PRIVACY POLICY

ACHV Physical Therapy, Inc. Privacy Policy

Effective Date: Oct. 16, 2024

ACHV Physical Therapy, Inc. ("we," "our," or "us") is committed to protecting your privacy and the confidentiality of your health information. This Privacy Policy ("Policy") explains how we collect, use, disclose, and safeguard your personal and medical information in accordance with applicable laws, including the Health Insurance Portability and Accountability Act (HIPAA) and other relevant privacy laws.

By engaging our services, you consent to the collection, use, and disclosure of your personal and health information as described in this Policy. If you do not agree with this Privacy Policy, you should not use our services.

1. INFORMATION WE COLLECT

We collect and maintain various types of information to provide quality physical therapy services, including but not limited to:

1.1 Personal Information:

  • Name, address, telephone number, email address

  • Date of birth

  • Emergency contact details

1.2 Health Information:

  • Medical history and current health conditions

  • Details of injuries, diagnoses, or treatments

  • Prescription information and medications

  • Results of evaluations, assessments, and physical therapy treatment plans

  • Progress notes and treatment outcomes

1.3 Insurance Information:

  • Insurance provider details

  • Policy numbers and coverage information

  • Pre-authorization documents, if applicable

1.4 Payment Information:

  • Credit card or other payment details used to process charges for services rendered

2. HOW WE USE YOUR INFORMATION

2.1 Provision of Services:
We use your personal and health information to:

  • Provide physical therapy treatment and services tailored to your needs

  • Conduct evaluations and develop individualized treatment plans

  • Communicate with you about appointments, progress, and recommendations

  • Bill your insurance company or process payments for services rendered

2.2 Billing and Insurance:
We use your insurance and payment information to:

  • Submit claims to insurance providers for reimbursement

  • Verify insurance coverage and benefits

  • Collect payment for services rendered, if applicable

2.3 Administrative Purposes:
We may use your information for administrative tasks such as:

  • Scheduling appointments and reminders

  • Conducting internal audits to improve services

  • Responding to inquiries and requests related to your treatment

  • Complying with legal and regulatory requirements

2.4 Communication with Other Healthcare Providers:
If necessary, we may share your information with other healthcare providers (e.g., physicians, specialists) involved in your care to coordinate treatment or obtain referrals.

3. HOW WE DISCLOSE YOUR INFORMATION

3.1 Consent to Disclosure:
We will not disclose your personal or health information to third parties without your explicit consent, except in the following cases:

3.2 Treatment Providers:
We may disclose your information to other healthcare providers involved in your care, such as physicians, hospitals, or other specialists, to ensure coordinated treatment.

3.3 Insurance and Payment Providers:
We may disclose your health and payment information to your insurance provider(s) to process claims and obtain necessary approvals for treatment.

3.4 Legal and Regulatory Requirements:
We may disclose your information when required by law or legal processes, such as subpoenas, court orders, or to comply with federal or state regulations, including HIPAA.

3.5 Business Associates:
We may share your information with third-party contractors or service providers (e.g., billing services, medical record management companies) who assist in providing services to you. These business associates are bound by confidentiality agreements and are prohibited from using your information for purposes other than as required for their role in supporting our services.

3.6 Emergency Situations:
In the event of an emergency, we may disclose your information to medical personnel or emergency responders to ensure your safety and well-being.

4. HOW WE PROTECT YOUR INFORMATION

4.1 Physical, Electronic, and Administrative Safeguards:
We implement safeguards to protect your personal and health information from unauthorized access, use, or disclosure. These safeguards include:

  • Secure electronic health record (EHR) systems

  • Password protection and encryption for online communications

  • Limited access to physical records in the clinic

  • Regular training for staff on data privacy and confidentiality

4.2 Retention of Records:
We will retain your medical and personal information for as long as necessary to provide care and services and to comply with legal, regulatory, and insurance requirements. Once your information is no longer needed, we will securely dispose of or de-identify it.

4.3 Security Breach Notifications:
In the event of a data breach that compromises your personal or health information, we will notify you in accordance with applicable laws, including the HIPAA Breach Notification Rule.

4.4 SMS opt-in and phone numbers collected for SMS communication purposes will not be shared with any third party and affiliates for marketing purposes

5. YOUR RIGHTS REGARDING YOUR INFORMATION

5.1 Right to Access:
You have the right to request access to your health records and personal information held by the Clinic. You may request copies of your records, and we will provide them in accordance with applicable laws, subject to reasonable charges for copying and administrative costs.

5.2 Right to Correct Information:
If you believe that any information we have about you is incorrect or incomplete, you have the right to request that we amend or update your records.

5.3 Right to Request Restrictions:
You may request restrictions on how we use or disclose your personal health information. While we are not required to agree to all requests, we will consider your request and discuss the options available.

5.4 Right to Confidential Communications:
You have the right to request that we communicate with you about your treatment and health information in a particular manner (e.g., by phone, email) or at a specific location (e.g., at home or work).

5.5 Right to File a Complaint:
If you believe that your privacy rights have been violated, you have the right to file a complaint with the Clinic or with the U.S. Department of Health & Human Services Office for Civil Rights (OCR). We will not retaliate against you for filing a complaint.

6. CHANGES TO THIS PRIVACY POLICY

We may update or modify this Privacy Policy from time to time. Any changes will be posted on our website, and the updated Policy will be effective upon posting. We will also provide a copy of the updated Privacy Policy at your next visit or upon request.

7. CONTACT INFORMATION

If you have any questions or concerns about this Privacy Policy, or if you would like to exercise any of your rights described in this Policy, please contact us at:

ACHV Physical Therapy, Inc.
15315 Magnolia Blvd. Suite 105 Sherman Oaks, CA 91403
Phone: (818)691-1140
Email: info@achvpt.com