities, or protective services for the President.

Military: If you are a member of the armed forces, we may release medical information about you as required by military command authorities.

Appointment Reminders: We may contact you to provide appointment reminders by phone

Your Rights Regarding Protected Health Information we maintain about you include the following:

Right to copy and inspect: You have the right to inspect and copy protected health information that is about you. To inspect or copy, you must submit your request in writing to our Privacy Officer, and we may charge you a fee for each page.

Right to amend: If you feel that protected health information we have about you is incorrect, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by our agency. Your request must be made in writing and submitted to our Privacy Officer including a reason that supports your request to amend the information. We may deny your request if it is not in writing or does not include a supportive reason, was not created by us, the person that created the information is no longer available to make the amendment, is not part of the protected health information kept by us, is not part of the information which you would be permitted to inspect and copy, or is accurate and complete.

Right to an accounting of disclosures: You have the right to request an ìaccounting of disclosures.î This is a list of disclosures we made of protected health information about you to others, except for purposes of treatment, payment and health care operations identified above and certain other limited purposes permitted by regulation. If a disclosure was made for national security or intelligence activities, or to law enforcement officials, your rights to an accounting may be suspended if required by such agency. To request an accounting of disclosures, you must submit your request in writing to our Privacy Officer. Your request must state a time period, which may not be longer than six years and may not include dates before April 14, 2003. Your request should indicate if you want the list in paper or electronic form. The first list you request within a 12 month period is free. For additional lists, we may impose a reasonable, cost based fee for copying supplies, postage and labor which you will be notified of before preparation of the accounting.

Right to request restrictions: You have the right to request a restriction or limitation on the protected health information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the protected health information we disclose about you to someone who is involved in your care or the payment of your care, such as a family member. We are not required to agree to your request. If we agree, we will comply with your request unless the information is needed to provide you emergency treatment. You must make your request for restrictions in writing to our Privacy Officer. You must tell us what information you want to limit, whether you want to limit our use, disclosure or both and to whom you want the limits to apply. We may terminate the agreement on restrictions if: 1) you agree to it in writing 2) you agree to it orally, and we document the agreement 3) we inform you that we are terminating the agreement as long as such termination is only effective for protected health information created or received after the termination.

Right to request confidential communications: You have the right to request that we communicate with you about protected health matters in a certain way or location. For example, you can request that we only contact you by mail. You must make your request to our Privacy Officer in writing specifying how you wish to be contacted. We will accommodate reasonable requests.

Right to a paper copy of this privacy notice: You have the right to a paper copy of this notice. You may request a paper copy of this notice at any time from our Privacy Officer.

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for protected health information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in our reception area. The notice will contain an effective date on the first page. If the changes to this notice materially alter the provisions of the notice, the current notice will be available in our reception area.

If you believe your privacy rights have been violated, you may submit your complaint in writing to our Privacy Officer. If we cannot resolve your concern, you also have the right to file a written complaint with the Secretary of the Department of Health and Human Services. Your treatment will not be jeopardized nor will you be penalized for filing a complaint.

Other uses and disclosures of protected health information not covered by this notice or the laws that apply to us will be made only with your written authorization. If you authorize us to use or disclose protected health information about you, you may revoke that authorization in writing at any time. If you revoke your authorization, we will no longer use or disclose protected health information about you for the reason covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your authorization and that information may no longer be subject to the privacy protections under this notice or applicable law.