The staff of the Marble Falls Massage Therapy Center is dedicated to providing top-quality service. Protecting your privacy is paramount and we have implemented procedures to safeguard the information in your files. We have installed a firewall on our computer; computerized files can only be accessed with a password; and all paperwork is kept in locked filing cabinets.
This notice describes how Protected Health Information (PHI) about you may be used and disclosed and how you can get access to this information. Please review it carefully.
The staff of the Marble Falls Massage Therapy Center gathers personal and health information from you upon your initial visit and again if it has been more than 6 months since your previous visit.
*We may provide PHI about you to health care providers, other office personnel, or third parties who are directly involved in the provision, management, or coordination of your treatment care.
*We may also disclose your PHI to any third party you designate in writing.
*We may disclose your PHI if we ever sell or transfer our practice.
*We may disclose your PHI if we believe it is necessary to prevent a serious threat to your health and safety of the health and safety of the public.
*We may disclose your PHI to a government agency if we believe you have been a victim of abuse, neglect, or domestic violence. We will make this disclosure if it is necessary to prevent serious harm to you or other potential victims as required by law.
*We may disclose your PHI to a health oversight agency for activities authorized by law.
*We may disclose your PHI as required by a court or administrative order, or under certain circumstances in response to a subpoena, discovery request or other legal process.
*We may release your PHI as necessary to comply with laws relating to Workers’ Compensation or similar programs that are established by the law to provide benefits for work-related injuries or illness without regard to fault.
*We may disclose your PHI to a HIPAA certified Business Associate who is involved in your health care.*Your PHI may be disclosed for military and veterans affairs, for national security, and intelligence activities, or for correctional activities.
*We may use or disclose your PHI when required by law.
*We may use your name, address, phone number, e-mail, and your records to contact you with appointment reminders calls, recall postcards, greeting cards, or other related information that may be of interest to you. If you are not at home to receive an appointment reminder, a message will be left on your answering machine or voicemail.
Please note your rights regarding this information:
1. You are entitled to inspect and receive copies of your records.
2. You are entitled to make a written request to amend your PHI files or put restrictions on certain uses and disclosure of PHI.
3. We accommodate any reasonable request, yet we retain the right to deny inclusion of amendments or use restrictions of your PHI.4. You have the right to disagree with the practitioner’s refusal of inclusion.
5. You have a right to receive all notices in writing.
6. You have the right to request that we do not disclose your information to specific individuals, companies, or organizations. Any restrictions should be requested in writing. We are not required to honor these requests, but once we have agreed to your restrictions, the restriction is binding on us.
7. You may complain to us or the Secretary of Health and Human Services if you feel that we have violated your privacy rights. There will be no retaliation for filing a complaint. Written comments should be addresses to our owner at our office or the Secretary for Health and Human Services, 200 Independence Ave, Room 509F, HHH Bldg, Washington DC, 20201.
Original Effective Date: May 1st, 2011. This notice remains in effect until it is replaced or amended by changes in the law.