The Flanders Northampton Volunteer Ambulance was organized in 1983, incorporated in 1984 and ran its first call in May 1985.  The 40-member corps has had many firsts in its 20 year history.  They were the first ambulance district formed in the Town of Southampton in 1987; the first Suffolk County volunteer corps to become NYS Certified in 1988; and ran the initial NYS pilot project in semi-automatic defibrillation a year later (April 1989), 6 months before Suffolk County developed a system-wide EMT-D program.  The corps applied to NYS for an EPI Pen pilot program in April 1991; EPI Pens would be introduced at the EMT level by Suffolk County in 2000.

The FNVA Ambulance district covers approximately 30 square miles in Eastern Suffolk County, and borders Riverhead, Eastport, Westhampton and Hampton Bays.  Besides their residential area, the FNVA covers Suffolk County Community College (Riverhead Campus), The Evan K. Griffing County Center, The Suffolk County Correctional Facility, and County and State Parklands.

In October 2002 Suffolk County EMS announced that The Flanders Northampton Vol. Ambulance Co. and their neighbor, Riverhead Ambulance, had the top response times in the County in the year 2001.

The FNVA has also brought home several first place trophies with their popular Big Duck and Duckling floats, parade route favorites. 

In 2005 Flanders Northampton Vol. Ambulance Celebrated the  20 year anniversary of their first ambulance call.

HIPAA Information

FLANDERS NORTHAMPTON VOLUNTEER
AMBULANCE CO. INC.
NOTICE OF PRIVACY PRACTICES
NPP-01 FNVA August, 2020
Prior Issue: N/A
Version: NPP-01
Effective
Date: 8/15/2020
Your Information. Your Rights. Our Responsibilities.

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.

Contact Information
For more information about of privacy procedures, to discuss questions or concerns, or to get additional copies of this notice, please
contact our privacy officer
Privacy officer: Mark Dunleavy Telephone: 631-727-6930 Fax: 631-369-2750 E-mail: Chief@Flandersvac.com

Your Rights

When it comes to your health information, you have certain rights. Those rights include: Get an electronic or paper copy of
your medical record, you can ask to see or get an electronic or paper copy of your medical record and other health information we
have about you. Ask us how to do this. 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 medical record, you can ask us to correct health
information about you that you think is incorrect or incomplete. Ask us how to do this. We may say “no” to your request, but we’ll tell
you why in writing within 60 days. Request confidential communications, you can ask us to contact you in a specific way (for
example, home or office phone) or to send mail to a different address. We will say “yes” to all reasonable requests. Ask us to limit
what we use or share, you can ask us not to use or share certain health information for treatment, payment, or our operations. We are
not required to agree to your request, and we may say “no” if it would affect your care. If you pay for a service or health care item outof-
pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer.
We will say “yes” unless a law requires us to share that information. Get a list of those with whom we’ve shared information, you
can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared
it with, and why. We will include all the disclosures except for those about treatment, payment, and health care operations, and certain
other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, costbased
fee if you ask for another one within 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, 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. We will make sure the person has this authority and can act for
you before we take any action. File a complaint if you feel your rights are violated, you can complain if you feel we have violated
your rights by contacting us using the information under the contact section. You can file a complaint with the U.S. Department of
Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201,
calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. 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, talk to 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: Share information with your family, close friends, or others involved in
your care, Share information in a disaster relief situation, Include your information in a directory. If you are not able to tell us your
preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest.
We may also share your information when needed to lessen a serious and imminent threat to health or safety. In these cases we never
share your information unless you give us written permission: Marketing purposes, Sale of your information, most sharing of
psychotherapy notes, In the case of fundraising: We may contact you for fundraising efforts, but you can tell us not to contact you
again.

Our Uses and Disclosures

We typically use or share your health information in the following ways:
Treat you: We can use your health information and share it with other professionals who are treating you. Run our organization:
We can use and share your health information to run our practice, improve your care, and contact you when necessary. Bill for our

FLANDERS NORTHAMPTON VOLUNTEER
AMBULANCE CO. INC.
NOTICE OF PRIVACY PRACTICES
NPP-01 FNVA August, 2020
Prior Issue: N/A
Version: NPP-01
Effective
Date: 8/15/2020

services: We can use and share your health information to bill and get payment from health plans or other
entities. Help with public health and safety issues: We can share health information about you for certain situations such as:
Preventing disease, Helping with product recalls, Reporting adverse reactions to medications, Reporting suspected abuse, neglect, or
domestic violence, Preventing or reducing a serious threat to anyone’s health or safety. Do research: We can use or share your
information for health research. 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’re complying with federal privacy law.
Respond to organ and tissue donation requests: We can share health information about you with organ procurement organizations.
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: For workers’ compensation claims, For law enforcement purposes or with a law
enforcement official, With health oversight agencies for activities authorized by law, For special government functions such as
military, national security, and presidential protective services. 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.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information. We will let you know promptly if a
breach occurs that may have compromised the privacy or security of your information. We must follow the duties and privacy
practices described in this notice and give you a copy of it. 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.

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be
available upon request, in our office, and on our web site.