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Mill Valley Physical Therapy's Legal Duty
Mill Valley 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 infor- mation practices that are described herein.
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Uses And Diclosures Of Health Information
Mill Valley 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. Mill Valley 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.
Mill Valley Physical Therapy may also use or disclose your personal health information without prior authorization for public health for auditing purposes, for research studies and for emergencies. We also provide information when required by law.
In any other situation. Mill Valley 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.
Mill Valley 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 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.
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Patients' 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 infor- mation 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, pay- ment or other related administrative purposes.
You may also request in writing that we not use or disclose your personal health information for treatment, payrnment and administrative purposes except when specifically authorized by you, when required by law or in emergency circumstances. Mill Valley Physical Therapy will consider all such requests on a case-by-case basis, but the practice is not legally required to accept them.
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Concerns And Complaints
If you feel that Mill Valley Physical Therapy may have violated your privacy rights or if you disagree with any decisions we have made regarding access or disclosure of your per- sonal 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 Mill Valley Physical Therapy's health information practices, or if you have a complaint, please contact thelollowing person:
