NOTICE OF PRIVACY PRACTICES
Little Bloom Pediatric Physical Therapy
2211 Bella Daisy
San Antonio, Texas 78260
210-900-0190
Effective Date: October 1, 2023
Introduction:
This Notice of Privacy Practices is designed to inform you about the ways in which your protected health information (PHI) may be used and disclosed and your rights concerning your PHI. We are committed to maintaining the privacy and security of your health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
Your Rights:
1. Right to Access: You have the right to request access to your PHI in our records. We will provide you with copies in the format you request if it is readily producible, or in an agreed-upon format.
2. Right to Request Amendments: You may request changes or amendments to your PHI if you believe it is inaccurate or incomplete. We will review your request and provide a response.
3. Right to Request Restrictions: You have the right to request restrictions on how your PHI is used or disclosed for treatment, payment, or healthcare operations. We are not required to agree to your request.
4. Right to Receive an Accounting: You may request an accounting of certain disclosures of your PHI. This list will not include disclosures made for treatment, payment, or healthcare operations, or other disclosures as allowed by law.
5. Right to Request Confidential Communications: You have the right to request confidential communication of your PHI. We will accommodate reasonable requests.
6. Right to File a Complaint: If you believe your privacy rights have been violated, you have the right to file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
How We Use and Disclose PHI:
1. Treatment: We may use or disclose your PHI to provide you with healthcare services. This includes sharing information with other healthcare professionals involved in your care.
2. Payment: We may use and disclose your PHI to obtain payment for the healthcare services we provide to you. This may include sharing information with your health insurer.
3. Healthcare Operations: We may use and disclose your PHI for our internal healthcare operations, such as quality assessment, employee training, and conducting audits.
4. Consent: We may use and disclose your PHI with your written consent. You can revoke your consent at any time in writing.
5. Required by Law: We may use or disclose your PHI when required by law.
6. Emergencies: In emergency situations, we may disclose your PHI without your consent when necessary to prevent harm.
Contact Information:
If you have any questions, concerns, or need further information about this NPP, please contact:
Nicole Neer, PT, DPT
210-900-0190