NOTICE OF PATIENT INFORMATION PRACTICES

 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED        

AND HOW YOU CAN GET ACCESS TO INFORMATION. PLEASE REVIEW IT CAREFULLY.         

FARMINGTON HAND AND PHYSICAL THERAPY LEGAL DUTY

FARMINGTON HAND AND PHYSICAL THERAPY is required by law to protect the privacy of your personal health

information, provide this notice about our information practices and follow the information practices that are described herein.

 

USES AND DISCLOSURES OF HEALTH INFORMATION
 
FARMINGTON HAND AND PHYSICAL THERAPY uses your personal health information primarily for treatment;

obtaining payment for treatment; conducting internal administrative activities and evaluating the quality of care that we provide.

For example, FARMINGTON HAND AND PHYSICAL THERAPY may use your personal health information to contact you

to provide appointment reminders, or information about treatment alternatives or other health related benefits that could be

of interest to you.

 

FARMINGTON HAND AND PHYSICAL THERAPY may also use or disclose your personal health information without

prior authorization for public health purposes, for auditing purposes, for research studies and for emergencies.

We also provide information when required by law.

 

In any other situation, FARMINGTON HAND AND PHYSICAL THERAPY'S policy is to obtain your written authorization

before disclosing your personal health information. If you provide us with a written authorization to release your information

for any reason, you may later revoke that authorization to stop future disclosures at any time.

 

FARMINGTON HAND AND PHYSICAL THERAPY may change its policy at any time. When changes are made, a new Notice

of Information Practices will be posted in the waiting room and patient exam areas and will be provided to you on your next visit.

You may also request an updated copy of our Notice of Information Practices at any time.

 

PATIENT'S INDIVIDUAL RIGHTS

 
You have the right to review or obtain a copy of your personal health information at any time. You have the right to request

that we correct any inaccurate or incomplete information in your records. You also have the right to request a list of instances

where we have disclosed your personal health information for reasons other than treatment, payment or other related

administrative purposes.

 

You may also request in writing that we not use or disclose your personal health information for treatment, payment and

administrative purposes except when specifically authorized by you, when required by law or in emergency circumstances.

FARMINGTON HAND AND PHYSICAL THERAPY will consider all such requests on a case-by-case basis,

but the practice is not legally required to accept them.

 

CONCERNS AND COMPLAINTS

 
If you are concerned that FARMINGTON HAND AND PHYSICAL THERAPY may have violated your privacy rights or

if you disagree with any decisions we have made regarding access or disclosure of your personal health information,

please contact our practice manager at the address listed below. You may also send a written complaint to the US Department

of Health and Human Services. For further information on FARMINGTON HAND AND PHYSICAL THERAPY'S

health information practices or if you have a complaint, please contact the following person:

 

FARMINGTON HAND AND PHYSICAL THERAPY

1280 DOCTORS DRIVE, FARMINGTON, MO. 63640

PHONE: (573) 756-2320 FAX: (573) 760-8677