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HIPAA Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Our Commitment to Your Privacy

Farm to Fork Meals (“we,” “us,” or “the Organization”) respects your privacy. We are committed to taking reasonable steps to protect your protected health information (“PHI”) in accordance with the Health Insurance Portability and Accountability Act (“HIPAA”) and applicable Florida laws.

This notice informs you about:

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  • Your privacy rights with respect to PHI
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  • Our uses and disclosures of PHI; and
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  • How to contact us to request further information regarding our privacy practices.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your health record.

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  • You can ask to see or get an electronic or paper copy of your health record and other health information we have about you. Ask us how to do this.
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  • We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable cost-based fee.

Ask us to correct your health information.

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  • You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
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  • We may say “no” to your request, but we will tell you why in writing within 60 days.

Request confidential communication.

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  • You can ask us to contact you in a specific way (for example, home or cell phone) or to send mail to a different address.
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  • We will say “yes” to all reasonable requests.

Ask us to limit what we use or share.

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  • You can ask us not to use or share certain health information for treatment/services, payment, or our operations.
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  • We may be unable to fulfill your request and if so, we will notify you in a timely manner.

Get a list of those with whom we have shared information.

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  • You can ask for a list (accounting) of the dates on which we have shared your health information for the six (6) years immediately preceding the date you ask, who we shared it with, and why.
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  • We will include all the disclosures except for those about treatment/services, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We will provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within twelve (12) months.

Get a copy of this privacy notice.

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you.

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  • If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
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  • We will verify that any person who contacts us has this authority to act on your behalf before we take any action.

File a complaint if you feel your rights are violated.

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  • If you feel we have violated your rights, you can complain by contacting our Privacy Officer – the contact information is listed below.
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  • You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter or filing an online complaint to the appropriate Office of Civil Rights Regional Office – information can be found at www.hhs.gov/hipaa/filing-a-complaint, or by calling 1-800-368-1019 for further information.
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  • We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, contact us. Tell us what you want us to do, and we will follow your instructions. In these cases, you have both the right and choice to tell us to:

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  • Share information with your family, close friends, or others involved in your care
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  • Share information in a disaster relief situation

In these cases, we never share your information unless you give us written permission:

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  • Marketing purposes
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  • Fundraising purposes

Our Uses and Disclosures

How do we typically use or share your health information?

We typically use or share your health information in the following ways.

Business Operations.

We use and disclose your information to run our organization and to contact you when necessary.

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  • Example: We use information about you to notify you of upcoming meal deliveries and remind you to order meals.
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  • Example: We use information about you to conduct internal quality improvement activities.
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  • Example: We use information about you to bill and get payment from health plans or other entities.

External Audits.

We use and disclose your information if it is necessary to respond to an agency or governmental audit.

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We must meet many conditions in the law before we can share your information for these purposes.

In all cases, including those listed below, if we have substance use disorder patient records about you, subject to 42 CFR part 2, we cannot use or share information in those records in civil, criminal, administrative, or legislative investigations or proceedings against you without (1) your consent or (2) a court order and a subpoena.

Help with public health and safety issues.

We can share health information about you for certain situations such as:

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  • Helping with product recalls
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  • Reporting suspected abuse, neglect, or domestic violence

Comply with the law.

We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we are complying with federal privacy law.

Work with a medical examiner or funeral director.

We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers’ compensation, law enforcement, and other government requests.

We can use or share health information about you:

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  • For workers’ compensation claims
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  • For law enforcement purposes or with a law enforcement official
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  • With health oversight agencies for activities authorized by law

Respond to lawsuits and legal actions.

We can share health information about you in response to a court or administrative order, or in response to a subpoena.

To the extent that we have your substance use disorder patient records, subject to 42 CFR part 2, we will not share that information for investigations or legal proceedings against you without (1) your written consent or (2) a court order and a subpoena.

Our Responsibilities

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  • We are required by law to maintain the privacy and security of your protected health information.
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  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
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  • We must follow the duties and privacy practices described in this notice and give you a copy of it.
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  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind by contacting our Privacy Officer – contact information is at the end of this notice.

For more information see:

www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html

Changes to the Terms of this Notice

From time to time, we may change the terms of this notice, and the changes will apply to all information we have about you. If we do, the new notice will be on our website and available upon request. You can request a copy of our current Notice of Privacy Practices at any time by contacting our Privacy Officer.

Privacy Officer Contact Information

If you have any questions about this notice, or have further questions about how Farm to Fork Meals may use or disclose your health information, please contact:

Farm to Fork Meals
4351 NE 12th Terrace
Oakland Park, FL 33334
Attention: Privacy Officer
Phone: (877) 800-1410

Effective Date: April 2026

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