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.
1. Uses and Disclosures:
We will use your protected health information (PHI) for the purposes of treatment, payment and health care operations.
Treatment includes the disclosure of health information to other providers who have referred you for services or are involved in your care. This may include doctors, nurses, technicians and other physical therapists. For example, we may feel that a stroke patient we are treating would benefit from an evaluation by a speech- language pathologist to address a swallowing difficulty. The health information we share with the speech- language pathologist would be considered a treatment related disclosure.
Payment includes the disclosure of health information to your insurance company, including Medicare and Medicaid, so payment can be obtained for services rendered. Your insurance company may make a request to review your medical record to determine that your care was necessary. You can restrict disclosures of PHI to health plans where you pay out of pocket in full for the healthcare item or service, and you request that the insurance not be billed for the services. This request must be made in writing. This request is voided if there is an outstanding balance on your account or if you fail to pay the out of pocket price for the services rendered.
Health Care Operations:
Health Care Operations includes the utilization of your records to monitor the quality of care being given at our facility or for business planning activities.
Other Special Uses:
Our practice may use your PHI to send you an appointment reminder, to inform you of our other health-related products and services, to follow up with you after your course of care, or to request a contribution to our charitable activities.
Uses and Disclosures Required by Law:
The federal health information privacy regulations either permit or require us to use or disclose your PHI in the following ways: we may share some of your PHI with a family member or friend involved in your care if you do not object, we may use your PHI in an emergency situation when you may not be able to express yourself, and we may use or disclose your PHI for research purposes if we are provided with very specific assurances that your privacy will be protected. We may also disclose your PHI when we are required to do so by law, for example by court order or subpoena. Disclosures to health oversight agencies are sometimes required by law to report certain diseases or adverse drug reactions.
We may use and disclose health information about you to avert a serious threat to your health or safety or the health or safety of the public or others. If you are in the Armed Forces, we may release health information about you when it is determined to be necessary by the appropriate military command authorities. We may also release information about you for workers’ compensation or other similar programs that provide benefits for work-related injury or illness.
Other uses and disclosures not described in this Notice will be made only with your authorization. The law requires us to state that we will obtain your authorization prior to selling your PHI to a third party. Landmark Physical Therapy does not engage in the practice of selling any PHI to third parties.
2. Your Privacy Rights
You have the right to request restrictions on how your PHI is used, however, we are not required to agree with your request. If we do agree, we must abide by your request.
You have the right to request confidential communication from us at a location of your choosing. This request must be in writing.
Access to PHI:
You have the right to request a copy of your medical record. You must make this request in writing and we may charge a fee to cover the costs of copying and mailing. You may also request in writing, with signature, that your PHI be sent to a third party. A designated individual and where to send the PHI must be included in the request. You may request an electronic copy of your medical record in PDF format. The electronic copy, if requested, will be sent in an unencrypted form. We are not responsible to any breach of PHI if you request and authorize the transmission of your electronic medical record.
You have the right to request an amendment be made to your PHI, if you disagree with what it says about you. This request must be made in writing. If we disagree with you, we are not required to make the change. You do have the right to submit a written statement about why you disagree that will become a part of your record. We may not amend parts of your medical record that we did not create.
Accounting of Disclosures:
After April 14, 2008, you have the right to request an accounting of the disclosures made in the previous six years. These disclosures will not include those made for treatment, payment, or health care operations or for which we have obtained authorization.
If you feel that your privacy rights have been violated, you have the right to make a complaint to us in writing without fear of retaliation. Your complaint should contain enough specific information so that we may adequately investigate and respond to your concerns. If you are not satisfied with our response, you may complain directly to the Secretary of Health and Human Services.
Our Duty to Protect Your Privacy:
We are required to comply with the federal health information privacy regulations by maintaining the privacy of your PHI. These rules require us to provide you with this document, our Notice of Privacy Practices. If we become aware of a breach of unsecured PHI, all affected individuals will be notified by this office. We reserve the right to update this notice if required by law. If we do update this notice at any time in the future, you will receive a revised notice when you next seek treatment from us.
What information will Landmark ask for?:
When ordering or registering on our site, as appropriate, you may be asked to enter your name, email address, mailing address, phone number or other details.
What do we use this information for?:
The information we collect from you can be used to:
- Improve our website
- Send emails regarding your appointments and other services
- Follow up with you after an email or phone call
- Send announcements of new services or products you may be interested in
Is your information safe?: Yes, we use a variety of safety measures to safeguard your information.
- Your personal information is protected as required by federal, state and local health care laws, including HIPA
- Any and all transactions are processed through a gateway provider and your financial information is not stored on our servers
Cookies are small files that resides on your computer’s hard drive (if you allow) that enables our site to recognize your browser and remember certain information. Cookies allow us to understand how visitors use our website. This is to ensure our site is relevant to your needs. We DO NOT personally identify you or send you targeted advertising.
Links to other sites:
This site may contains link to other sites. While we are very careful about who we link to, please be aware we are not responsible for the content, or privacy practices, of other websites.
Your consent, and changes to, this policy:
If you would like more information about our privacy practices or to file a complaint you may contact:
Scottsdale, AZ 85260
This Notice will take effect on February 25, 2013
Most Recent Revision:
Revised October 13, 2017
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