HIPAA Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.

1. Your Health Information Rights
As a patient, you have the right to:

• Request a copy of your health records

• Request corrections to your records

• Request a list of certain disclosures

• Request restrictions on how we use/disclose your information

• File a complaint if you believe your rights have been violated

2. How We May Use and Disclose Your Information

• For treatment: Communicating with physicians or specialists involved in your care

• For payment: Billing and claims to insurance providers

• For healthcare operations: Quality assessments, audits, and administrative tasks

• When required by law: For public health, legal proceedings, or law enforcement

3. Our Responsibilities
We are required by law to:

• Maintain the privacy of your health information

• Provide you with this notice of our legal duties and privacy practices

• Abide by the terms of this notice

4. Complaints
If you believe your privacy rights have been violated, you may file a complaint with our office at gatewaymotionpt@gmail.com or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

5. Changes to This Notice
We reserve the right to change this notice and apply the changes to all protected health information we maintain. A copy of the current notice is always available upon request.