Hands plus Physical Therapy
Notice of Privacy
This notice describes how health information about you may be used and disclosed and how you can get access to your individually identifiable health information. This notice will describe your rights and certain duties we have regarding the use and disclosure of medical information. This notice takes effect on February 02, 2015 and remains in effect until we replace it. Please review this notice carefully.
A. Our Commitment to your Privacy:
Our practice is dedicated to maintaining the privacy of your individually protected health information (PHI). We understand that your PHI is personal and we are committed to protecting it. In conducting our business, we will create records regarding you and the treatment and services we provide to you. We need this record to provide with quality care and to comply with certain legal requirements.
B. Our legal requirements:
We are required by law to maintain the confidentiality of PHI that identifies you. We are also required by law to provide you with this notice of our legal duties, privacy practices, and your rights regarding your PHI. By federal and state law, we must follow the terms of this notice of privacy practices that we have in effect at the time.
C. Our rights:
We have the right to change our privacy practice and terms of this notice at any time, provided that the changes are permitted by law. Any revision or amendment to this notice will be effective for all of your records that our practice has created or maintained in the past, and for any of your records that we may create or maintain in the future. Before we make an important change, we will change this notice and make the new notice available upon request.
D. The Use and Disclosure of your medical information:
The following section describes different ways we may use and disclose you PHI. Not every use or disclosure will be listed. However, we have listed all the different ways we are permitted to use and disclose your PHI. We will not use or disclose your medical information for any purpose not listed below, without your specific written authorization. Any specific written authorization you provide may be revoked any time by writing to us at the address provided at the end of this notice.
For Treatment. Our practice may use your PHI to provide you with medical treatment or services. We may disclose PHI you to doctors, nurses, technicians, medical students, or others or other people who are taking care of you. We may also share medical information about you to your healthcare providers to assist them in treating you.
For Payment. Our practice may use and disclose your PHI in order to bill and collect payment for the services and items you may receive from us. A bill may be sent to you or a third party payer. The information on or accompanying the bill may include your PHI.
E. Questions and complaints:
If you have and questions about this notice or if you think we may have violated your privacy rights, please contact us.
Hands Plus Physical Therapy
David Girard PT, David Hubert OT
22961 Soledad Canyon Rd. Santa Clarita, CA. 91350