Notice of Policies and Practices to Protect the Privacy of Your Healthcare Information


Your Healthcare Record
New Dimensions Physical Therapy creates and maintains a medical record each time you are treated at our clinic. Your diagnosis, injuries, evaluation and test results, treatment, and plan of care are documented. This information is referred to as your “healthcare or medical record,” and is the means through which we plan your treatment and communicate to other health professionals who contribute to your care. Understanding what information is retained in your record and how that information may be used will help you to ensure its accuracy, and enable you to relate to who, what, when, where, and why others may be allowed access to your health information. This effort is being made to assist you in making informed decisions before authorizing the disclosure of your medical information to others.

Your Healthcare Information Rights
Your healthcare record is the physical property of New Dimensions Physical Therapy. However, because this record consists entirely of details regarding your care, you have the right to inspect and obtain a copy of your health information and be given an account of all disclosures. You also have the right to request restrictions on certain uses and disclosures of your information, and to request amendments be made to your medical record. You may also request that confidential communication by us regarding your health information be made by alternative means or to alternative locations. Other than activity that has already occurred you may revoke any further authorizations to use or disclose your health information. If you receive this Notice electronically, you are entitled to receive this Notice in written form.

Our Duties
New Dimensions Physical Therapy is required to maintain the privacy of your health information and to provide you with notice of our legal commitment and privacy practices with respect to the information we collect and maintain about you. New Dimensions Physical Therapy is required to abide by the terms of this notice and to notify you if we are unable to grant your requested restrictions or reasonable desires to communicate your health information by alternative means or to alternative locations. New Dimensions Physical Therapy reserves the right to change its practices and effect new provisions that enhance the privacy standards of all patient health information. In the event that changes are made, while you are receiving care New Dimensions Physical Therapy will notify you at your next appointment or at the current address provided in your medical file. Other than for reasons described in this notice, New Dimensions Physical Therapy agrees not to use or disclose your health information without your authorization.

To receive additional information or report a problem
For further explanation of this notice you may contact our Privacy Officer at 1-512-328-8950. If you believe your privacy rights have been violated, you have the right to file a complaint with the Secretary of Health and Human Services with no fear of retaliation by New Dimensions Physical Therapy.
Your health information will be used for treatment, payment, and healthcare operations

Treatment – Information obtained by your therapist at New Dimensions Physical Therapy will be recorded in your medical record and used to determine the course of treatment. This consists of your therapist recording his/her own expectations and those of others involved in providing your care. The sharing of your health information may progress to others involved in your care, such as physicians.

Payment – Your healthcare information will be used in order to receive payment for services rendered by New Dimensions Physical Therapy. A bill may be sent to either you or a third party payer with accompanying documentation that identifies you, your diagnosis, procedures performed and supplies used.

Healthcare Operations – The medical staff at New Dimensions Physical Therapy will use your health information to assess the care you received and the outcome of your case compared to others like it. Your information may be reviewed for risk management or quality improvement purposes in our efforts to continually improve the quality and effectiveness of the care and services we provide.

New Dimensions Physical Therapy’s policy for specific disclosures
Business Associates – Some or all of your health information may be subject to disclosure through contracts for services to assist New Dimensions Physical Therapy in providing health care. To protect your health information, we require these Business Associates to follow the same standards held by New Dimensions Physical Therapy through terms detailed in a written agreement.

Notification – Your health record may be used to notify or assist family members, personal representatives, or other persons responsible for your care to enhance your well-being or your whereabouts.

Communications with Family – Using best judgment, a family member, or close personal friend, identified by you, may be given information relevant to your care and recovery.

Worker’s Compensation - New Dimensions Physical Therapy will release information to the extent authorized by law in matters of worker’s compensation.

Public Health - New Dimensions Physical Therapy is required by law to disclose health information to public health and/or legal authorities charged with tracking reports of birth and morbidity. New Dimensions Physical Therapy is further requred be law to report communicable disease, injury, or disability.

Law Enforcement – (1) Your health information will be disclosed for law enforcement purposes as required under state law or in response to a valid subpoena. (2) Provisions of federal law permit the disclosure of your health information to appropriate health oversight agencies, public health authorities, or attorneys in the event that a staff member or business associate of New Dimensions Physical Therapy believes in good faith that there has been unlawful conduct or violations of professional or Clinical standards that may endanger one or more patients, workers, or the general public.

Notice of Privacy Practices Availability
All individuals receiving care will be given a hard copy of the terms described in this notice and asked to acknowledge receipt.
This Notice takes effect on April 14, 2003, and will remain in effect until we replace it.

  • We may deny the request to amend
  • Requests need to be in writing
  • People’s Pharmacy: You have the right to receive a list of instances in which we or our business associates disclosed your health information for purposis, other than treatment, payment healthcare operations and certain other activities, for the last 6 years, but not before April 14, 2003. If you requist this accounting more than once in a 12-month period, we may charge you a reasonable, cost-based fee for responding to these additional requests.
  • List of name of patients daily.
  • Privacy Officer at 1-512-328-8950 = RKS
  • Business Associates = Transcription services or someone who might come in and help us with efficiency.
  • In the event that changes are made, New Dimensions Physical Therapy will notify you at your next appointment or at the current address provided in your medical file.
  • Does it have to posted?

© 2011. Kern-Steiner, Inc. Privacy Notice