Patient

Privacy Information

We keep our clients financial and health information private as required by law, accreditation standards and our own policies. This Notice explains your rights, our legal duties and our privacy practices.

Your Financial Information

We collect and use several types of financial information to carry out billing and insurance activities. This includes your patient information sheet, such as your name, address, age and dependents. We keep records about your business with our affiliates, others, or us such as insurance coverage, premiums, and payment history. We also keep any information we may get from a consumer reporting group such as your credit history.

We use physical, technical, and procedural methods to protect your private information. We share it only with our employees and affiliates who need it to provide service on your account, to do billing, or for other legally allowed or required purposes.

Your 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.

We collect, use. and communicate information by and about you for health care treatment, payment, and operations, or when we are allowed or required by law to do so.

For Treatment

We use and disclose your personal health information in treatment. For example, relating physical therapy findings to your referring physician in written and verbal reports.

For Payment

We use and disclose information about you to manage your account or benefits. For example, providing your diagnosis to your insurance company to secure payment on your behalf.

For Health Care Operations

We use and disclose information about you for our operations. For example, we may use information about you to review the quality of care and services you receive. Also, for quality and accreditation by our Physical Therapy Provider Network.

As allowed or required by law

Information about you may be shared with regulators for audits, licensure or other proceedings; for administrative or other legal proceedings; to public health authorities or to law enforcement officers, such as to comply with a court order or subpoena.

Authorization

We will get your written permission before we use or share your Protected Health Information for any other purpose, unless otherwise allowed or required by law. You may withdraw this permission at any time in writing. We will then stop using your information far that purpose. However, if we have already used your information based on your authorization you cannot take back your agreement for those past situations.

Your Rights

Under privacy regulations April 14, 2003, you have the right to:

See or get a copy of information that we have about you, or correct your personal information that you believe is missing or incorrect. If someone else (such as your doctor) gave us the information, we will tell you who, so that you can ask them to correct it.

Ask us not to use your health information for payment or health care operation activities. We are not required to agree to these requests.

Ask us to communicate with you about health matters using reasonable alternative means or at a different address, if communications to your home address could endanger you.

Receive a list of disclosures of your health information that we make on or after April 14, 2003, except when:

You have authorized the disclosure;

The disclosure is made for treatment, payment or health care operations; or

The law otherwise restricts the accounting.

Complaints

If you believe we have not protected your privacy, you can file a compliant with use, or with the federal government. We will not take action against you for filing a complaint.

Copies and Changes

You have the right to receive another copy of this notice at any time, even if you have agreed to receive this notice electronically; you are still entitled to a paper copy.

We reserve the right to change this notice. A revised police will apply to information we already have about you as well as any information we may receive in the future. We are required by law to comply with whatever privacy notice is currently in effect. We will communicate any changes to our notice through Subscriber newsletters, mail and/or website.

Contact Information

If you want to exercise your rights under this notice of if you wish to talk with us about privacy issues or to file a complaint, please contact our Privacy Officer, Tiffany Hosick at (831) 464-3901.