SUMMARY OF OUR NOTICE OF PRIVACY PRACTICES

 

Comprehensive Rehabilitation Group, Inc./Maumee Physical Therapy & Aquatics Center

Effective Date: April 14, 2003

 

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION

 

Please review the full Notice of Privacy Practices (NPP) which is attached. If you have any questions about this notice, please contact Brittany Raymond and/or Jan Thomas, Office Administrators at (419) 891-9800.

 

WHO WILL FOLLOW THIS NOTICE:

            Comprehensive Rehabilitation Group, Inc.

            Maumee Physical Therapy & Aquatic Center

            1675 Lance Pointe Dr

            Maumee, OH 43537

 

This notice describes our privacy practices. All these entities, sites, and locations follow the terms of this notice. In addition, these entities, sites, and locations may share health information with each other for treatment, payment, or health care operations purposes described in this notice.

 

OUR PLEDGE REGARDING HEALTH INFORMATION:

 

We understand that health information about you and your health care is personal. We are committed to protecting health information about you. We create a record of the care and services you receive from us. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this health care practice, whether made by your personal physical therapist or others working in this office. This notice will tell you about the ways in which we may use and disclose health in formation about you. We also described your rights to the health information we keep about you, and describe certain obligations we have regarding the use and disclosure of your health information.

 

WE ARE REQUIRED BY LAW TO:

• Make sure that health information that identifies you is kept private;
• Give you this notice of our legal duties and privacy practices with respect to health information about you; and
• Follow the terms of the notice that is currently in effect.

 

HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU:

 

The following categories describe different ways that we use and disclose health information. By coming for care, you give us the right to use your information for treatment, to get reimbursed for your care, and to operate our organization.

 

There are also various other ways in which we may use or disclose your information:

• To allow oversight of the quality of the healthcare we provide
• To allow worker’s compensation claims
• As required by subpoena in lawsuits and disputes
• Various uses as required by law or to avert a serious threat to health or safety

 

The full details for all these uses are contained in the full NPP.

 

YOUR RIGHTS REGARDING HEALTH INFORMATION ABOUT YOU:

 

You have the following rights regarding health information we maintain about you:

• Right to inspect and copy
• Right to amend
• Right an accounting of disclosures
• Right to request confidential communications
• Right to a paper copy of this notice

Information on how to exercise these rights can be seen in the NPP or can be obtained from Brittany Raymond and/or Jan Thomas, Office Administrators at (419) 891-9800.

 

CHANGES TO THIS NOTICE

 

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in our facility. The notice will contain on the first page, in the top right-hand corner, the effective date. In addition, each time you register for treatment or health care services, we will offer you a copy of the current notice in effect.

 

COMPLAINTS:

 

If you believe you privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with us, contact Brittany Raymond and/or Jan Thomas, Office Administrators. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

 

OTHER USES OF HEALTH INFORMATION:

 

Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose health information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose health information about you for the reason covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.