Your Information. Your Rights. Our Responsibilities.

This notice explains how The Massage Therapist, LLC may use and disclose protected health information, your rights regarding that information, and the practice’s responsibilities for protecting it.

Your Rights

Get a Copy of Your Health Record

You may ask to see or receive an electronic or paper copy of health information we maintain about you. We will provide a copy or summary as required by law, generally within the time allowed by HIPAA. A reasonable, cost-based fee may apply when permitted.

Ask Us to Correct Your Record

You may ask us to correct health information you believe is incorrect or incomplete. We may deny the request in some circumstances, but we will explain the reason in writing when required.

Request Confidential Communications

You may ask us to contact you in a particular way or at a particular location. We will accommodate reasonable requests.

Ask Us to Limit What We Use or Share

You may ask us not to use or share certain health information for treatment, payment, or health care operations. We are not always required to agree to these requests.

If you pay for a service in full out of pocket and ask us not to disclose information about that service to a health plan for payment or health care operations, we will honor the request when required by law.

Get a List of Certain Disclosures

You may request an accounting of certain disclosures of your health information for the period permitted by law.

Get a Copy of This Notice

You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.

Choose Someone to Act for You

If you have given someone medical power of attorney, or another person is legally authorized to act as your personal representative, that person may exercise your rights as permitted by law.

File a Complaint

You may contact The Massage Therapist if you believe your privacy rights have been violated. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

Your Choices

For certain health information, you may tell us your preferences about what we share. When applicable, this may include information shared with family members, friends, or others involved in your care or payment for your care.

If you are unable to tell us your preference, we may share information when permitted by law and when we determine that doing so is in your best interest.

We will obtain your written authorization before using or disclosing your health information for purposes that require authorization under HIPAA. You may revoke an authorization in writing as permitted by law, except to the extent that we have already acted in reliance on it.

How We May Use & Share Your Information

Treatment

We may use and share health information to provide, coordinate, or manage your care. For example, relevant information may be shared with another health care professional involved in your treatment when permitted by law.

Payment

We may use and share health information to bill and obtain payment from health plans or other responsible parties. For example, we may provide information required to process an insurance claim.

Health Care Operations

We may use and share health information to operate the practice, manage records, improve services, conduct appropriate quality review, and perform other health care operations permitted by law.

Other Uses & Disclosures Permitted or Required by Law

We may use or disclose health information when permitted or required for purposes such as public health and safety activities, health oversight, workers’ compensation, law enforcement, judicial or administrative proceedings, certain research activities, organ and tissue donation, coroners or medical examiners, or compliance with other applicable laws.

When such a disclosure is made, we will limit the information disclosed as required by applicable law.

Substance Use Disorder Records

Certain substance use disorder patient records may receive additional confidentiality protections under federal law, including 42 CFR Part 2. If The Massage Therapist receives or maintains records subject to those protections, those records will be handled in accordance with applicable federal requirements.

Additional requirements may apply to the use or disclosure of these records, including consent requirements and restrictions on their use or disclosure in certain civil, criminal, administrative, or legislative proceedings.

Our Responsibilities

We are required by law to maintain the privacy and security of protected health information.

We will notify affected individuals as required by law if a breach occurs that may have compromised the privacy or security of their protected health information.

We must follow the duties and privacy practices described in the Notice of Privacy Practices currently in effect.

We will not use or disclose your health information other than as described in this notice unless you authorize us in writing or the use or disclosure is otherwise permitted or required by law.

Changes to This Notice

We may change the terms of this notice, and changes may apply to all health information we maintain about you.

If the notice is revised, the current version will be available upon request, at the practice, and on this website.

Questions or Privacy Complaints

If you have questions about this notice, would like to exercise a privacy right, or believe your privacy rights have been violated, contact the practice using the information below.

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. Filing a complaint will not affect your treatment or your ability to receive services from The Massage Therapist.