Notice of Privacy Practices
Effective Date: December 17, 2024
This Notice of Privacy Practices (“Notice”) describes how Optimal Motion and Movement, LLC (“we,” “us,” or “our”) may collect, use, disclose, and protect your health information as required by the Health Insurance Portability and Accountability Act (HIPAA) and applicable state laws. Please review it carefully.
1. Our Commitment to Your Privacy
We understand the importance of protecting your personal and health information.
We are committed to safeguarding your information while providing high-quality care.
This Notice outlines your rights and our obligations regarding your protected health information (PHI).
2. Information We Collect
We may collect and maintain information about your health, including:
Medical history and treatment plans.
Personal identification details (e.g., name, address, phone number, and email).
Payment and insurance information
3. How We May Use and Disclose Your PHI
3.1 Treatment: To provide, coordinate, or manage your healthcare services.
3.2 Payment: To obtain payment for services provided, including billing and claims processing.
3.3 Healthcare Operations: To evaluate and improve our services, manage business operations, and conduct quality assessments.
3.4 Legal Requirements: To comply with laws, regulations, or court orders.
3.5 Public Health and Safety: To report issues such as infectious diseases or adverse reactions to medications.
3.6 Other Permitted Uses: As authorized by you or as permitted by law, including research, organ donation, and worker’s compensation cases
4. Your Rights Regarding Your PHI
You have the following rights:
4.1 Access: You can request access to your medical records or a copy of your PHI.
4.2 Amendment: You may request corrections to your PHI if you believe it is inaccurate or incomplete.
4.3 Restrictions: You can request limitations on how we use or disclose your PHI. While we will consider your request, we are not required to agree to restrictions unless for payment disclosures to a health plan for services you paid for out-of-pocket.
4.4 Confidential Communications: You can request that we communicate with you in a specific way (e.g., through email or phone).
4.5 Accounting of Disclosures: You can request a list of certain disclosures we have made of your PHI.
4.6 Revocation of Authorization: You may revoke any written authorization for the use or disclosure of your PHI, except to the extent we have already relied on it.
5. Safeguarding Your Information
We implement reasonable administrative, physical, and technical safeguards to protect your PHI from unauthorized access, use, or disclosure.
6. Changes to This Notice
We reserve the right to modify this Notice at any time.
Changes will apply to all PHI we maintain and will be posted on our website.
The effective date of the revised Notice will be indicated at the top of the document.
7. Contact Information
For questions or to exercise your rights, please contact us:
Optimal Motion and Movement, LLC
+1 (941) 294-6242
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS).
Complaints must be submitted in writing.
Retaliation against individuals filing a complaint is prohibited.
By using our services, you acknowledge that you have read, understood, and agree to this Notice of Privacy Practices.
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