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.

Purpose of this notice

Your health information is personal, and Trans-Aid Inc. is committed to protecting it. This Notice of Privacy Practices (this "Notice") is intended to inform you of the ways Trans-Aid my use and disclose your personal health information, and is required by law. This Notice applies to all medical records related to your care that are created by our personnel. Other healthcare providers may have different privacy practices and a different notice of your personal health information created in their offices.

I. Legal Requirements

We are required by law to:

a. Maintain the privacy of your health information, also known as "protected health information" or "PHI";

b. Provide you with a copy of this Notice; and

c. Comply with the current version of this Notice

II. Future Changes to Our Privacy Practices and this Notice

We reserve the right to change our privacy practices and the terms of this Notice, and to make the new notice provisions effective for all PHI that we previously obtained from you, as well as PHI that we may receive in the future. This Notice will be revised in the event of a material change to our privacy practices. You may obtain a copy of any revised Notice by contacting us in writing at: 1300 Gardena Ave. Glendale, CA 91204 Attn: Compliance Officer. A copy of our current Notice can be obtained on our website at: www.trans-aidambulance.com.

III. Permitted Uses and Disclosures

We are required by law to obtain your written authorization for some uses and disclosures. In other circumstances, the law permits us to use or disclosure your PHI without your written authorization. This Section III gives examples of situations where we can use or disclose your PHI without your written authorization.

a. Uses and Disclosures that do not require your authorization. The law permits us to sue or disclosure your PHI, without your authorization in connection with our treatment activities. In addition, we may use or disclose your PHI in order for others to provide treatment to you. For example, if we transport you to a hospital, we may disclosure your PHI to physicians, nurses and other health care professionals involved in your care. We may also use or disclosure your PHI to your insurance carriers in connection with our payment activities, in order to get paid for the treatment we provide to you. For example, we may use your PHI to create bills that we submit to insurance companies. We may also disclose aspects of your PHI to our business associates who perform billing and other services for us. We may also disclosure your PHI to other health care providers, in connection with their payment-related activities. Finally, we may use or disclose your PHI for our health-care operations. For example, we may use your PHI to evaluate the performance of those who provided you treatment. We may also provide your PHI to our attorneys, accountants and other consultants to make sure we are complying with local, state and federal laws that affect us. In addition, we may also disclose your PHI to another health care provider, health insurance plan or health care clearinghouse for their health care operations purposes. However, we will make such disclosures only if (1) they have or had a relationship with you and (2) provided the PHI they request pertains to that relationship. In addition, we will disclose your PHI to these third parties for limited purposes only, such as for them to conduct quality improvement activities, or to review the performance of a health care provider, or for training purposes. State and local laws may impose more stringent requirements on the disclosure of PHI in certain instances. To the extent applicable, we will comply with more restrictive state and local laws.

b. Other Uses and Disclosures Not Requiring Authorization. In addition to the uses and disclosures discussed in Section IIIa, the law allows us to disclose PHI without your authorization in the following circumstances:

1) When required by law.

2) For public health activities.

3) For reports about victims of abuse, neglect or domestic violence.

4) For health oversight Agencies.

5) For Judicial and administrative proceedings.

6) To law enforcement in the following instances: (a) as required by law, (b) in response to a court order, court ordered warrant, subpoena, summons, or administrative request or similar process: (c) to identify or locate a suspect, fugitive, material witness or missing person: (d) about the victim of a crime if, under certain limited circumstances, we are unable to obtain the person's agreement: (e) to notify law enforcement about a death we believe my be due to criminal conduct: (f) to notify law enforcement about criminal conduct at our facility: and (g) in emergency circumstances, to report a crime, its location or victims, or the identity, description or location of the person who committed the crime.

7) To coroners, medical examiners and funeral directors.

8) To organ donation organizations.

9) For medical research purposes, under certain conditions.

10) To avert serious threats to public safety.

11) For certain essential government functions.

12) Where authorized by workers' compensation or similar laws.

c. Uses and Disclosures that Require Us to Give You the Opportunity of Object.

Unless you object, we may provide relevant portions of your PHI to a family member, friend or other person you indicate is involved in your health care or providing payment for your health care. We may use or disclose your PHI to notify your family or personal representative of your location or condition. In an emergency or when you are not capable of agreeing or objecting of these disclosures, we will disclose PHI as we determine to be in your best interest, but will give you the opportunity to object to future disclosures to family and friends, whenever possible. Unless, you object, we may also disclose your PHI to persons performing disaster relief activities.

IV. Other Uses and Disclosures

Except for the uses and disclosures discussed in Section III above and the other uses and disclosures permitted by law, all other uses and disclosures of your PHI will be made only with your written authorization. If you give us written authorization for a use or disclosure of your PHI, you have the right to revoke that authorization at any time by notifying us in writing. If you revoke your authorization we will no longer use or disclosure your PHI for the purposes specified in the written authorization, except that we are unable to take back any disclosures we have already made with your permission. In addition, we can use or disclose your PHI after you have revoked your authorization for actions we have already taken in reliance on your authorization.

V. Individual Rights

You have the following rights with respect to your PHI:

a. The Right to Request Restrictions on Certain Uses and Disclosures of Your PHI. You have the right to request that we limit how we use and disclose your PHI. Any such request must be submitted in writing to our Privacy Officer. We are not required to agree to your request. If we do agree, we will do so in writing, and we will abide by such agreement, except when you require emergency treatment.

b. The Right to Receive Confidential Communications of Your PHI. You have the right to ask that we send information to you at a specific address (e.g. your work address rather than your home address) or in a specific manner (e.g. by email instead of regular mail). We shall attempt to accommodate all reasonable requests, provided such requests are not overly burdensome or otherwise disrupt our operations. Any such request must be submitted in writing to our Privacy Officer.

c. The Right to Inspect and Copy Your PHI. Except for limited circumstances, you may inspect and copy your PHI if you ask in writing to do so. Any such request must be addressed to [Privacy Officer or Patient Services]. In certain situations we may deny your request, but if we do, we will tell you in writing of the reasons for the denial and explain your rights with regard to having the denial reviewed. If you ask us to copy your PHI, we reserve the right to change a reasonable fee for copying such PHI.

d. The Right to Amend Your PHI. If you believe that we have incorrect or incomplete PHI about you, you have the right to request that we amend such PHI. Any such request must be submitted in writing to our Privacy Officer, and should explain the reason for the requested amendment. By law, we must respond within 60 days of our receipt of your request, but we may extend this period for another 30 days upon written notice to you. We will inform you in writing whether we agree to make the requested changes to your PHI. If we agree to your request, we will take reasonable steps to notify other health care providers of the change. If we deny your request, we will notify you in writion, and tell you how to submit a statement of disagreement or to request inclusion of your amendment request in your PHI.

We may deny a request for amendment if:

1) The PHI was not created by us, unless you can show that the original source of the PHI is no longer available to make the change.

2) Is not part of the designated record set.

3) Is not part of the PHI you would be allowed to inspect or copy.

4) Is determined by us to be accurate and complete.

e. The Right to an Accounting. You have the right to request an accounting of all instances in which we have used or disclosed your PHI. Any such request must be submitted in writing to our Privacy Officer. By law, we must respond within 60 days of our receipt of your request, but we may extend this period for another 30 days upon written notice to you. The list we provide will include all disclosures made within the previous 6 years, unless you specify a shorter period of time. We are not required to provide you with an accounting of disclosures made for our treatment, payment or operations purposes, or for the treatment, payment or operations purposes of another health care provider; disclosures made directly to you ; disclosures made through a facility directory, disclosures for national security, intelligence or law enforcement purposes, or disclosures made prior to April 14, 2003.

f. The Right to Get a Paper Copy of This Notice. Even if you have agreed to receive the Notice by e-mail, you have the right to request a paper copy of this Notice as well. To obtain a paper copy of the current version of our Notice, send your written request to: 1300 Gardena Ave, Glendale, CA 91204. The current version of our Notice is also available on our web site: www.trans-aidambulance.com

VI. Complaints.

If you believe that your privacy rights have been violated, you have the right to file a complaint with the Office of Civil Rights of the Department of Health and Human Services. To file a complaint with the Office for Civil Rights, mail your written complaint to: Office for Civil Rights, U.S. Department of Health and Human Services, 90 7th Street, Suite 4-100, San Francisco, CA 94103 or call them at: (415)437-8310. You also have the right to file a complaint with us. To file a complaint with us, mail your written complaint to: 1300 Gardena Ave, Glendale CA 91204. WE WILL NOT RETALIATE AGAINST YOU FOR FILING A COMPLAINT.

VII. Patient Inquiries

If you have questions about this Notice or would like additional information on our privacy practices, you may contact our privacy officer at: Trans-Aid Inc. 1300 Gardena Ave. Glendale, CA 91204 (800)9809811.