Dynamic Spine and Sports Therapy
Notice of Privacy Practices (NPP)
Effective Date: 01/2019
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.
At Dynamic Spine and Sports Therapy, we are committed to protecting your privacy and ensuring that your medical information is kept confidential. This Notice of Privacy Practices (NPP) describes how we may use and disclose your protected health information (PHI) and explains your rights regarding your medical information.
Uses and Disclosures of Protected Health Information
Treatment: We may use and disclose your PHI to provide, coordinate, or manage your healthcare and any related services. This includes disclosing your information to other healthcare providers involved in your care.
Payment: We may use and disclose your PHI to obtain payment for the healthcare services we provide to you. This may include disclosing information to your insurance company, billing companies, and collection agencies.
Healthcare Operations: We may use and disclose your PHI for healthcare operations, including activities such as quality assessment, employee review, training of medical students, licensing, and conducting or arranging for other business activities.
Business Associates: We may disclose your PHI to third-party business associates who perform various activities for us (e.g., billing, transcription services). Our business associates are required to protect your information and only use or disclose it as necessary to perform their duties.
Appointment Reminders: We may use and disclose your PHI to contact you to remind you of your appointments.
Treatment Alternatives and Health-Related Benefits and Services: We may use and disclose your PHI to inform you about treatment alternatives or health-related benefits and services that may be of interest to you.
Individuals Involved in Your Care or Payment for Your Care: We may disclose your PHI to a family member, friend, or other person you identify who is involved in your medical care or payment for your care. We will only disclose the information relevant to their involvement in your care.
As Required by Law: We will disclose your PHI when required to do so by federal, state, or local law.
Your Rights Regarding Your Protected Health Information
Right to Inspect and Copy:** You have the right to inspect and copy your PHI that may be used to make decisions about your care. This right does not include psychotherapy notes.
Right to Amend:** If you believe the PHI we have about you is incorrect or incomplete, you have the right to request an amendment. We may deny your request under certain circumstances.
Right to an Accounting of Disclosures:** You have the right to request a list of certain disclosures we made of your PHI.
Right to Request Restrictions:** You have the right to request a restriction on the uses or disclosures of your PHI for treatment, payment, or healthcare operations. We are not required to agree to your request, but we will comply if we do agree.
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.
Right to a Paper Copy of This Notice:** You have the right to a paper copy of this notice, even if you have agreed to receive it electronically.
Changes to This Notice
We reserve the right to change this notice at any time. The new notice will be effective for all PHI we maintain at that time. We will post a copy of the current notice in our facility and on our website. You may request a copy of the current notice at any time.
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
Dynamic Spine and Sports Therapy
3400 Blue Springs Rd #100 Kennesaw GA 30144
info -at- dynamicsportstherapy.com
678-574-5430
You will not be penalized for filing a complaint.
Contact Information
If you have any questions about this notice or need further information, please contact our Privacy Officer at the address and phone number listed above.
Dynamic Spine and Sports Therapy
3400 Blue Springs Rd #100 Kennesaw GA 30144
info -at- dynamicsportstherapy.com
678-574-5430