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PERFORMANCE REHAB AND CHIROPRACTIC – PRIVACY POLICY

We take your privacy seriously. We are committed to keeping your personal information safe with the multiple layers of privacy protections we have in place.

HIPAA AND PRIVACY

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule requires health care providers to keep your health information confidential, and to give notice of its privacy practices. This notice describes the ways in which we may use and disclose protected health information (PHI), and outlines individuals’ rights, including how to file a complaint if you believe your privacy rights have been violated.  The terms of this Notice apply to all your protected health information (PHI) that are created and maintained by our organization in both electronic and hard-copy (paper) formats. We reserve the right to revise or amend our Notice of Privacy Practices (Notice).

PROTECTED HEALTH INFORMATION (PHI)

Each time you visit or contact Performance Rehab and Chiropractic for care, it is documented in your electronic medical record. This record contains identification information as well as symptoms, examination findings, diagnoses, a description of any treatment you received, and any plan of care. This record is often referred to as your “medical record” or “health information.” Your health information is used to: (1) plan for your care and treatment; (2) for communication among your health care professionals; (3) as a legal document describing the care you received; (4) as a way for you or your insurance company to verify the services provided; (5) for other similar activities that allow Performance Rehab and Chiropractic to conduct business efficiently and provide you with high quality health care.

Information you may provide:

  • When you request information – We collect information, including your email address or mobile phone number, so that we can reply to requests for information you make.
  • When you submit forms – We store the information shared on your completed intake forms in both hard-copy and paper formats. When you specifically and knowingly provide us PHI, like your name, email address, Social Security Number, or other unique identifier, we only use this information to fulfill the stated purpose on the form, subject to the privacy policy outlined below.

SCOPE

Our privacy practices are observed by:

  • All locations and departments that are part of our organization
  • All members of our workforce, including any of our health care professionals who care for you and all office staff

 

HOW PERFORMANCE REHAB AND CHIROPRACTIC (PRC) MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION (PHI):

We are committed to ensuring that your health information is used responsibly by our organization. We collect health information about you and store it in electronic files. We may use and disclose health care information for the following purposes:

  • Treatment – We may use or disclose your health information within our organization for treatment purposes without your authorization.
  • Payment Functions –  to determine eligibility for health plan benefits, obtain premiums, facilitate payment and services you receive from other health care providers, determine health plan responsibility for benefits and to coordinate benefits your information may be used without your authorization. For example, payment functions may include reviewing the medical necessity of health care services, or determining whether a treatment is covered under your health plan.
  • Information Provided to You and for You – We may use your health information to assist us in communicating with you about appointment reminders and treatment information. Our communications to you may be made by phone, in person, by mail, by email, by SMS, or other secure channels.
  • Appointment Reminders – We may contact you by phone, SMS or email for the purpose of appointment reminders or changes, announcements and to communicate other information designed to provide you with high quality care and treatment. We will leave messages on answering machines, voicemail, or when appropriate, another person who answers your telephone if you have given permission for us to do so. If you have specific preferences (i.e. leave messages only on my cell phone) or if you would like to opt-out of telephone, SMS or email reminders, please contact of office at (608) 825-8801.
  • Required by Law – When required by state or federal law, with or without your authorization, Performance Rehab and Chiropractic must provide it. Some examples include:
    1. Litigation Proceeding: When a request is mandated by a court in a litigation proceeding.
    2. Law Enforcement: To identify a suspect, fugitive, material witness or missing person, for compliance with a court order or subpoena or various other law enforcement activities.
    3. Victims of Abuse, Neglect, or Violence:We may disclose your information to a governmental authority authorized by law to receive reports of abuse, neglect or violence relating to children or the elderly.
    4. Judicial and Administrative Proceedings:In the course of any administrative or judicial proceeding
    5. National SecurityFor military, national security, prisoner and government benefit purposes.
    6. Worker’s CompensationTo comply with Worker’s Compensation or similar laws.
    7. Public HealthAs required by law, we may disclose your health information to public health authorities for purposes related to: preventing or controlling disease, injury or disability; reporting child or elder abuse or neglect; reporting domestic violence; reporting to the Food and Drug Administration (FDA) to other government agency problems with products and reactions to medications; and reporting disease or infectious exposure.
  • Health Oversight ActivitiesTo health oversight agencies during the course of audits, investigations, inspections, licensure, certifications and other proceedings.
  • ResearchTo conduct research. Such use or disclosure occurs only under certain circumstances and with specific approval.
  • To Those Involved With Your Care or PaymentTo a family member, relative or other person specifically identified by you in advance of such a disclosure. Performance Rehab and Chiropractic requires patients to complete and submit an Authorization to Disclose Protected Health Information Form in advance specifically providing your written permission for us to interact with this other individual (i.e. if you want PRC to communicate freely with your spouse or others about any aspect of your health care and treatment). If you are given an opportunity to object to this disclosure and you do express this objection, or if circumstances reasonably infer, PRC providers will use professional judgment to determine how an interaction should be handled. If you are not present or the opportunity to agree or object cannot practicably be provided due to incapacity or emergency circumstances, PRC will determine whether the disclosure of relevant information is in your best interest. We may disclose information about you to an entity assisting in disaster relief efforts so that your family can be notified about your condition, status and location.

WHEN PRC IS REQUIRED TO OBTAIN AN AUTHORIZATION TO USE OR DISCLOSE YOUR HEALTH INFORMATION

Except as described in this Notice of Privacy Practices, PRC will not use or disclose your protected health information without your written authorization. For example, uses and disclosures made for the purpose of marketing and sale of protected health information require your authorization. If you do authorize us to use or disclose your health information for another purpose, you may revoke your authorization in writing at any time. It is also your right to revoke a previously-submitted authorization. This revocation must be submitted in writing, and PRC will not apply to information already disclosed.

STATEMENT OF YOUR HEALTH INFORMATION RIGHTS

You Have the Right To:

  1. Inspect and Copy Your Health Information You have the right to inspect and obtain a copy of your health care information. You have the right to request that the copy be provided in an electronic format. If your PHI and medical records are not readily producible in electronic format, then PRC will work with you to provide it in an alternative format.
  2. Request Restrictions You have the right to request restrictions on how your health information is used or to whom your information is disclosed, even if that restriction affects your treatment or payment or health care operations. We are not required to agree in all circumstances to your requested restrictions, except in cases of a disclosure restricted to a health plan if the disclosure is for the purpose of carrying out treatment or health care operations and is not otherwise required by law; and the PHI pertains solely to a health care item or service for which you, or the person other than the health plan on your behalf, has paid the covered entity in full. If you would like to make a request for restrictions, you must submit your request in writing to Performance Rehab and Chiropractic.
  3. Request Confidential Communications To ask that we communicate your protected health information to you in different ways or places. For example, you may wish to receive information about your health status at work, rather than home. To request confidential communications, you must submit your request in writing to Performance Rehab and Chiropractic.
  4. Request Record Amendment If you believe that your protected health information is incorrect or incomplete, you must submit a written request to have it amended. Upon receipt of the request, Performance Rehab and Chiropractic may approve or deny your request. You will be informed of our decision and given the right to appeal this decision.
  5. Notification of a Breach PRC is required by law to maintain the privacy of protected health information and provide you with a notice of its legal duties and privacy practices with respect to protected health information and to notify you following a breach of unsecured protected health information.
  6. Receive a Copy of the Notice of Privacy Practices  This document is available in the following ways:
    a. Made available in print form during the initial intake process.
    b. Available in print or electronic format upon request.  Contact our office at 608-825-8801.
    c. Available on our website at www.prcwi.com

CHANGES TO THE NOTICE OF PRIVACY PRACTICES

PRC may change this Notice of Privacy Practices and notify you if we make any material changes. Until such time, PRC is required by law to comply with the current version of this Notice.

COMPLAINTS ABOUT PRC PRIVACY PRACTICES

Complaints about this Notice or about how we use or disclose your protected health information should be directed to the PRC office at (608) 825-8801. It is your right to file a complaint with PRC and doing so will not affect your care and treatment, nor will we retaliate against any person for filing a complaint. You also have the right to file a complaint with the Office of Civil Rights at http://www.hhs.gov/ocr/hipaa/.

 

WEBSITE PRIVACY POLICY

Website Visitors
We may collect non-personally-identifying information of the sort that web browsers and servers typically make available, such as the browser type, language preference, referring site, and the date and time of each visitor request. Our purpose in collecting non-personally identifying information is to better understand how our visitors use its website. From time to time, we may release non-personally-identifying information in the aggregate, e.g., by publishing a report on trends in the usage of its website.

Gathering of Personally-Identifying Information
Certain visitors may choose to interact with our company in ways that require us to gather personally-identifying information. The amount and type of information that PRC gathers depends on the nature of the interaction.  Visitors who complete a Contact form may choose to disclose their contact details, such as email address and phone number, as well as Protected Health Information (PHI), such as condition, health history or current symptoms.  This information and its use is subject to the Privacy Policy stated above.

Security
The security of your Personal Information is important to us, but please note that no method of transmission over the Internet, or method of electronic storage is 100% secure. While we strive to use commercially acceptable means to protect your Personal Information, we cannot guarantee its absolute security.  Reminders are posted on all email communications to this effect.

Links To External Sites
Our website may contain links to external sites that are not operated by us. If you click on a third-party link, you will be directed to that third party’s site. We strongly advise you to review the Privacy Policy and terms and conditions of every site you visit. We have no control over, and assume no responsibility for the content, privacy policies or practices of any third-party sites, products or services. 

Cookies
To enrich and perfect your online experience, this site uses “Cookies”, similar technologies and services provided by others to display personalized content, appropriate advertising and store your preferences on your computer.

A cookie is a string of information that a website stores on a visitor’s computer, and that the visitor’s browser provides to the website each time the visitor returns. Our company uses cookies to help us identify and track visitors, their usage and their website access preferences. Our visitors who do not wish to have cookies placed on their computers should set their browsers to refuse cookies before using this site, with the drawback that certain features of our websites may not function properly without the aid of cookies.

By continuing to navigate our website without changing your cookie settings, you hereby acknowledge and agree to our use of cookies. 

Privacy Policy Changes
Although most changes are likely to be minor, we may change its Privacy Policy from time to time, and with sole discretion. We encourage visitors to frequently check this page for any changes to its Privacy Policy. Your continued use of this site after any change in this Privacy Policy will constitute your acceptance of such change.