Notice of Privacy Practices
Land of Therapy Effective Date: [Insert Date, e.g., January 1, 2024]
1. Our Commitment to Your Privacy
This notice describes how medical information about you (or your child) may be used and disclosed and how you can get access to this information. At Land of Therapy, we are required by law to maintain the privacy of your protected health information (PHI) and to provide you with this notice of our legal duties.
2. How We Use and Disclose Your Health Information
We may use or share your health information for the following purposes:
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Treatment: To provide, coordinate, or manage your therapy services. For example, we may consult with your primary care physician or other specialists involved in your care.
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Payment: To bill and collect payment from you, an insurance company, or another third party.
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Healthcare Operations: To run our practice, improve your care, and contact you when necessary (e.g., appointment reminders).
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Law Required: We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if they want to see that we’re complying with federal privacy law.
3. Your Rights Regarding Your PHI
You have the following rights regarding the health information we maintain about you:
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Access: You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you.
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Amendments: You can ask us to correct health information about you that you think is incorrect or incomplete.
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Communication: You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
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Restrictions: You can ask us not to use or share certain health information for treatment, payment, or our operations.
4. Our Responsibilities
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We are required by law to maintain the privacy and security of your protected health information.
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We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
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We must follow the duties and privacy practices described in this notice and give you a copy of it.
5. Contact Information
If you have questions about this notice or believe your privacy rights have been violated, please contact us at:
Land of Therapy
407-569-8981
40906 Hwy 27, Davenport, FL 33837