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NOTICE OF PATIENT INFORMATION PRACTICES | |
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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED AND HOW YOU CAN GET ACCESS TO
INFORMATION. PLEASE READ IT CAREFULLY. JERSEY CENTRAL PHYSICAL THERAPY’S LEGAL DUTY Jersey Central Physical Therapy is required by law to protect the privacy of your personal information, provide this notice about our information practices and follow the information practices that are described herein. USES AND DISCLOSURES OF HEALTH INFORMATION Jersey Central Physical Therapy uses your personal health information for treatment; obtaining payment for treatment; conducting internal administrative activities and evaluating the quality of care that we provide. For example, Jersey Central 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. Jersey Central Physical Therapy may also use or disclose your personal health information without prior authorization for public health purposes, for auditing purposes, for research studies and for emergencies. We also provide information when information when required by law. In any other situation, Jersey Central 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. Jersey Central Physical Therapy may change our policies at any time. When changes are made, a New Notice of Information Practices will be posted in the office and provided to you at your next visit. You may also request an updated copy of our Notice of Information Practices at any time. PATIENT’S 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 information 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, payment or other related administrative purposes. You may also request in writing that we do not use or disclose your personal health information for treatment, payment, and administrative purposes except when specifically authorized by you, when required by law or in emergency circumstances. Jersey Central Physical Therapy will consider all such requests on a case-by-case basis, but the practice is not legally required to accept them. CONCERNS AND COMPLAINTS If you are concerned that Jersey Central Physical Therapy may have violated your privacy rights or if you disagree with any decisions we have made regarding access or disclosure of your personal health information, please contact our Practice Manager at the address listed above. You may also send a written complaint to the US Department of Health and Human Services. For further information on Jersey Central Physical Therapy’s health information practices, or if you have a complaint, please contact us at 732-777-9733. |
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