Practice Women’s Health and Physical Therapy, LLC
Privacy Officer: Alli Sparacia, PT, DPT
Email: allidpt@practicewomenshealth.com
Phone: 984-302-7883
Notice of Privacy Practices
This notice describes how your health information may be used and disclosed and how you can get access to this information. Please review it carefully.
Your health and personal information are important. At Practice Women’s Health and Physical Therapy, LLC, I am committed to protecting your health information. I keep a record of the care and services you receive to provide you with quality care and comply with legal requirements.
This notice describes your rights, my legal duties, and how I may use and share your health information.
My Legal Duties
As required by law, I must:
Ensure that your protected health information (“PHI”) is kept private
Provide you with this Notice of Privacy Practices
Follow the terms of this notice that are currently in effect
Notify you in the event of a breach of your unsecured PHI
I may update this notice at any time. Changes will apply to all the information I maintain about you. The current notice will be available upon request and on my website.
How I May Use and Disclose Your Health Information
I may use or share your PHI without your written authorization for:
Treatment: coordinating or managing your care and related services
Healthcare operations- administrative and quality improvement activities
Legal and compliance obligations, including:
Lawsuits or disputes, including court orders
Audits or investigations by health oversight agencies
Reporting abuse, neglect, or threats to safety
Defense in legal actions initiated by you
For law enforcement purposes, including reporting crimes
Responding to government requests (e.g., military, intelligence)
Assisting with public health and safety (e.g., communicable diseases)
Reporting to coroners or medical examiners
Workers’ compensation claims
Appointment reminders or to inform you of other services
As otherwise required by law
Sale of PHI
I will never sell your PHI for any reason without your written authorization.
Marketing and Testimonials
I will not use your name, likeness, testimonial, or any other PHI for marketing, advertising, or online testimonials unless you sign a written authorization.
Disclosures That Require You Be Given An Opportunity to Object
I may share your information with a family member, friend, or another person involved in your care or payment for your care unless you object. You can do so in writing or verbally, and in emergencies, I may proceed and ask afterward.
Your Rights Regarding Your Health Information
You have the right to:
Request limits on how I use and share your PHI. I may decline if I believe it would interfere with your care.
Request confidential communications in a particular way (e.g., by email, mail, or phone).
Access and obtain a copy of your medical records in paper or electronic form. Requests will be processed within 30 days. A reasonable fee may apply.
Request a list of disclosures I’ve made (excluding those made for treatment, payment, operations, or authorized by you) within the past 6 years.
Request corrections if you believe there is an error in your records. If I deny the request, I’ll explain why in writing within 60 days.
Receive a paper or electronic copy of this notice upon request.
In the event of a breach of your unsecured protected health information, we will notify you as required by law.
How to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with:
This practice by contacting Alli Sparacia, PT, DPT, by email at allidpt@practicewomenshealth.com or by phone at 984-302-7883
The Secretary of the U.S. Department of Health and Human Services at www.hhs.gov/ocr/privacy/hipaa/complaints/.
You will not be penalized for filing a complaint.
Payment and Insurance
As a cash-based provider, I will not send your information directly to insurance companies unless required by law as noted above. A superbill or visit documentation can be provided to you for reimbursement or record-keeping.
Under HIPAA, you are entitled to receive this Notice of Privacy Practices.