Notice of Privacy Practices

If you have questions about this Notice or wish to exercise your privacy rights, please contact our Privacy Officer using the information above.

Kenetic Physical Therapy is required by law, where HIPAA applies, to:

• Maintain the privacy and security of your Protected Health Information (PHI).
• Provide you with this Notice explaining our legal duties and privacy practices.
• Follow the terms of the Notice currently in effect.
• Notify affected individuals following a breach of unsecured PHI as required by law.

We reserve the right to change the terms of this Notice. Any revised terms will apply to the PHI we maintain, as permitted by law. Updated notices will be posted on our website, made available at our practice, and provided upon request.

Protected Health Information is information that identifies you and relates to your health, the healthcare services you receive, or payment for those services.

The information we create or maintain may include:

• Medical history and health conditions.
• Examination findings and test results.
• Diagnoses, treatment plans, and therapy services.
• Progress notes and other clinical records.
• Insurance, billing, and payment information.
• Other information related to your healthcare.

Your information may be maintained in paper, electronic, or other formats.

We may use and disclose your PHI for the following purposes, as permitted or required by law.

We may also disclose information when permitted by law to prevent or lessen a serious and imminent threat to health or safety.

Certain uses and disclosures of your PHI require your written authorization under HIPAA or other applicable law.

These may include:

• Uses or disclosures for marketing purposes that require authorization.
• The sale of PHI, where authorization is required.
• Other uses or disclosures not permitted by law without your authorization.

You may revoke a written authorization in writing at any time. Revocation will apply prospectively and will not affect actions already taken in reliance on your authorization.

You have the following rights concerning your PHI, subject to applicable legal requirements.

To exercise any of these rights, submit your request to our Privacy Officer using the contact information in Section 1.

We may ask you to submit requests in writing where permitted or required by law. We will respond within applicable legal timeframes and explain any denial and available review or complaint options when required.

If you believe your privacy rights have been violated, you may file a complaint with Kenetic Physical Therapy or with the U.S. Department of Health and Human Services, Office for Civil Rights.

To file a complaint with our practice:

To file a complaint with the U.S. Department of Health and Human Services:

You will not be retaliated against or penalized for filing a privacy complaint.

Kenetic Physical Therapy will comply with applicable New York State privacy and confidentiality requirements in addition to federal law. When applicable state law provides greater privacy protection than federal law, we will follow the more protective requirements to the extent required by law.

We may ask you to acknowledge receipt of this Notice. Your acknowledgment confirms that you received the Notice; it does not constitute authorization for uses or disclosures of PHI that require separate written authorization.