Notice of Privacy Practices

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

Jennifer Miller Physical Therapy Services LLC, doing business as Move As You Should Physical Therapy (“we,” “us”), is required by federal law to protect the privacy of your protected health information (PHI). PHI is health information that can identify you, whether it is spoken, written, or electronic. This notice describes our privacy practices and your rights.

Our responsibilities

We are required to:

• Keep your PHI private and secure, as required by law.
• Give you this notice of our legal duties and privacy practices.
• Follow the terms of the notice currently in effect.
• Maintain written privacy policies and train anyone who works with us on them.
• Designate a Privacy Officer responsible for these practices.
• Notify you if a breach occurs that compromises your unsecured PHI.

How we use and share your information without your written authorization

We limit uses and disclosures to the minimum necessary for the purpose, except for treatment.

• Treatment. Providing, coordinating, or managing your care, including communicating with your other health care providers and referrals.
• Payment. Billing and collecting for services, and providing documentation (such as a superbill) you may use for reimbursement.
• Health care operations. Running the practice, including quality improvement, record-keeping, legal and accounting services, and business management.
• Appointment reminders and health information. Contacting you about appointments, treatment options, or health-related services we offer.

We may also use or share PHI when required or permitted by law, including:

• As required by state or federal law
• Public health activities and preventing serious threats to health or safety
• Reporting suspected abuse, neglect, or domestic violence
• Health oversight activities
• Court orders, subpoenas, and other legal proceedings
• Law enforcement purposes
• Workers’ compensation
• Specialized government functions, including military and veterans’ activities
• Research, when your identity is protected as required by law
• Family members, friends, or others involved in your care or payment, unless you object

Where the law requires, we will make reasonable efforts to notify you of these disclosures.

Uses that require your written authorization

Other uses and disclosures, including most marketing and any sale of your PHI, require your written permission. You may revoke an authorization in writing at any time, except to the extent we have already relied on it. Minnesota law may require your consent for some disclosures that federal law would otherwise allow; we follow whichever law is more protective.

Your rights

• Access and copies. You may ask to see or get a copy of your health records, in paper or electronic form. Requests must be in writing. We may charge a reasonable, cost-based fee. We will respond within 30 days.
• Amendment. You may ask us in writing to correct information you believe is wrong or incomplete, and explain why. We may deny the request, but will tell you why in writing and explain how you can respond.
• Accounting of disclosures. You may request a list of certain disclosures we made in the six years before your request, not including disclosures for treatment, payment, or operations, or those you authorized.
• Restrictions. You may ask us to limit how we use or share your PHI. We are not required to agree, except that if you pay in full out of pocket, you may ask us not to share that information with your health plan and we will agree unless the law requires otherwise. If we agree to a restriction, we will honor it.
• Confidential communications. You may ask us to contact you in a specific way or at a specific place (for example, only by email or a particular phone number). We will honor reasonable requests.
• Paper copy. You may request a paper copy of this notice at any time.
• Choose someone to act for you. A legal guardian or someone with medical power of attorney may exercise your rights.

Changes to this notice

We may change this notice and our privacy practices. Changes will apply to all PHI we hold. The current notice will be posted on our website and available on request.

Questions and complaints

If you have questions or believe your privacy rights have been violated, contact our Privacy Officer. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.

Privacy Officer: Jennifer Miller, PT, DPT
Move As You Should Physical Therapy
(612) 208-9663 · jennifer@moveasyoushould.com