Notice of Privacy Practices
Your Information Your Rights Our Responsibilities
Effective Date: September 18, 2026
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.
This Notice of Privacy Practices describes how 1st Alliance Care Solutions LLC may use and disclose your protected health information and explains your rights regarding that information.
“Protected health information,” or “PHI,” generally means individually identifiable information about your health, healthcare, healthcare services, medical equipment, or payment for healthcare that we create, receive, maintain, or transmit in our capacity as a healthcare provider covered by HIPAA.
This notice applies to protected health information maintained by 1st Alliance Care Solutions LLC. It does not apply to information that is not governed by HIPAA.
Your Rights
You have the right to:
Obtain an electronic or paper copy of your health information
Ask us to correct your health information
Request confidential communications
Ask us to limit certain uses or disclosures
Obtain a list of certain disclosures we have made
Obtain a paper copy of this notice
Choose someone to act on your behalf
File a complaint if you believe your privacy rights have been violated
Obtain an Electronic or Paper Copy of Your Information
You may ask to inspect or obtain an electronic or paper copy of protected health information we maintain about you. This may include equipment orders, prescriptions, delivery documentation, rental records, service records, billing information, and other records used to make decisions about you.
Contact our Privacy Officer to learn how to submit your request.
We will ordinarily provide a copy or summary of your information within 30 days after receiving your request. If additional time is permitted and needed, we will notify you in writing.
We may charge a reasonable, cost-based fee for copying, supplies, postage, or preparing a summary when permitted by law.
In limited circumstances, we may deny access to some or all of the requested information. If we deny your request, we will explain the reason in writing and tell you whether you have the right to have the decision reviewed.
Ask Us to Correct Your Information
You may ask us to amend health information that you believe is incorrect or incomplete.
Your request must be submitted in writing and explain why you believe the information should be amended.
We may deny your request if:
The information is accurate and complete
We did not create the information and the original creator remains available to address the request
The information is not maintained by us
The information is not part of the records you are legally permitted to inspect
If we deny your request, we will explain the reason in writing, ordinarily within 60 days. You may submit a written statement of disagreement as permitted by law.
Request Confidential Communications
You may ask us to contact you in a particular way or at a particular location.
For example, you may ask us to:
Call only a particular telephone number
Send mail to a different address
Communicate through a designated caregiver
Avoid leaving detailed voicemail messages
We will accommodate reasonable requests. We may ask you to submit your request in writing and clearly identify your preferred communication method.
Ask Us to Limit What We Use or Disclose
You may ask us not to use or disclose certain health information for treatment, payment, or healthcare operations.
We are not generally required to agree to your request. We may deny the request if agreeing could affect your care, equipment services, safety, payment, or our ability to operate lawfully.
If we agree to a restriction, we will comply with it except when the information is needed to provide emergency treatment or when disclosure is otherwise required by law.
If you pay out of pocket in full for a healthcare item or service, you may ask us not to disclose information about that item or service to your health plan for payment or healthcare operations. We will agree to that request unless a law requires us to disclose the information.
Obtain a List of Certain Disclosures
You may ask for an accounting of certain disclosures of your protected health information made during the six years before the date of your request.
The accounting will identify:
The person or organization that received the information
The date of the disclosure
A description of the information disclosed
The purpose of the disclosure
The accounting will not include every use or disclosure. For example, it generally will not include disclosures made:
For treatment
For payment
For healthcare operations
Directly to you
With your written authorization
To individuals involved in your care when permitted by law
For certain national-security, intelligence, or correctional purposes
Before the applicable six-year period
We will provide one accounting during any 12-month period without charge. We may charge a reasonable, cost-based fee for additional accountings requested within the same 12-month period. We will tell you the cost before completing the additional request.
Obtain a Copy of This Notice
You may request a paper copy of this notice at any time, even if you previously agreed to receive it electronically.
The current notice will also be available:
On our website
At our physical location
From our Privacy Officer upon request
Choose Someone to Act for You
If you have given another person legal authority to act on your behalf, that person may exercise your rights and make choices about your protected health information.
Examples may include:
A legal guardian
A healthcare power of attorney
A parent or legal guardian acting for a minor when permitted by law
An executor or administrator acting for a deceased individual’s estate
Another legally authorized personal representative
Before taking action, we may require documentation establishing the individual’s identity and legal authority to act for you.
File a Privacy Complaint
You may file a complaint with us if you believe we have violated your privacy rights.
Submit a complaint to:
Privacy Officer
1st Alliance Care Solutions LLC
234 Avenue F
Kentwood, Louisiana 70444
Email: legal@1stalliancecare.com
Phone: 985-328-7955
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by:
Calling 1-877-696-6775
Sending a letter to:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue SW
Washington, DC 20201
We will not retaliate against you for filing a complaint or exercising any privacy right.
Your Choices
For certain health information, you may tell us how you want the information used or disclosed.
If you have a clear preference, contact us and explain what you want us to do. We will follow your instructions when required by law.
Individuals Involved in Your Care
You may tell us whether we may disclose relevant health information to:
A family member
A caregiver
A close personal friend
Another person involved in your healthcare
Another person involved in payment for your care or equipment
For example, you may authorize us to discuss an equipment order, rental, delivery, or safety instructions with your caregiver.
If you are unable to tell us your preference, such as during an emergency or when you are incapacitated, we may disclose relevant information if we reasonably determine that doing so is in your best interest.
We may also disclose information when necessary to lessen a serious and imminent threat to health or safety.
Disaster Relief
We may disclose necessary information to an organization assisting with disaster-relief efforts so that your family or others responsible for your care may be notified of your location, condition, or circumstances.
You may tell us not to make this disclosure when you are able to communicate your preference.
Marketing, Sale of Information, and Psychotherapy Notes
We will obtain your written authorization before:
Using your protected health information for marketing when HIPAA requires authorization
Selling your protected health information
Using or disclosing most psychotherapy notes, if we maintain any
1st Alliance does not sell protected health information.
We do not maintain psychotherapy notes as part of our ordinary home medical equipment operations.
Fundraising
1st Alliance does not currently use protected health information to conduct fundraising activities.
If that practice changes, we will comply with applicable law and provide a clear way to opt out of future fundraising communications.
Revoking an Authorization
If you authorize us in writing to use or disclose your protected health information, you may revoke that authorization at any time by notifying us in writing.
Your revocation will not affect information already used or disclosed in reasonable reliance on your authorization before we received the revocation.
How We Typically Use or Disclose Your Information
We may use or disclose your protected health information for treatment, payment, and healthcare operations without obtaining your written authorization.
Treatment and Care Coordination
We may use and disclose your health information to provide, coordinate, or manage your healthcare, equipment, and related services.
Examples include:
Reviewing a prescription or provider order for medical equipment
Communicating with a physician, therapist, nurse, discharge planner, or other healthcare professional
Coordinating equipment needed for a discharge from a hospital, rehabilitation facility, or nursing facility
Confirming equipment specifications, measurements, medical necessity, or safety requirements
Providing equipment-use or safety instructions
Coordinating delivery, pickup, replacement, repair, or maintenance
Sharing relevant information with another healthcare provider involved in your care
Example: We may contact your healthcare provider to clarify the type or size of mobility equipment ordered for you.
Payment
We may use and disclose your health information to bill and obtain payment for healthcare products or services.
Examples include:
Submitting claims to a health plan
Verifying eligibility or coverage
Obtaining prior authorization
Responding to requests from a payer
Coordinating benefits
Collecting amounts you owe
Processing refunds
Conducting billing reviews or audits
Example: We may provide information about an ordered item to your health plan so the plan can determine whether it will pay for the item.
If 1st Alliance is not billing an insurance plan for your transaction, we may still use relevant information to process payment, maintain transaction records, and administer the purchase or rental.
Healthcare Operations
We may use and disclose your health information to operate our organization and improve our services.
Healthcare operations may include:
Quality assessment and improvement
Customer service
Reviewing the performance of employees and contractors
Staff training
Compliance activities
Accreditation
Licensing
Auditing
Fraud prevention
Inventory and delivery management
Equipment safety reviews
Business planning
Legal services
Insurance and risk management
Information technology and data security
Credentialing and vendor management
Example: We may review equipment-delivery records to evaluate whether deliveries are completed safely and on time.
Business Associates
We may disclose protected health information to companies or individuals that perform services for us and require access to the information.
These service providers are called business associates and may include:
Billing companies
DME software providers
Secure document-storage providers
Electronic communication providers
Consultants
Accountants
Attorneys
Information-technology providers
Equipment delivery or servicing contractors
When required, we enter into written agreements requiring business associates to protect your information and use it only as permitted by law.
Other Uses and Disclosures Permitted or Required by Law
We may use or disclose your protected health information in other circumstances permitted or required by law. Before making a disclosure, we will satisfy applicable legal requirements and disclose only the information reasonably necessary when the minimum-necessary rule applies.
Public Health and Safety Activities
We may disclose health information for certain public-health and safety purposes, including:
Preventing or controlling disease
Reporting adverse events or product defects
Assisting with product recalls
Reporting suspected abuse, neglect, or domestic violence when authorized or required by law
Preventing or reducing a serious and imminent threat to health or safety
Reporting information to agencies responsible for healthcare products or medical devices
Notifying a person who may have been exposed to a communicable disease when permitted by law
Health Oversight Activities
We may disclose health information to health-oversight agencies for activities authorized by law, including:
Audits
Inspections
Investigations
Licensing reviews
Accreditation reviews
Disciplinary proceedings
Administrative actions
Civil or criminal proceedings related to healthcare oversight
Required by Law
We will use or disclose protected health information when federal, state, or local law requires us to do so.
We may disclose information to the U.S. Department of Health and Human Services when it requests information to evaluate our compliance with federal privacy law.
Research
We may use or disclose protected health information for research when the research meets applicable legal requirements.
This may include research approved by an institutional review board or privacy board, research involving limited or de-identified information, or research authorized by you in writing.
1st Alliance does not currently conduct research using identifiable protected health information as part of its ordinary operations.
Organ and Tissue Donation
We may disclose health information to organ-procurement organizations or other entities involved in organ, eye, or tissue donation and transplantation when permitted by law.
Coroners, Medical Examiners, and Funeral Directors
We may disclose health information to a coroner, medical examiner, or funeral director when necessary for the person to perform duties authorized by law.
Workers’ Compensation
We may use or disclose health information as authorized by and necessary to comply with workers’ compensation laws and similar programs.
Law Enforcement
We may disclose health information for law-enforcement purposes when permitted or required by law. Examples may include:
Responding to a valid court order, warrant, subpoena, or summons
Locating a missing person, suspect, fugitive, or witness
Reporting a death suspected to have resulted from criminal conduct
Reporting evidence of a crime occurring on our premises
Responding to certain requests concerning a victim of a crime
Addressing a serious threat to health or safety
Additional restrictions may apply to reproductive-health information, substance-use-disorder records, mental-health information, and other specially protected records.
Special Government Functions
We may disclose health information when permitted by law for:
Military and veterans’ activities
National-security and intelligence activities
Protective services for certain government officials
Correctional institutions
Lawful-custody activities
Government-benefit programs
Other government functions authorized by law
Lawsuits and Legal Proceedings
We may disclose protected health information in response to:
A court order
An administrative order
A subpoena
A discovery request
Another lawful legal process
We will comply with applicable legal protections before making the disclosure.
Reproductive Healthcare Information
When applicable law prohibits it, we will not use or disclose protected health information for the purpose of:
Conducting a criminal, civil, or administrative investigation into a person for the mere act of seeking, obtaining, providing, or facilitating lawful reproductive healthcare
Imposing criminal, civil, or administrative liability on a person for the mere act of seeking, obtaining, providing, or facilitating lawful reproductive healthcare
Identifying a person for either of these purposes
Example: When the applicable federal prohibition applies, we will not disclose protected health information to help investigate a person merely for obtaining lawful reproductive healthcare.
When required by law, a person requesting protected health information potentially related to reproductive healthcare for certain health-oversight, legal, law-enforcement, or coroner purposes must provide a valid signed attestation confirming that the request is not for a prohibited purpose.
Substance-Use-Disorder Records
To the extent that we receive or maintain substance-use-disorder patient records protected by 42 U.S.C. § 290dd-2 or 42 C.F.R. Part 2, additional protections apply.
Part 2 records, or testimony describing the contents of those records, generally may not be used or disclosed in a civil, criminal, administrative, or legislative investigation or proceeding against the individual unless:
The individual provides written consent that meets applicable legal requirements; or
A court issues an order after the individual or record holder receives notice and an opportunity to be heard, and the order is accompanied by a subpoena or another legal requirement compelling disclosure
Example: We generally will not provide protected substance-use-disorder records to be used in a legal proceeding against you without your legally valid written consent or the required court order and subpoena.
If we ever use Part 2 records for fundraising, we will first provide clear and conspicuous notice and an opportunity to opt out.
Information That May Be Redisclosed
Health information disclosed under HIPAA may be redisclosed by the recipient and may no longer be protected by HIPAA.
Other federal or state laws, contractual requirements, or professional duties may continue to protect the information. Records protected by 42 C.F.R. Part 2 remain subject to the additional restrictions that apply to those records.
Uses and Disclosures Requiring Written Authorization
We will obtain your written authorization before using or disclosing your protected health information when HIPAA or another applicable law requires authorization.
Uses or disclosures requiring authorization generally include:
Most uses and disclosures of psychotherapy notes
Marketing uses requiring authorization
The sale of protected health information
Other uses or disclosures not described in this notice and not otherwise permitted or required by law
You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.
Our Responsibilities
1st Alliance Care Solutions LLC is required to:
Maintain the privacy and security of your protected health information
Provide you with notice of our legal duties and privacy practices
Follow the duties and privacy practices described in the notice currently in effect
Notify affected individuals following a breach of unsecured protected health information when required by law
Limit uses, disclosures, and requests to the minimum necessary amount of information when the minimum-necessary rule applies
Honor applicable restrictions and confidential-communication requests
Provide access to records and other privacy rights as required by law
We will not use or disclose your protected health information in a manner that is inconsistent with this notice unless you authorize the use or disclosure in writing or the law otherwise permits or requires it.
Changes to This Notice
We reserve the right to change the terms of this notice and our privacy practices.
Any revised notice may apply to protected health information we already maintain as well as information we create or receive in the future.
When we materially revise this notice, the updated notice will be:
Posted on our website
Available at our physical location
Available from our Privacy Officer upon request
Provided through other methods required by law
The revised notice will display its effective date.
Privacy Questions and Requests
For questions about this notice, requests to exercise your privacy rights, or complaints about our privacy practices, contact:
Privacy Officer
1st Alliance Care Solutions LLC
234 Avenue F
Kentwood, Louisiana 70444
Email: legal@1stalliancecare.com
Phone: 985-328-7955