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.
Our Legal Duty
Balanced Bodywork Clinic is required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect. This notice will remain in effect until we replace it. We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our Notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices we will change this Notice and make the new Notice available upon request. You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of this Notice, please contact us using the information listed at the end of this Notice.
Uses and/or Disclosures of Health Information
We use and disclose health information about you for treatment, payment and healthcare operations. For example: Treatment: Providing, coordinating or managing health care and related services by one or more health care providers. An example of this would include a physical examination. Payment: Activities such as obtaining reimbursement for services, confirming coverage, billing or collection activities and utilization review. An example of this would be sending a bill for your visit to your insurance company for payment. Regular Health Care Operations: Business aspects of running our practice, such as conduction quality assessment and improvement activities, auditing functions, cost-management analysis and customer service. An example would be internal quality assessment review. Information provided to you: In addition to our use of your health information for treatment, payment or healthcare operations, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any use of disclosures permitted by your authorization while it was in effect. Unless you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this Notice. To Your Friends and Family: We may disclose your health information to notify or assist in notifying a family member, your personal representative or another person responsible for your care about your location, your general condition or in the event of your death. If you are able and available to agree or object, we will give you the opportunity to object prior to making this notification. If you are unable or unavailable to agree or object, our health professional will use their best judgment in communication with your family and others. Required by Law: As 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 abuse or neglect; reporting domestic violence; and reporting disease or infection exposure. Health Oversight Activities: We may disclose your health information to health agencies during the course of audits, investigations, inspections, licensure and other proceedings. Judicial and Administrative Proceedings: We may disclose your health information in the course of any administrative or judicial proceeding. Law Enforcement: We may disclose your health information to a law enforcement official for purposes such as identifying or locating a suspect, fugitive, material witness or missing person, complying with a court order or subpoena and other law enforcement purposes. Marketing Health-Related Services: We will not use your health information for marketing communications without your written authorization. Public Safety: We may disclose your health information to appropriate persons in order to prevent or lessen a serious and imminent threat to the health or safety or a particular person or the general public. Worker’s Compensation: We may disclose your health information as necessary to comply with worker’s compensation laws. Appointment Reminders: We may use or disclose your health information to provide you with appointment reminders (such as voicemail messages, postcards, or letters). Specialized Government Functions: We may disclose your health information for military, national security, and prisoner purposes.
Your Health Information Rights
You have the right to request restrictions on certain uses and disclosures of your health information. Balanced Bodywork Clinic is not required to agree to the restriction that you requested. (You must make your request in writing). You have the rights to request to receive your health information through a reasonable alternative means or at an alternative location. (You must make your request in writing). You have the right to inspect and copy your health information. (You must make your request in writing). You have a right to receive an accounting of disclosures of your health information made by Balanced Bodywork Clinic.
You have a right to a paper copy of this Notice of Privacy Practices.
Questions and Complaints
If you want more information about our privacy practices or have questions or concerns, please contact us. If you are concerned that we may have violated your privacy rights, or you disagree with a decision we made about access to your health information or in response to a request you made to amend or restrict the use or disclosure of your health information or to have us communicate with you by alternative means or at alternative locations, you may complain using the contact information listed at the end of this Notice. You also may submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request. We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services.
If you would like to have a more detailed explanation of these rights or if you would like to exercise one or more of these rights, contact:
Balanced Bodywork Clinic
203 East Royalton Road, Suite 108
Broadview Heights, Ohio 44147