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HIS 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.
Uses and Disclosures
Treatment.
Your health information may be used by staff members or
disclosed
to other health care professionals for the purpose of
evaluating your
health, diagnosing medical conditions, and providing
treatment. For example,
results of laboratory tests and procedures will be
available in your medical
record to all health professionals who may provide
treatment or who may
be consulted by staff members.
Payment.
Your health information may be used to seek payment from
your
health plan, from other sources of coverage such as an
automobile insurer, or
from credit card companies that you may use to pay for
services. For example,
your health plan may request and receive information on
dates of service,
the services provided, and the medical condition being
treated.
Health care operations.
Your health information may be used as necessary to
support the day-to-day activities and management of
Professional Physical Therapy, P.C..
For example, information on the services you received may
be used to support
budgeting and financial reporting, and activities to
evaluate and promote
quality.
Law enforcement.
Your health information may be disclosed to law
enforcement
agencies, without your permission, to support government
audits and
inspections, to facilitate law-enforcement investigations,
and to comply with
government mandated reporting.
Public health reporting.
Your health information may be disclosed to public
health agencies as required by law. For example, we are
required to report
certain communicable diseases to the state’s public health
department.
Other uses and disclosures require your authorization.
Disclosure of your
health information or its use for any purpose other than
those listed above
requires your specific written authorization. If you
change your mind after
authorizing a use or disclosure of your information you
may submit a written
revocation of the authorization. However, your decision to
revoke the
authorization will not affect or undo any use or
disclosure of information
that occurred before you notified us of your decision.
Additional Uses of Information
Information about treatments.
Your health information may be used to
send you information on the treatment and management of
your medical
condition that you may find to be of interest. We may also
send you information
describing other health-related goods and service that we
believe may
interest you.
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