The Mission of the Ashland Ambulance Service is to provide the best possible pre hospital health care to its response area. Whether it is an emergency or non-emergency transport or non-transport AAS will do it's very best to provide the highest quality healthcare to the sick or injured providing quality vehicles and equipment to render services. We understand the everyday challenges and accept responsibility to maintain a speedy response, goods skill excellent patient compassion, and the sensitivity of the services we perform. Efforts will always be made to provide education, support and growth if its EMS staff. We will continue to meet and or exceed the needs of the people we serve and always measure our performances.


Notice of Privacy

Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATON.  PLEASE REVIEW IT CAREFULLY.

We are committed to protecting the confidentiality of your medical information, and are required by law to do so.  Your medical information is the property of The Ashland Ambulance Service (AAS).  This notice describes how we may use your medical information within the structure of this service and how we may disclose it to others outside this service.  This notice also describes the rights you have concerning your own medical information.
Please review it carefully and let us know if you have questions.  You will be asked to sign a form which is an acknowledgement that you have received this Notice of Privacy Practices for The Ashland Ambulance Service.

HOW WILL WE USE AND DISCLOSE YOUR MEDICAL INFORMATION?

Treatment
We will use and disclose your protected health information to provide, coordinate or manage your health care and any related services.  We may use your medical information to provide you with medical services and supplies.  We may also disclose your medical information to others who need that information to treat you, such as physicians, physician assistants, nurses, medical and nursing students, technicians, therapists, emergency service and medical transportation providers, medical equipment providers, and others involved in your care We also may use and disclose your medical information to contact you to remind you of an upcoming appointment, to inform you about possible treatment options or alternatives, or to tell you about health-related services available to you.
We will not, however, disclose mental health or HIV/AIDS information without your written authorization.

In an emergency, we will use and disclose your protected health information to provide the treatment you require.

Family Members and Others Involved in Your Care
We may disclose your medical information to a family member or friend who is involved in your medical care, or to someone who helps to pay for your care.  We also may disclose your medical information to disaster relief organizations to help locate a family member or friend in a disaster.

Payment
We may use and disclose your medical information to get paid for the medical services and supplies we provide to you.  For example, your health plan or health insurance company may ask to see parts of your medical record before they will pay us for your treatment.

Hospital Operations
We may use and disclose your medical information if it is necessary to improve the quality of care we provide to patients/residents or to run this service.  We may use your medical information to conduct quality improvement activities, to obtain audit, accounting or legal services, or to conduct business management and planning. For example, we may look at your medical record to evaluate whether our local Hospital personnel, your doctors, or other health care professionals provided quality health care.

Research
We may use or disclose your medical information for research projects, such as studying the effectiveness of a treatment you received.  These research projects must go through a special process that protects the confidentiality of your medical information.

Required by Law

We may disclose protected health information for law enforcement purposes, including the following:

  • Responses to legal proceedings.
  • Information requests for identification and location.
  • Medical records pertaining to victims of a crime.
  • Deaths suspected from criminal conduct.
  • Crimes occurring at any site of The Ashland Ambulance Service.
  • Maine State Workers' Compensation Program for work-related injuries.

Legal Proceedings
This Service may disclose medical information if the Service is ordered to do so by a court or if the Service receives a subpoena or a search warrant.  You will receive advance notice about this disclosure in most situations so that you will have a chance to object to sharing your medical information.

Public Health
We also may report certain medical information for public health purposes.  We also may need to report problems with medications or medical products to the FDA, or may notify you of recalls of products we are using.

Public Safety
We may disclose medical information for public safety purposes in limited circumstances.  Disclosure may be necessary to do the following:

  • Prevent or control disease, injury, or disability.
  • Report births and deaths.
  • Report child abuse or neglect.
  • Report reactions to medications or problems with products.
  • Notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition.
  • Notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect, or domestic violence.

Health Oversight Activities
We may disclose medical information to a government agency that oversees this service or its personnel, such as the Maine State Department of Health and Human Services, the federal agencies that oversee Medicare.  These agencies need medical information to monitor the Services compliance with state and federal laws.

Food and Drug Administration
We may disclose your protected health information to a person or company required by the Food and Drug Administration to do the following:

  • Report adverse events, product defects, or problems.
  • Track products.
  • Enable product recalls.
  • Make repairs or replacements.
  • Conduct post-marketing surveillance as required.

Coroners, Medical Examiners, Funeral Directors and Organ/Tissue Donation
We may disclose medical information concerning deceased patients to coroners, medical examiners and funeral directors to assist them in carrying out their duties.

We may disclose medical information to organizations that handle organ, eye or tissue donation or transplantation.

Military, Veterans, National Security and Other Government Purposes
If you are a member of the armed forces, we may release your medical information, as required by military command authorities, or to the Department of Veterans' Affairs.  This Service may also disclose medical information to federal officials for intelligence and national security purposes, or for Presidential Protective Services.

Information with Additional Protection
Certain types of medical information have additional protection under state or federal law.  For instance, medical information about HIV/AIDS, mental health, and alcohol and drug abuse treatment information has more protection in Maine.  This Service will not release this information without your written authorization.

Other Uses and Disclosures
If this Service wishes to use or disclose your medical information for a purpose that is not discussed in this Notice, the Service will seek your permission.  If you give your permission to this Service, you may take back that permission any time, unless we have already relied on your permission to use or disclose the information.   If you ever would like to revoke your permission, please put your request in writing and submit to:

Ashland Ambulance Service
PO Box 910
Ashland, Maine 04732

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

Right to Request Your Medical Information
Your medical record is the property of the Ashland Ambulance Service and the law requires AAS to keep the original record.  You have the right to look at your own medical information and to get a copy of that information.  This includes your medical file, your billing record, and other records we use to make decisions about your care.

To request your medical information call or write to:
Ashland Ambulance Service
PO Box 910
Ashland, Maine 04732
(207)435-6323

If you request a copy of your information, we will charge you for our costs to copy this information.  You have the right to know in advance what the copying costs will be.  You can look at your record at no cost.

Right to Submit Corrections or Clarifications of Medical Information
If you examine your medical information and believe that some of the information is wrong or incomplete, you may submit a correction/clarification.  Submit your correction or clarification in writing to:

Ashland Ambulance Service
Director of Services
PO Box 910
Ashland, Maine 04732

Right to Get a List of Certain Disclosures of Your Medical Information
You have the right to request a list of any of the disclosures we make of your medical information.  This right applies to disclosures made for purposes other than treatment, payment, or healthcare operations as described in this Notice of Privacy Practices.  The disclosure must have been made after April 15, 2003.   If you would like to receive such a list, write to:

Ashland Ambulance Service
Health Information
PO Box 910
Ashland, Maine, 04732

The first list of each year will be provided to you free, but we may charge you for any additional lists you request during the same year.  We will tell you in advance what this list will cost.

Right to Request Restrictions on How the Service Will Use or Disclose Your Medical Information for Treatment, Payment, or Health Care Operations
You have the right to request us not to make use or disclosures of your medical information to treat you, to seek payment for care, or to operate this service.  We are not required to agree to your request, but if we do agree, we will comply with that agreement.  In your request, you must tell us:

  • What information you want restricted
  • Whether you want to restrict our use, disclosure, or both
  • To whom you want the restriction to apply, and
  • Expiration date

If you want to request a restriction, submit your request in writing to:

Ashland Ambulance Service Director Of Services
PO Box 910
Ashland, Maine, 04732

Right to Request Confidential Communications
You have the right to ask us to communicate with you in a way that you feel is more confidential.  For example, you can ask us not to call your home, but to communicate only by mail.  To do this, write to The Ashland Ambulance Service, PO Box 910, Ashland, Maine 04732.  You can also ask to speak with your health care providers in private, just ask them!

Right to a Paper Copy
If you have received this notice electronically, you have the right to a paper copy at any time. You may obtain a paper copy of the notice at:

  • Ashland Ambulance Service office any time during normal operating hours

CHANGES TO THIS NOTICE
From time to time, we may change our practices concerning how we use or disclose patient's medical information, or how we will implement patient's rights concerning their information.  We reserve the right to change this Notice and to make the provisions in our new Notice effective for all medical information we maintain.  If we change these practices, we will publish a revised Notice of Privacy Practices.  You can get a copy of our current notice of Privacy Practices at any time by writing:

Ashland Ambulance Service
PO Box 910
Ashland, Maine, 04732

You may stop by the following:

  • Ashland Ambulance Service

WHICH HEALTH CARE PROVIDERS ARE COVERED BY THIS NOTICE?
This Notice of Privacy Practices applies to the Service and its personnel, volunteers, students, and trainees.   The Notice also applies to other health care providers that come to the AAS to care for patients such as:  physicians, physician assistants, and other health care providers who are not employed by the Service; unless these other health care providers give you their own Notice that describes how they will protect your medical information.   This Service may share your medical information with these providers for their treatment purposes, payment and health care operations.  This arrangement is solely for sharing information and not for any other purpose.

DO YOU HAVE CONCERNS OR COMPLAINTS?
Please tell us about any problems or concerns you have with your privacy rights or how the Service uses or discloses your medical information.  If you have a concern, please contact the Ashland Ambulance Service's Director of Services.

If for some reason the Service cannot resolve your concern, you may also file a complaint with the federal government.  We will not penalize you or retaliate against you in any way for filing a complaint with the federal government.

DO YOU HAVE QUESTIONS?
The Service is required by law to give you this Notice and to follow the terms of the Notice that is currently in effect.  If you have any questions about this Notice, or have further questions about how the Service may use and disclose your medical information, please contact:

Ashland Ambulance Service
Director Of Services
PO Box 910
Ashland, Maine, 04732

Effective date:  April 15, 2003.


 Paramedics:

Pat Long
Ned Labelle
Lee Farley
Warren Grass
Jeff Leighton
Tim Larrabee
Fred Parsons
John Cummings
Advanced EMTs:
Tracy Long
Dick Long
Morgan Porter
EMTs:
Chris Long
Cassidy Goulet
Kevin Robinson
Don Bouley
Shelly Bolstridge
Sandy LaBelle
First Responder:
Harvey McLellan
Drivers:
Mike Truman
Allan O'Clair
Dana Howes
Tom Raymond