Uses and Disclosures of PHI Without Authorization

We may use or disclose your PHI for:

• Treatment
To provide or coordinate your medical care.
Example: sharing evaluations with your referring physician.

• Payment
To bill your insurance company or receive payment from you or a third party.
Example: submitting your treatment details to your insurer.

• Health Care Operations
For internal operations such as quality improvement, licensing, training, audits.
Example: reviewing your chart to evaluate therapist performance.

• Appointment Reminders & Treatment Alternatives
We may contact you regarding your appointments or offer information on health-related services.
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Other Permitted or Required Disclosures Without Authorization

• As Required by Law
• Public Health & Safety (e.g. reporting communicable diseases)
• Health Oversight Agencies
• Legal Proceedings & Law Enforcement
• Abuse or Neglect Reporting
• FDA-related issues
• Organ Donation, Coroners, Medical Examiners
• Workers’ Compensation
• Military & National Security
• Inmates of correctional facilities

Disclosures Requiring Your Authorization

We will not use or disclose your PHI for:

• Marketing
• Most sharing with employers
• Other non-treatment purposes

...unless you sign a written authorization, which you may revoke at any time.

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Your HIPAA Rights

You have the right to:

• Inspect & receive a copy of your PHI
• Request an amendment to your records
• Request a restriction on disclosure
• Request confidential communication
• Receive an accounting of disclosures
• Receive notice of a breach of your PHI
• Obtain a paper copy of this Notice at any time

Complaints

If you believe your privacy rights have been violated, you may file a complaint:

• With our Privacy Officer
• Or with the U.S. Department of Health and Human Services

https://www.hhs.gov/hipaa/filing-a-complaint

We will not retaliate against you for filing a complaint.


Contact: Privacy Officer

PARKER POINT PHYSICAL THERAPY
7950 E Mississippi avenue, unit C, Denver, Colorado 80247
+1 (303) 353-1440
info@parkerpointpt.com
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