Back to FAQ page

Privacy Policy

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION
ABOUT YOU MAY BE USED AND DISCLOSED AND HOW
YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE
READ IT CAREFULLY

Each time you visit a hospital, physic/an, or other healthcare provider, a record of your visit Is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatments. This Information is often referred to as your health or medical records and serves as a:

Understanding Your Health Information Rights

Although your health record is the physical property of the healthcare provider, this information belongs to you. You have the right to:

Our Responsibilities

We are required to:

We reserve the right to change our practices and to make the changes effective for all protected health Information we maintain. If our information practices change, we will notify you the next time you come to our office for treatment.

If you have questions and would like additional information, you may contact our Director Marek Serwatka at (574) 293-4512, 932 Parkway Ave., Suite B, Elkhart, IN 46516.

If you believe your privacy rights have been violated, you can file a complaint with the Director or with the Secretary of Health and Human Services. We will not retaliate if you file a complaint.

Examples of Disclosures for Treatment, Payment and Health Operations

We will use and disclose your health information for treatment. For example, information obtained by us will be recorded in your record and used to determine the course of treatment that should work best for you. Members of your health care team will then record the actions they took and their observations. In that way, your physicians and other providers will know how you are responding to treatment. Copies of these records, as well as other reports will be provided to other providers participating in your care to assist them in treating you if you are referred to them for consultation.

We will use and disclose your health information for payment. For example, a bill may be sent to you or a third party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used.

Additionally, we may be required to forward additional information to substantiate the medical necessity of the care delivered and that the care for which the claim was submitted was actually delivered. Further, we may disclose health information to the extent authorized and to the extent necessary to comply with workers compensation or other similar programs established by law.

Physical Therapy Professionals PC
932 Parkway Ave., Suite B
www.elkhartpt.com • (574) 293-4512 • fax: (574) 293-4513

Back to FAQ page