POLICIES
Effective Date: May 15, 2025
One Love Medi-Trans (“we,” “our,” or “us”) values your privacy. This Privacy Policy explains how we collect, use, and protect your personal information when providing non-emergency medical transportation (NEMT) services.
1. Information We Collect
In the course of scheduling and providing transportation, we collect the following personal information:
– Full name of the client
– Phone number
– Pickup and drop-off addresses
– Appointment or drop-off location details
We collect only the information necessary to fulfill transportation requests safely and accurately.
2. How We Use Your Information
We use your information solely for the purpose of:
– Coordinating and providing non-emergency medical transportation – Communicating trip updates or confirmations
– Ensuring safety and accuracy in transportation services
– Meeting any legal or regulatory obligations
3. Disclosure of Information
We do not sell, rent, or disclose your personal information to third parties, except in the following circumstances:
– When required to comply with federal, state, or local law
– In response to a valid request from law enforcement or government authorities
– To protect your safety or the safety of others
All such disclosures will comply with applicable laws, including the Health Insurance Portability and Accountability Act (HIPAA).
4. HIPAA Compliance
One Love Medi-Trans is committed to protecting your health information and fully complies with HIPAA regulations.
– Any Personal Health Information (PHI) disclosed or incidentally obtained during transport is handled with the utmost care.
– Access to PHI is restricted to authorized personnel who need it to perform their job functions.
– We employ physical, administrative, and electronic safeguards to prevent unauthorized access, use, or disclosure.
Though we do not maintain detailed medical records, any incidental health information (e.g., mobility needs, appointment type) is treated with strict confidentiality.
5. Liability Clause
While we strive to protect your personal and health information in compliance with HIPAA and
applicable privacy laws, One Love Medi-Trans is not liable for unauthorized access resulting from events outside our control, such as:
– Cyberattacks or hacking
– Legal disclosures as required by law
– Third-party misuse when shared in accordance with HIPAA
You acknowledge that our services are provided “as is,” and our obligation is limited to implementing reasonable security measures and maintaining HIPAA compliance.
6. Consent to Non-Emergency Medical Transportation and Services
I, the undersigned, hereby consent to the provision of non-emergency medical transportation services provided by One Love Medi-Trans (“the Company”). I acknowledge that these services may include transportation to medical appointments, healthcare facilities, or other related destinations. Additionally, I understand that, upon request, One Love Medi-Trans employees may assist with chaperoning me to medical appointments and may assist in explaining medical instructions and recommendations provided by healthcare providers, as outlined below.
I confirm that I am the authorized individual to make decisions regarding the transportation and services provided to the patient named above, and I have the authority to sign this consent form.
7. Acknowledgment of HIPAA Compliance and Confidentiality of Medical Information
I understand that One Love Medi-Trans is required to comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended, to protect the privacy and confidentiality of my health information. I authorize One Love Medi-Trans to collect, use, and disclose my protected health information (PHI) as necessary to provide the transportation services, chaperoning assistance, and support with medical instructions and recommendations.
I acknowledge that my PHI may be shared with healthcare providers, medical facilities, or other third parties involved in my care, when necessary, for the purposes of coordinating my transport or assisting with explanations of medical instructions, and only in accordance with applicable law.
I understand that I have the right to request access to, amend, or request restrictions on the use of my health information and can contact One Love Medi-Trans for more information regarding privacy practices.
8. Release and Waiver of Liability
By signing below, I acknowledge that I understand the following:
- I am voluntarily using One Love Medi-Trans for non-emergency medical transportation services, chaperoning to medical appointments, and assistance with medical instructions. I agree to release the Company, its officers, employees, agents, and affiliates from any and all liability arising from the provision of these services, except for any claims resulting from gross negligence or willful misconduct on the part of the Company.
- One Love Medi-Trans will make every effort to ensure the safety and well-being of the patient during transport and while assisting with chaperoning to medical appointments and explaining medical instructions. However, I understand that the Company is not liable for unforeseen medical emergencies, delays, accidents, or any adverse events that may occur during the transport, chaperoning, or assistance with medical instructions, including any injury, illness, or death.
- In the event of an emergency or medical incident during transport, chaperoning, or assistance with medical instructions, I authorize One Love Medi-Trans to seek appropriate emergency medical assistance on my behalf. I further agree to be financially responsible for any medical treatment or emergency services rendered in the event of such an incident.
- I acknowledge that any assistance provided by One Love Medi-Trans employees in explaining medical instructions and recommendations is intended for informational purposes only and does not substitute for professional medical advice. One Love Medi-Trans is not liable for any misunderstanding or misinterpretation of medical instructions.
9. Medical Information Authorization and Emergency Situations
I understand that One Love Medi-Trans may need to collect certain medical information to provide safe and appropriate transportation services, assist with chaperoning, and help explain medical instructions. I consent to the collection and use of this information by the Company as necessary.
I further understand that if I request assistance with medical instructions or recommendations, One Love Medi-Trans employees will make reasonable efforts to communicate these instructions as provided by the healthcare provider, but they are not licensed healthcare professionals and do not provide medical care. I agree not to hold One Love Medi-Trans or its employees liable for any misunderstanding or miscommunication of medical instructions.
10. Georgia Law and Jurisdiction
This liability waiver and consent form shall be governed by the laws of the State of Georgia. Any disputes arising from this waiver shall be resolved in the appropriate courts of Georgia.
In the event of a conflict between this waiver and any applicable Georgia state or federal laws, the provisions of such laws shall govern to the extent necessary.
11. Acknowledgment of Terms and Voluntary Consent
I, the undersigned, have read and fully understand the terms and conditions of this Liability Waiver and Consent Form. I voluntarily agree to these terms and acknowledge that I am giving informed consent to use the non-emergency medical transportation services, chaperoning assistance, and support in explaining medical instructions as provided by One Love Medi-Trans.
12. Your Rights Under HIPAA
As a client, you have the right to:
– Access your personal information
– Request corrections to inaccurate information
– Request a record of disclosures, if applicable
– File a complaint if you believe your privacy rights have been violated
To exercise any of these rights, please contact us:
One Love Medi-Trans
Phone: 770-415-3927
Email: onelovemeditrans@gmail.com
Address: 8735 Dunwoody Place, Atlanta, GA 30350 Website: https://www.onelovemeditrans.com
Changes to This Policy
We may update this Privacy Policy from time to time. The most current version will be available on our website with the updated effective date. Continued use of our services after changes implies acceptance of the revised policy.