Notice of Privacy Practices

Our Commitment to Your Privacy

Home Therapy PT Physical and Occupational Therapy LLC ("Home Therapy PT," "we," "our," or "us") is committed to protecting the privacy of your health information. We are required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations to maintain the privacy of your Protected Health Information (PHI), to provide you with this Notice of our legal duties and privacy practices, and to abide by the terms of the Notice currently in effect.

We understand that health information about you and your health is personal. We are committed to protecting that information while still providing you with quality in-home physical and occupational therapy services.

What is Protected Health Information (PHI)?

Protected Health Information (PHI) is information that identifies you and relates to your past, present, or future physical or mental health condition, the provision of health care to you, or payment for health care. PHI can be in any form — oral, written, or electronic.

Examples of PHI include:

• Your name, address, date of birth, and Social Security number
• Your diagnoses, treatment plans, and therapy notes
• Lab results and vital signs recorded during visits
• Insurance and billing information
• Referrals and physician correspondence
• Signatures captured during visit sign-in

How We May Use and Disclose Your PHI

We use and disclose health information about you for the following main purposes without your written authorization:

Treatment

We may use or disclose your PHI to provide, coordinate, or manage your physical and/or occupational therapy care and related services. For example, we may share your treatment information with your referring physician, a specialist, or another therapist involved in your care to coordinate services and ensure continuity of treatment.

Payment

We may use or disclose your PHI to obtain reimbursement for services we provide to you. This includes submitting claims to Medicare Part B, auto insurance/no-fault carriers, workers' compensation carriers, or commercial PPO plans. We may disclose your PHI to your insurer to verify coverage, obtain prior authorization, or collect payment.

Health Care Operations

We may use or disclose your PHI for our internal business operations, including quality assessment, staff training, compliance reviews, audits, legal services, and business planning. These activities are necessary to operate our practice and ensure you receive high-quality care.

Other Permitted Uses and Disclosures

We may also use or disclose your PHI without your authorization in the following circumstances:

• As Required by Law: We will disclose PHI when required to do so by federal, state, or local law.
• Public Health Activities: To report disease outbreaks, adverse events, or product recalls as required by public health authorities.
• Abuse or Neglect: To report suspected abuse, neglect, or domestic violence to government authorities authorized to receive such reports.
• Health Oversight Activities: To government agencies conducting audits, investigations, or licensure inspections.
• Legal Proceedings: In response to a court order, subpoena, or discovery request, subject to applicable legal protections.
• Law Enforcement: For limited law enforcement purposes, such as reporting certain types of wounds or responding to a court order.
• Serious Threats to Health or Safety: To prevent or lessen a serious and imminent threat to the health or safety of a person or the public.
• Workers' Compensation: As authorized by and to the extent necessary to comply with workers' compensation laws.
• Military and Veterans: If you are or were a member of the armed forces, as required by military command authorities.
• Coroners and Medical Examiners: To identify a deceased person or determine cause of death.

Uses and Disclosures Requiring Your Written Authorization

All other uses and disclosures of your PHI not described in this Notice will be made only with your written authorization. This includes (but is not limited to):

• Most uses and disclosures of psychotherapy notes
• Uses and disclosures of PHI for marketing purposes
• Sales of PHI
• Disclosures to family members or friends unless you have given permission

You may revoke any written authorization at any time by submitting a written request to our Privacy Officer. Your revocation will not affect any actions already taken in reliance on your authorization.

Your Rights Regarding Your Health Information

You have the following rights with respect to your PHI. To exercise any of these rights, please submit your request in writing to our Privacy Officer.

Right to Access and Inspect Your PHI

You have the right to inspect and obtain a copy of your PHI that is maintained in our records, including your therapy notes, treatment plans, billing records, and other designated record sets. We will provide access within 30 days of your request. We may charge a reasonable, cost-based fee for copies.

In limited circumstances, we may deny access. If denied, you may request a review of the denial by a licensed health care professional not involved in the original decision.

Right to Request an Amendment

If you believe your PHI is incorrect or incomplete, you may request that we amend it. We may deny your request if the information was not created by us, is not part of our records, or is accurate and complete. If denied, you have the right to submit a written statement of disagreement.

Right to an Accounting of Disclosures

You have the right to receive a list of certain disclosures we have made of your PHI in the six years prior to your request, excluding disclosures for treatment, payment, and health care operations. The first accounting in any 12-month period is free; we may charge for subsequent requests.

Right to Request Restrictions on Uses and Disclosures

You may request that we restrict how we use or disclose your PHI for treatment, payment, or health care operations, or to individuals involved in your care. We are not required to agree to most restrictions, but if we do agree, we will honor that restriction unless it is needed to provide emergency treatment.

Important exception: You have the absolute right to restrict disclosures to health plans for services you paid for entirely out-of-pocket.

Right to Request Confidential Communications

You may request that we communicate with you about your health matters in a certain way or at a certain location. For example, you may ask that we contact you only at your work number or by mail. We will honor reasonable requests.

Right to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.

• File with us: Contact our Privacy Officer at (855) 465-7626 or privacy@hometherapypt.com
• File with HHS: www.hhs.gov/ocr/privacy/hipaa/complaints

Our Legal Duties

We are required by law to:

• Maintain the privacy of your PHI
• Provide you with this Notice of our legal duties and privacy practices
• Notify you following a breach of unsecured PHI
• Abide by the terms of the Notice currently in effect

We reserve the right to change the terms of this Notice and to make new provisions effective for all PHI we maintain. If we make a material change to our privacy practices, we will make the new Notice available upon request and post it on our website at hometherapypt.com/hipaa.

Contact Our Privacy Officer

For general requests about your PHI or to exercise any of the rights described in this Notice, please contact our Privacy Officer in writing. We will respond to your request within 30 days unless an extension is necessary, in which case we will notify you.

This Notice is effective as of January 1, 2026. © 2026 Home Therapy PT Physical and Occupational Therapy LLC. All rights reserved.  ·  Privacy Policy  ·  Return to Home