HIPAA Notice of Privacy Practices

Effective Date: 10/07/2023
This Notice of Privacy Practices (Notice) describes how medical information about you may be used and disclosed and how you can get access to this information as a patient of Aligned Life Physical Therapy.
Our Commitment to Your Privacy:
Aligned Life Physical Therapy is committed to maintaining the privacy and confidentiality of your protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) regulations. We understand that your medical information is personal, and we strive to ensure its confidentiality and security.
Uses and Disclosures of Your Protected Health Information:
We may use and disclose your PHI for purposes of treatment, payment, and healthcare operations. In addition, we may use or disclose your medical information for other purposes with your written authorization, or as required by law.
Here are some examples of how we might use or disclose your PHI without your authorization:
1. Treatment: We may use and disclose your medical information to provide and coordinate your healthcare. This may include sharing your information with other healthcare providers involved in your treatment, such as referring physicians or specialists.
2. Payment: We may use and disclose your PHI to obtain payment for the services we provide to you. This may involve billing your insurance company or working with a third-party billing service.
3. Healthcare Operations: We may use and disclose your medical information for our internal operations, such as quality assessments, staff training, and legal compliance. This allows us to improve our services and ensure the highest level of care.
4. Appointment Reminders: We may use your PHI to remind you of upcoming appointments or to provide information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Your Rights Regarding Your Protected Health Information:
As a patient, you have certain rights regarding your PHI. These rights include:
1. Right to Access: You have the right to request access to your medical records and receive copies of your PHI. Some restrictions may apply, and a reasonable fee may be charged for copies.
2. Right to Request Restrictions: You have the right to request restrictions on the use or disclosure of your medical information. However, we are not required to agree to these requests if they interfere with your treatment or our ability to provide services.
3. Right to Confidential Communications: You have the right to request to receive communications regarding your PHI by alternative means or at alternative locations if you believe that regular communications could endanger you.
4. Right to Amend: You have the right to request an amendment to your medical records if you believe that they contain inaccurate or incomplete information. We may deny your request under certain circumstances, but you have the right to submit a written statement of disagreement.
5. Right to File a Complaint: If you believe your privacy rights have been violated, you have the right to file a complaint with us or with the Office for Civil Rights (OCR) of the U.S. Department of Health and Human Services.
Our Duties:
Aligned Life Physical Therapy is required by law to maintain the privacy of your PHI and provide you with this Notice of Privacy Practices. We will follow the terms outlined in this Notice, and reserve the right to change our practices and the terms of this Notice as necessary.
Contact Information:
If you have any questions or concerns regarding our privacy practices, or if you would like to exercise your rights as outlined above, please contact our Privacy Officer at:
Aligned Life Physical Therapy
715 N Beaver St Unit C
Flagstaff, Az 86001
Phone: (928) 224-2847

Email: dustin@alignedlifephysicaltherapy.com
We Value Your Privacy:
Aligned Life Physical Therapy is dedicated to safeguarding your protected health information. We recognize the importance of maintaining your privacy, and we will continue to implement policies and procedures to protect your medical information as required by law.
Please retain a copy of this Notice for your records. You may request another copy at any time.