Notice of Privacy Practices for Protected Health Information
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:
This office is permitted by federal privacy laws to make uses and disclosures of your Protected Health Information for purposes of treatment, payment, and health care operations. Protected Health Information is the information we create and obtain in providing our services to you. Such information may include documenting your symptoms, examination and test results, diagnoses, treatment, and applying for future care or treatment, and applying for future care or treatment. It also includes billing documents for those services.
Examples of uses of your health information for Treatment purposes are:
- A physical therapist obtains treatment information about you and records it in a health record
- During the course of your treatment , the physical therapist determines he/she will need to consult with another physical therapist. He/she will share the information with such physical therapist and obtain his/her input.
Examples of use of your health information for Payment purposes are:
- We submit requests for payment to your health insurance company. The health insurance company or business associates helping us obtain payment requests information from us regarding your medical care. We will obtain information to them about you and the care given.
Examples of use of your information for Health Care Operations are:
- We may obtain services from business associates such as quality assessment, quality improvement, outcome evaluation, protocol and clinical guidelines development, training programs, credentialing, medical review, legal services, and insurance or from vendors of customized orthotics. We will share information about you with such business associates as necessary to obtain these services.
| Your Health Information Rights | Our Responsibilities | Disclosures Allowed by Privacy Rule |
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