NOTICE OF PRIVACY PRACTICES

 

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.

Your medical information is the information gathered by your therapists or other caregivers during the time you are being treated by Sky Physical Therapy professionals. Your medical information includes all information within your record, including but not limited to, symptoms, examination and test results, diagnoses, treatment plans, future care plans, at-home regimens, and billing-related information. It is private, and no one without a legitimate need to know may have access to it.

Sky Physical Therapy is required by law to maintain the privacy of your health information and to provide you with this notice of its legal duties and privacy practices. Sky Physical Therapy will promptly notify affected individuals following a breach of unsecured protected health information.

Sky Physical Therapy will not use or disclose your health information except as described in this Notice of Privacy Practices (“Notice”). This Notice applies to all medical records generated during your participation in Sky Physical Therapy programs and services.

USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION

The following categories describe how Sky Physical Therapy may use and disclose your health information without specific authorization:

• Treatment: To coordinate your care with physicians, nurses, and other healthcare providers.
• Payment: For billing, insurance claims, and payment processing.
• Healthcare Operations: For quality assurance, audits, and administrative purposes.
• Business Associates: To third-party vendors who assist in operations (e.g., billing, transcription).
• Required by Law: When mandated by legal or public health authorities.
• Public Health & Safety: To report diseases, injuries, or threats to public health.
• Judicial/Administrative Proceedings: If required by court order or subpoena.
• Other Permitted Uses: Including research (with safeguards), organ donation, and workers’ compensation.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the right to:

• Request confidential communications (e.g., by mail or phone).
• Inspect and copy your medical records.
• Request amendments to your records.
• Receive an accounting of disclosures (who accessed your records).
• Request restrictions on certain uses/disclosures.
• Obtain a paper or electronic copy of this notice.
• Revoke authorizations (except where action has already been taken).

To exercise these rights, submit a written request to Sky Physical Therapy.

FOR MORE INFORMATION OR TO REPORT A CONCERN

If you have questions or believe your privacy rights have been violated, you may contact:

• Our HIPAA Privacy Officer at [info@skyphysicaltherapy.com]
• The U.S. Department of Health & Human Services

All complaints must be submitted in writing. There will be no retaliation for filing a complaint.

CHANGES TO THIS NOTICE

Sky Physical Therapy reserves the right to update this notice. The current version will be available at our clinic or upon request.

EFFECTIVE DATE

This Notice is effective as of [July/2025].