Notice of Privacy Practices (HIPPA)

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. PLEASE REVIEW THIS NOTICE CAREFULLY.

The terms of this Notice of Privacy Practices (HIPPA) apply to Page Bettencourt OT. We will share protected health information of clients as necessary to carry out treatment, payment, and health care operations as permitted by law. We are committed to protecting your privacy and will only share the minimum amount of information required.

We are required by law to maintain the privacy of our clients' protected health information and to provide clients with notice of our legal duties and privacy practices with respect to your protected health information. We are required to abide by the terms of this Notice so long as it remains in effect. We reserve the right to change the terms of this Notice of Privacy Practices (HIPPA) as necessary and to make the new Notice effective for all protected health information maintained by us. You may receive a copy of any revised notices from the organization, or a copy may be obtained by emailing a request to the organization. A copy of the Notice is also available electronically on our Web Site at: www.pagebettencourtot.com/privacy-policy.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

Unless we have listed it below, we will not use or disclose your protected health information for any purpose unless you have signed a form consenting to or authorizing the use or disclosure. You have the right to revoke that consent or authorization in writing unless we have taken any action in reliance on the consent or authorization. The following categories describe different ways that we may use and share your health information without further authorization:

For Treatment: We may make uses and disclosures of your protected health information as necessary for your treatment. For example, information obtained by other health care practitioners will be recorded and used to determine your plan of care as appropriate. This information may be provided to your physician or other healthcare professionals to assist in treating you.

For Payment: We may make uses and disclosures of your protected health information as necessary for payment purposes. For instance, we may forward information regarding your therapy treatment to your insurance company to arrange payment for the services provided to you or we may use your information to prepare a superbill to send to you or to the person responsible for your payment.

For Health Care Operations: We may use and disclose your protected health information as necessary, and as permitted by law, for our health care operations which include quality improvement, business management, accreditation and licensing, etc. We may use your health information to contact you at the mailing address, email address and telephone number(s) you provide (including sending an email or leaving a message at the telephone numbers) about scheduled or canceled appointments, registration/insurance updates, billing and/or payment matters.

Directories: We do NOT maintain an organization directory listing your information. No information that you provide us as part of your care and treatment will be included in a directory.

We may contact you to provide appointment reminders or information about treatment. Appointment reminders can be via email, phone or text.

RIGHTS THAT YOU HAVE

Access to Your Protected health information

You have the right to copy and/or inspect much of the protected health information that we retain on your behalf. All requests for access must be made in writing and signed by you or your representative. We will charge you $0.25 per page if you request a copy of the information. We will also charge for postage if you request a mailed copy and will charge for preparing a summary of the requested information if you request such a summary.

Confidential Communications

You have the right to request that we communicate with you about treatment matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail to a post office box. To request confidential communications, you must make your request in writing. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.

Paper Copy of This Notice

You have the right to obtain a paper copy of this notice at any time. To obtain a copy please request it.

If you have questions or need further assistance regarding this Notice, you may email us at pagebettencourtOT@gmail.com

Effective Date

This Notice of Privacy Practices (HIPPA) is effective February 28, 2024