Patient notices
Your rights and our notices
These notices apply to Kenai Peninsula Home Health LLC and Kenai Peninsula Hospice LLC. Paper copies, large print and other formats are free on request.
Notice of Nondiscrimination
Kenai Peninsula Home Health LLC and Kenai Peninsula Hospice LLC comply with applicable federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex. We do not exclude people or treat them differently because of race, color, national origin, age, disability or sex.
We provide, free of charge:
- Aids and services to help people with disabilities communicate with us, such as qualified sign language interpreters and written information in other formats (large print, audio and accessible electronic formats)
- Reasonable changes to our policies and practices for people with disabilities
- Language services for people whose main language is not English, such as qualified interpreters and information written in other languages
If you need these services, or if you believe we have failed to provide them or discriminated against you in another way, contact our Civil Rights Coordinator: Vanessa Bias, Administrator, 44096 Sterling Highway, Suite E, Soldotna, AK 99669; phone 907-260-4444; fax 907-331-0490. You can file a grievance in person, by mail, by phone or by fax, and we will help you if you need it.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, online at ocrportal.hhs.gov; by phone at 1-800-368-1019 (TDD 1-800-537-7697); or by mail at 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201.
Free Language and Communication Help
ATTENTION: If you speak a language other than English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 907-260-4444 (TTY: 711) or speak to your provider.
Alaska Native languages
We are proud to serve Alaska Native families. If you or someone you love speaks an Alaska Native language, tell us which one. We will work to find an interpreter for you at no cost. Call 907-260-4444 (TTY: 711).
- Yugtun Central Yup’ik
- Iñupiatun Iñupiaq
- Sugt’stun Alutiiq / Sugpiaq
- Dena’ina Qenaga Dena’ina
- Unangam Tunuu Unangax̂ / Aleut
- Lingít Tlingit
- Dinjii Zhuh K’yuu Gwich’in
- Akuzipik St. Lawrence Island Yupik
Other languages
Tagalog
PAALALA: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa 907-260-4444 (TTY: 711) o makipag-usap sa iyong provider.
Español Spanish
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 907-260-4444 (TTY: 711) o hable con su proveedor.
한국어 Korean
주의: 한국어를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. 907-260-4444(TTY: 711)번으로 전화하거나 서비스 제공업체에 문의하십시오.
Lus Hmoob Hmong
LUS CEEV TSHWJ XEEB: Yog hais tias koj hais Lus Hmoob muaj cov kev pab cuam txhais lus pub dawb rau koj. Cov kev pab thiab cov kev pab cuam ntxiv uas tsim nyog txhawm rau muab lus qhia paub ua cov hom ntaub ntawv uas tuaj yeem nkag cuag tau rau los kuj yeej tseem muaj pab dawb tsis xam tus nqi dab tsi ib yam nkaus. Hu rau 907-260-4444 (TTY: 711) los sis sib tham nrog koj tus kws muab kev saib xyuas kho mob.
Русский Russian
ВНИМАНИЕ: Если вы говорите на русском языке, вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону 907-260-4444 (TTY: 711) или обратитесь к своему поставщику услуг.
Gagana Sāmoa Samoan
FA’ALOGO: Afai e te tautala i le gagana Sāmoa, o lo’o maua fua auaunaga fesoasoani i le gagana. O lo’o avanoa fo’i fesoasoani ma auaunaga fa’apitoa e maua ai fa’amatalaga i ni faiga e faigofie ai ona malamalama i ai, e aunoa ma se totogi. Vala’au mai i le numera telefoni 907-260-4444 (TTY: 711).
简体中文 Chinese, Simplified
注意：如果您说中文，我们将免费为您提供语言协助服务。我们还免费提供适当的辅助工具和服务，以无障碍格式提供信息。致电 907-260-4444（文本电话：711）或咨询您的服务提供商。
繁體中文 Chinese, Traditional
注意：如果您說中文，我們可以為您提供免費語言協助服務。也可以免費提供適當的輔助工具與服務，以無障礙格式提供資訊。請致電 907-260-4444（TTY：711）或與您的提供者討論。
ລາວ Lao
ເຊີນຊາບ: ຖ້າທ່ານເວົ້າພາສາ ລາວ, ຈະມີບໍລິການຊ່ວຍດ້ານພາສາແບບບໍ່ເສຍຄ່າໃຫ້ທ່ານ. ມີເຄື່ອງຊ່ວຍ ແລະ ການບໍລິການແບບບໍ່ເສຍຄ່າທີ່ເໝາະສົມເພື່ອໃຫ້ຂໍ້ມູນໃນຮູບແບບທີ່ສາມາດເຂົ້າເຖິງໄດ້. ໂທຫາເບີ 907-260-4444 (TTY: 711) ຫຼື ລົມກັບຜູ້ໃຫ້ບໍລິການຂອງທ່ານ.
日本語 Japanese
注：日本語を話される場合、無料の言語支援サービスをご利用いただけます。アクセシブル（誰もが利用できるよう配慮された）な形式で情報を提供するための適切な補助支援やサービスも無料でご利用いただけます。907-260-4444（TTY：711）までお電話ください。または、ご利用の事業者にご相談ください。
Ilocano
PANANGIKASO: No agsasaoka iti Ilocano, magun-odmo dagiti libre a serbisio ti tulong iti pagsasao. Libre met laeng a magun-odan dagiti maitutop a katulongan ken serbisio a mangipaay iti impormasion kadagiti ma-akses a pormat. Awagan ti 907-260-4444 (TTY: 711) wenno makisarita iti mangipapaay kenka.
Tiếng Việt Vietnamese
LƯU Ý: Nếu bạn nói tiếng Việt, chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi theo số 907-260-4444 (Người khuyết tật: 711) hoặc trao đổi với người cung cấp dịch vụ của bạn.
Українська Ukrainian
УВАГА: Якщо ви розмовляєте українською мовою, вам доступні безкоштовні мовні послуги. Відповідні допоміжні засоби та послуги для надання інформації у доступних форматах також доступні безкоштовно. Зателефонуйте за номером 907-260-4444 (TTY: 711) або зверніться до свого постачальника.
ไทย Thai
หมายเหตุ: หากคุณใช้ภาษา ไทย เรามีบริการความช่วยเหลือด้านภาษาฟรี นอกจากนี้ ยังมีเครื่องมือและบริการช่วยเหลือเพื่อให้ข้อมูลในรูปแบบที่เข้าถึงได้โดยไม่เสียค่าใช้จ่าย โปรดโทรติดต่อ 907-260-4444 (TTY: 711) หรือปรึกษาผู้ให้บริการของคุณ
Deutsch German
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachassistenzdienste zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie 907-260-4444 (TTY: 711) an oder sprechen Sie mit Ihrem Provider.
Polski Polish
UWAGA: Osoby mówiące po polsku mogą skorzystać z bezpłatnej pomocy językowej. Dodatkowe pomoce i usługi zapewniające informacje w dostępnych formatach są również dostępne bezpłatnie. Zadzwoń pod numer 907-260-4444 (TTY: 711) lub porozmawiaj ze swoim dostawcą.
Notice of Privacy Practices
This notice describes how medical information about you may be used and shared, and how you can get access to this information. Please review it carefully.
Our responsibilities
- We are required by law to keep your protected health information private.
- We must give you this notice of our legal duties and privacy practices, and follow the notice currently in effect.
- We will tell you promptly if a breach happens that may have put your information at risk.
- We will not use or share your information other than as described here unless you tell us we can in writing. You can change your mind at any time in writing.
How we use and share your information
- Treatment. We share information with your doctors, pharmacy, equipment company and others involved in your care.
- Payment. We use and share information to bill and get paid by Medicare, Medicaid or your insurance.
- Health care operations. We use information to run our agency, improve quality, train staff and meet accreditation standards.
- Family and friends. We may share information with people involved in your care unless you tell us not to.
- Required by law and for public safety. We may share information for public health activities; to report suspected abuse, neglect or domestic violence; for health oversight and survey activities; for lawsuits and legal actions; for law enforcement; to prevent a serious threat to health or safety; for workers’ compensation; and for special government functions.
- After death. We may share information with coroners, medical examiners and funeral directors, and with organ and tissue donation organizations.
- Research. We may use or share information for health research when approved privacy protections are in place.
Uses that need your written permission
We will never sell your information or use it for marketing, and we will not share psychotherapy notes, unless you give us written permission.
Your rights
- Get a copy of your paper or electronic medical record. We may charge a reasonable, cost-based fee.
- Ask us to correct information you think is wrong or incomplete.
- Ask us to contact you in a certain way or at a certain place to keep your information private.
- Ask us to limit what we use or share. We are not required to agree in all cases.
- Get a list of those we have shared your information with.
- Get a paper copy of this notice at any time.
- Choose someone to act for you, such as a health care agent or legal guardian.
- File a complaint if you feel your rights have been violated. We will not retaliate against you for filing a complaint.
Questions or complaints
Contact our Privacy Officer at 907-260-4444, or write to us at 44096 Sterling Highway, Suite E, Soldotna, AK 99669. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at 1-877-696-6775 or hhs.gov/ocr/privacy/hipaa/complaints. We may change this notice. The new notice will apply to all information we have about you and will be available on request and on this website.
Concerns and Complaints
If something about your care is not right, we want to know so we can fix it. Raising a concern will never affect your care.
- Talk with your nurse or the team member involved. Many concerns can be solved right away.
- Call our office at 907-260-4444 and ask for the clinical manager.
- If the problem is not solved, ask to speak with the Administrator. You can also put your concern in writing.
- We will look into your concern, keep you informed and give you a response, usually within 10 days.
Outside agencies you can contact at any time
- Alaska Health Facilities Licensing and Certification: 907-334-2483 or 1-888-387-9387
- Medicare: 1-800-MEDICARE (1-800-633-4227)
- Acentra Health (Medicare quality of care concerns): 1-888-305-6759
- Alaska Long Term Care Ombudsman: 1-800-730-6393
- Alaska Adult Protective Services (suspected abuse or neglect): 1-800-478-9996
- Hospice accreditation concerns, CHAP: 1-800-656-9656