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Dear Source One,
 
Mom loved her Jet 7 and used it all over the house. Without it, she would have lost her mobility and therefore her independence...
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Patient Health Information-Privacy Notice

Please note that we maintain paper & electronic files that may contain private information about you that may include, but are not limited to your name, address, phone number, contact person, height & weight, diagnosis, prognosis, physician(s), prescriptions, plans of service & treatment, vital signs & other clinical impressions, insurance coverage(s), equipment rented & purchased from us, credit card number(s), dates of service, etc. We release, transfer & disclose the above information to third parties to facilitate appropriate provision & review of services & billing for our clients of record. These files are legal documents & are also used for education, evaluating the performance of our organization, marketing & planning purposes. We have measures in place to protect patient health information as required by law. These measures include, but are not limited to, security precautions being in place in our buildings, vehicles, billing software, transactions with government entities, vendors, consultants, surveyors, your family or appointed representative & other appropriate parties, transmission of data to third-parties, telephonic & wireless communications, maintenance, retention & destruction of data, etc. You have the right to amend, restrict, revoke consent to release, examine or obtain copies of the data that we have in your file & have released to others upon request. If you have questions concerning any of the above, please contact our Privacy Officer at the number shown on this form.
Effective 6/11/03
 
Please contact our Privacy Officer at 888-447-9056.
    Customer Service     Medical Products     Customer Information




** The cost of durable medical equipment is dependent on individual insurance benefits and medical qualifications. If you are covered by Medicare Part B benefits and have a secondary insurance, you may have "Little or No Cost" responsibility. If you are covered through Private Insurance benefits, you may be responsible for a yearly deductible or other associated cost. All insurance sales are for delivery in Source One Medical, Inc. service areas ONLY.

All services are performed by Source One, who is independent of every manufacturer. ResMed products and Fisher & Paykel Healthcare products are for sale in the 50 United States only.