Notice of Privacy Practices
Effective Date of this notice: June 25, 2020
THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE READ CAREFULLY
Our Pledge and Legal Duty to Protect Health Information About You
The privacy of your health information is important to us. We are required by federal and state laws to protect the privacy of your health information. We must give you notice of our legal duties and privacy practices concerning your health information, including:
- We must protect information that we have created or received about your past, present or future health condition, health care we provide to you, or payment for your health care.
- We must notify you about how we protect your health information
- We must explain how, when and why we use or disclose your health information
- We may only use or disclose your health information as we have described in the Notice
- We must abide by the terms of this notice
We are required to abide by the terms of this notice. We reserve the right to change the terms of this notice and to make new notice provisions effective for all health information that we maintain. We will post revised notice, make copies available to you upon request and post the revised notice on our website.
USES AND DISCLOSURES OF YOUR HEALTH INFORMATION
There are a number of purposes for which it may be necessary for us to use or disclose your health information. For some of these purposes, we are required to obtain your consent. In other specific instances, we may be required to obtain your individual authorization. And in a limited number of circumstances, we will be authorized by law to disclose your health information without your consent or authorization. Following is a description of these uses and disclosures.
- Uses and Disclosures of Your Health Information for Purposes of Treatment, Payment and Health Care Operations.
- Health Care Treatment. We may use or disclose health information about you to provide and manage your health care. This may include communication with other health care providers regarding your treatment and coordinating and managing the delivery of health services with others. For example, we may use or disclose health information about you to your doctor or other health care services.
- Appointment Reminders and other Contacts. We may use your health information to contact you with reminders about your appointments, alternative treatments you may want to consider, or other of our services that may be of interest to you.
- Payment. We may use or disclose your health information to bill and collect payment for the treatment and services provided to you. For example: a bill may be sent to you or a third party payer. The information on, or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures and supplies used
- Healthcare Operations. We may use or disclose health information about you to allow us to perform business functions. For example, we may use your health information to help us train new staff and conduct quality improvement activities.
Patient Consent for Disclosures
For some of the disclosures of health information described above, we are required to obtain a written consent from you, unless the disclosure is authorized by Law
- Uses and Disclosures of Your Health Information that Require Your Opportunity to Agree or Object.
In the following instances we will provide you with the opportunity to agree or object to our use of disclosures of your health information:
- Persons Involved in Your Care. We may, using our best judgment, disclose to a family member, other relative, close personal friend or any other person identified by you, health information relevant to that person’s involvement in your care or payment related to your care.
- Notification to others. We may, in some instances, disclose health information about you to a family member, a personal representative, or another person responsible for your care, in order to notify such a person about your current location or general condition.
- Uses and Disclosures Authorized by Law
Under certain circumstances we are authorized by Law to use or disclose your health information without obtaining a consent of authorization from you. These may include when the use of disclosure is:
- Required by Law. we will disclose your health information when such disclosure is required by federal, state or local laws
- Necessary for public health activities. For example, when reporting to public health authorities the exposure to certain communicable diseases or risks of contracting or spreading a disease condition.
- Related to victims of abuse and neglect. For example, when reporting suspected victims of abuse or neglect
- For judicial and administrative proceedings. For example, when responding to a request for health information contained in a court order.
- For law enforcement purposes. For example, when complying with laws that require the reporting of certain types of wounds or injuries.
- Uses and Disclosures of Your Health Information that Require your Authorization
Other uses and disclosures of your health information not covered in this Notice will be made only with your written authorization. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any uses or disclosures permitted by your authorization while it was in effect.
YOUR INDIVIDUAL RIGHTS
- Right to Access and Copy Your Health Information.
You have the right to access and receive a copy or a summary of your health information contained in clinical, billing and other records that we maintain and use to make decisions about you. We ask that you request be made in writing. We may charge a reasonable fee. There might be limited situations in which we may deny your request. Under these situations, we will respond to you in writing, stating why we cannot grant your request and describing your rights to request a review of our denial to your request.
- Right to Request Restrictions on Uses and Disclosures of Your Health Information.
You have the right to request that we restrict our use or disclosure of your health information. We ask that your request be made in writing. We are not required to agree to your request for a restriction, and we will notify you of our decision. However, if we do agree, we will comply with our agreement, unless there is an emergency or we are otherwise required to use or disclose the information.
- Right to Request Confidential Communications
Periodically, we will contact you by phone, email, postcard reminders, or other means to the location identified in our records with appointment reminders, results of tests or other health information about you. You have the right to request that we communicate with you in a specific way or as a specific location. For example, you may request that we contact you at your work address or phone number or by email. We ask that your request be made in writing. While we are not required to agree with your request, we will make efforts to accommodate reasonable requests.
- Right to Request and Accounting of Disclosures of Health Information.
You have the right to request a listing of certain disclosures we have made on your health information. We ask your request be made in writing.
- Right to Receive a Copy of This Notice.
You have the right to request and receive a paper copy of this Notice at any time. We ill make this Notice available in electronic form and post it on our website.
QUESTIONS OR COMPLAINTS.
For more information about HIPAA or to file a complaint:
The U.S. Department of Health & Human Services Office of Civil Rights 200 Independence Avenue, S.W. Washington, D.C. 20201 (202) 619-0257 Toll Free: 1-877-696-6775
Please contact us for more information:
Invigorating Motion Physical Therapy, LLC