Notice of Privacy Practices

1.Uses and Disclosures: We will use your protected health information (PHI) for the purposes of treatment, payment, and health care operations.

Treatment includes the disclosure of health information to other providers who have referred you for the services or who are involved in your care. This may include doctors, nurses, technicians, and other physical therapists. For example, we may feel that is a patient following a stroke would benefit from an evaluation by a speech therapist to address a swallowing difficulty, then the health information we share with the speech therapist would be considered a treatment related disclosures.

Payment includes the disclosure of health information to your insurance company to, including Medicare, so payment can be obtained for rendered services. Your insurance company may make a request to review your medical record to determine that your care was necessary. Your health plan may also request and receive information about dates of service and the service provider.

Health Care Operations includes the utilization of your records to monitor the quality of care given at our facility or for business planning activity.

Other Special Uses

Our practice may use your PHI to email /text you an appointment reminder. We may also call you for an appointment reminder and may leave a message on your answering machine or voicemail.

Uses and Disclosures Required by Law

The federal health information privacy regulations either permit or require us to use your PHI in the following ways: we may share some of your PHI with a family member or friend involved in your care if you do not object, we maybes your PHI in an emergency situation when you may not be able to express yourself, we may use your or disclose your PHI for research purposes we are provided with very specific assurances that your privacy will be protected. We Amy also disclose your PHI when we are required to do so by law, for example under court order or subpoena. Disclosures to health oversight agencies are sometimes required by law to report certain diseases or adverse drug reactions.

We may use and disclose health information about you to avert a serious threat to your health or safety or the health and safety of the public or others. If you are in the Armed Forces, we may release health information about you when it is determined to be necessary by the appropriate military command authorities. We may also release information about you for workers' compensation or other similar programs that provide benefits for work related injuries or illness.

Your authorization is required before your PHI may be used or disclosed for other purposes.

2.Your Privacy Rights

Restrictions: You have the right to request restrictions on how your PHI is used, we are not required to agree with your request. If we do agree, we must abide by your request.

Confidential Communication: You have the right to request confidential communication from us at a location of your choosing. This request must be provided to us in writing.

Access to PHI: You have the right to request a copy of your medical record. You must make this request in writing and we may charge you a fee to cover the costs of copying and mailing.

Amendments: You have the right to request an amendment to you PHI, if you disagree with what it says about you. This request must be made in writing. If we disagree with you, we are not required to make the change. You do have the right to submit a written statement about why you disagree and this will become part of your medical record. We may not amend parts of your medical record that we did not create.

Accounting of Disclosures: After April 14, 2003, you have the right to request an accounting of disclosures made in the previous six years. These disclosures will not include those made for treatment payment, or health care operations or for which we have obtained authorization.

Complaints: If you feel your privacy rights have been violated, you have the right to make a complaint to us in writing without fear of retaliation. Your compliant should contain enough specific information that we may adequately investigate and respond to your concerns. if you are not satisfied with our response, you may complain directly to the Secretary of Health and Human Services.

Our Duty to Protect Your Privacy: We are required to comply with he federal health information privacy regulations by maintaining the privacy of your PHI. These rules require us to provide you with document, our Notice of Privacy Practices. We reserve the right to update this notice if required by law.

Privacy Contact:

Christine Colonna, privacy officer

Address: 51 River St, Milford, CT 04640

Phone: 203-433-0869