NOTICE OF PATIENT/CLIENT INFORMATION PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL/PERSONAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED AND HOW YOU CAN GET ACCESS TO INFORMATION

PLEASE REVIEW CAREFULLY!

OUR LEGAL DUTY

Orthopedic & Sports Therapy of Kenner, Metairie and Westbank, along with Sports Performance Center is required by law to protect the privacy of your personal health information. We, therefore, provide this notice about our information practices of which are described herein.

USES & DISCLOSURES OF HEALTH INFORMATION

Orthopedic & Sports Therapy of Kenner, Metairie and Westbank, along with Sports Performance Center uses your personal health information primarily for treatment, obtaining payment for treatment and/or services, conducting internal administrative activities and evaluating the quality of care that we provide. For example, we may use your personal health information to contact you to provide appointment reminders, or information about treatment/service alternatives or other health related benefits that could be of interest to you.

Orthopedic & Sports Therapy of Kenner, Metairie and Westbank, along with Sports Performance Center may also use or disclose your personal health information without prior authorization for public health purposes, for auditing purposes, for research studies, and for emergencies. We also provide information when required by law.

In any other situation, our policy is to obtain your written authorization before disclosing your personal health information. When you provide us with written authorization to release your information for any reason, you may at any time, revoke that authorization to stop any future disclosures.

Orthopedic & Sports Therapy of Kenner, Metairie and Westbank, along with Sports Performance Center may change its policy at any time. When changes are made, a new Notice of Information Practices will be posted in the waiting room, patient exam areas and gym. A copy will be provided to you on your next visit. You may request an updated copy of our Notice of Information practices at any time.

PATIENT/CLIENT INDIVIDUAL RIGHTS

You have the right to review or obtain a copy of your personal health information at any time. You have the right to request that we correct any inaccurate or incomplete information in your records. You also have the right to request a list of instances where we have disclosed your personal health information for reasons other than treatment, payment or other related administrative purposes.

You may also request in writing that we not use or disclose your personal health information for treatment, payment and administrative purposes except when specifically authorized by you, when required by law or in an emergency. We will consider such requests on a case by case basis, but the facilities are not legally required to accept them.

CONCERNS AND COMPLAINTS

If you are concerned that we may have violated your privacy rights, or if you disagree with any decisions we have made regarding access or disclosure of your personal health information, please contact the President and CEO of Orthopedic & Sports Therapy of Kenner, Metairie and Westbank, and Sports Performance Center at the contact information listed below. You may also send a written complaint to the U.S. Department of Health and Human Services. For further information on the health information practices of Orthopedic & Sports Therapy, along with Sports Performance Center, or if you have a complaint, please contact the following:

Craig M. Goodwin, P.T., President

Orthopedic & Sports Therapy of Kenner, Metairie and Westbank

Sports Performance Center

3921 Williams Blvd

Kenner LA 70065

504.443.5152 (ph) 504.443.5151 (fax)