Policies
Bounceback Physical Therapy LLC
Notice of Privacy Practices
Effective Date: 07/01/2024
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Our Commitment to Your Privacy:
Bounceback Physical Therapy LLC is dedicated to maintaining the privacy of your health information. We are required by law to keep your health information private and to provide you with this Notice of our legal duties and privacy practices with respect to your health information. When we use or disclose your health information, we are bound by the terms of this Notice.
Uses and Disclosures of Health Information:
1. Treatment:
We may use or disclose your health information to provide you with medical treatment or services. For example, we may disclose your health information to doctors, nurses, technicians, or other personnel who are involved in your care.
2. Payment:
We may use or disclose your health information to obtain payment for services we provide to you. For example, we may share your health information with billing services or financial institutions for payment processing purposes.
3. Health Care Operations:
We may use or disclose your health information for our health care operations. These uses and disclosures are necessary to run our practice and make sure that our patients receive quality care. For example, we may use your health information to review our treatment and services and to evaluate the performance of our staff.
4. Appointment Reminders:
We may use and disclose your health information to contact you as a reminder that you have an appointment for treatment or medical care.
5. Treatment Alternatives:
We may use and disclose your health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
6. Health-Related Benefits and Services:
We may use and disclose your health information to tell you about health-related benefits or services that may be of interest to you.
7. Individuals Involved in Your Care or Payment for Your Care:
We may release your health information to a family member or other person who is involved in your medical care or helps pay for your care. We may also disclose your health information to an entity assisting in a disaster relief effort so that your family can be notified about your condition, status, and location.
8. Research:
Under certain circumstances, we may use and disclose your health information for research purposes. For example, a research project may involve comparing the health and recovery of all patients who received one treatment to those who received another for the same condition.
9. As Required by Law:
We will disclose your health information when required to do so by federal, state, or local law.
Your Rights Regarding Your Health Information:
1. Right to Inspect and Copy:
You have the right to inspect and copy your health information that may be used to make decisions about your care.
2. Right to Amend:
If you feel that the health information we have about you is incorrect or incomplete, you may ask us to amend the information.
3. Right to an Accounting of Disclosures:
You have the right to request a list of certain disclosures we make of your health information for purposes other than treatment, payment, and health care operations.
4. Right to Request Restrictions:
You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or health care operations. You also have the right to request a limit on the health information we disclose to someone who is involved in your care or the payment for your care.
5. Right to Request Confidential Communications:
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
6. Right to a Paper Copy of This Notice:
You have the right to a paper copy of this Notice.
Changes to This Notice:
We reserve the right to change this Notice, and the revised or changed Notice will be effective for 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 office and on our website.
Complaints:
If you believe your 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:
Privacy Officer
Bounceback Physical Therapy LLC
1771 E Boy Scout Rd, Hixson, TN 37343
Phone: (423) 212-3149
Email: [email protected]
All complaints must be submitted in writing. You will not be penalized for filing a complaint.
Notice of Privacy Practices
Effective Date: 07/01/2024
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Our Commitment to Your Privacy:
Bounceback Physical Therapy LLC is dedicated to maintaining the privacy of your health information. We are required by law to keep your health information private and to provide you with this Notice of our legal duties and privacy practices with respect to your health information. When we use or disclose your health information, we are bound by the terms of this Notice.
Uses and Disclosures of Health Information:
1. Treatment:
We may use or disclose your health information to provide you with medical treatment or services. For example, we may disclose your health information to doctors, nurses, technicians, or other personnel who are involved in your care.
2. Payment:
We may use or disclose your health information to obtain payment for services we provide to you. For example, we may share your health information with billing services or financial institutions for payment processing purposes.
3. Health Care Operations:
We may use or disclose your health information for our health care operations. These uses and disclosures are necessary to run our practice and make sure that our patients receive quality care. For example, we may use your health information to review our treatment and services and to evaluate the performance of our staff.
4. Appointment Reminders:
We may use and disclose your health information to contact you as a reminder that you have an appointment for treatment or medical care.
5. Treatment Alternatives:
We may use and disclose your health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
6. Health-Related Benefits and Services:
We may use and disclose your health information to tell you about health-related benefits or services that may be of interest to you.
7. Individuals Involved in Your Care or Payment for Your Care:
We may release your health information to a family member or other person who is involved in your medical care or helps pay for your care. We may also disclose your health information to an entity assisting in a disaster relief effort so that your family can be notified about your condition, status, and location.
8. Research:
Under certain circumstances, we may use and disclose your health information for research purposes. For example, a research project may involve comparing the health and recovery of all patients who received one treatment to those who received another for the same condition.
9. As Required by Law:
We will disclose your health information when required to do so by federal, state, or local law.
Your Rights Regarding Your Health Information:
1. Right to Inspect and Copy:
You have the right to inspect and copy your health information that may be used to make decisions about your care.
2. Right to Amend:
If you feel that the health information we have about you is incorrect or incomplete, you may ask us to amend the information.
3. Right to an Accounting of Disclosures:
You have the right to request a list of certain disclosures we make of your health information for purposes other than treatment, payment, and health care operations.
4. Right to Request Restrictions:
You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or health care operations. You also have the right to request a limit on the health information we disclose to someone who is involved in your care or the payment for your care.
5. Right to Request Confidential Communications:
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
6. Right to a Paper Copy of This Notice:
You have the right to a paper copy of this Notice.
Changes to This Notice:
We reserve the right to change this Notice, and the revised or changed Notice will be effective for 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 office and on our website.
Complaints:
If you believe your 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:
Privacy Officer
Bounceback Physical Therapy LLC
1771 E Boy Scout Rd, Hixson, TN 37343
Phone: (423) 212-3149
Email: [email protected]
All complaints must be submitted in writing. You will not be penalized for filing a complaint.