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 carefully.
Use and Disclosures.
Treatment: Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluation of your health, diagnosing medical conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your medical records to all health professionals, who may provide treatment or who may be consulted by staff members.
Payments: Your health information may be used to seek payment for your health plan, form other sources of coverage, such as automobile insurer, or from credit card companies that you may use to pay for services. For example, your health plan may request and receive information on dates of service, the services provided, and the medical condition being treated.
Health Care Operations: Your health information may be used as necessary to support the day-to-day activities and management of our facility. For example, information on the service you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality. We may also create and distribute de-identified health information by removing all reference to individually identifiable information.
We may contact you to provide appointment reminders or information about treat alternatives or other health related benefits and services that may be of interest to you.
Any other uses and disclosures will be made only with your written authorization. You may revoke such authorization in writing, and we are required to honor and abide by that written request, except to the extent that we have already taken actions relying on your authorization.
Individual Rights: You have certain rights under Federal Privacy Standards. These include:
The Right to request restrictions on the use and disclosure of your protected health information.
The Right to receive confidential communications concerning your medical condition and treatment.
The Right to inspect and copy your protected health information.
The Right to receive an accounting of how and to whom your reported health information has been disclosed.
The Right to receive a printed copy of this notice.
Our Facility: By law, we are required to maintain the privacy of your protected health information and to provide you with this notice of Privacy Practice.
This notice is effective as of May 1st, 2021, and we are required to abide by th terms of the notice of Privacy Practice currently in effect. We reserve the right to change the terms of our notice of Privacy Practice and to make the new notice provisions effective for all protected health information that we maintain. We will post and you may request a written copy of the revised notice of Privacy Practice from this office.
You have recourse if you feel that your privacy protections have been violated. You have the right to file a written complaint with our office or with Department of Health and Human Services, Office of Civil Rights about violations of the provisions of this notice or the policies and procedures of our office. We will not retaliate against you for filling a complaint.
Please Contact us for more Information:
Kathleen VonStrandtmann AKA Kennedy
Valley Massage Therapy
36 Vernon Valley Rd.
East Northport, NY 11731
[email protected]
631-664-1182
For more information about HIPPA, or to file a complaint:
US Department of Health and Human Services
Office of Civil Rights
200 Independence Ave. SW
Washington D.C., 20201
202-619-0257
Toll Free: 1-877-696-6775
Valley Massage Therapy
36 Vernon Valley Rd
East Northport, NY 11731-1429
(One Block North Of Northport LIRR)
Phone: 631-261-5277 Or Text 631-664-1182
(Saint James Office Available)
This notice describes how medical information about you may be used and disclosed, and how you can get access to this information.
Please review carefully.
Use and Disclosures.
Treatment: Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluation of your health, diagnosing medical conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your medical records to all health professionals, who may provide treatment or who may be consulted by staff members.
Payments: Your health information may be used to seek payment for your health plan, form other sources of coverage, such as automobile insurer, or from credit card companies that you may use to pay for services. For example, your health plan may request and receive information on dates of service, the services provided, and the medical condition being treated.
Health Care Operations: Your health information may be used as necessary to support the day-to-day activities and management of our facility. For example, information on the service you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality. We may also create and distribute de-identified health information by removing all reference to individually identifiable information.
We may contact you to provide appointment reminders or information about treat alternatives or other health related benefits and services that may be of interest to you.
Any other uses and disclosures will be made only with your written authorization. You may revoke such authorization in writing, and we are required to honor and abide by that written request, except to the extent that we have already taken actions relying on your authorization.
Individual Rights: You have certain rights under Federal Privacy Standards. These include:
The Right to request restrictions on the use and disclosure of your protected health information.
The Right to receive confidential communications concerning your medical condition and treatment.
The Right to inspect and copy your protected health information.
The Right to receive an accounting of how and to whom your reported health information has been disclosed.
The Right to receive a printed copy of this notice.
Our Facility: By law, we are required to maintain the privacy of your protected health information and to provide you with this notice of Privacy Practice.
This notice is effective as of May 1st, 2021, and we are required to abide by th terms of the notice of Privacy Practice currently in effect. We reserve the right to change the terms of our notice of Privacy Practice and to make the new notice provisions effective for all protected health information that we maintain. We will post and you may request a written copy of the revised notice of Privacy Practice from this office.
You have recourse if you feel that your privacy protections have been violated. You have the right to file a written complaint with our office or with Department of Health and Human Services, Office of Civil Rights about violations of the provisions of this notice or the policies and procedures of our office. We will not retaliate against you for filling a complaint.
Please Contact us for more Information:
Kathleen VonStrandtmann AKA Kennedy
Valley Massage Therapy
36 Vernon Valley Rd.
East Northport, NY 11731
[email protected]
631-664-1182
For more information about HIPPA, or to file a complaint:
US Department of Health and Human Services
Office of Civil Rights
200 Independence Ave. SW
Washington D.C., 20201
202-619-0257
Toll Free: 1-877-696-6775
Valley Massage Therapy
36 Vernon Valley Rd
East Northport, NY 11731-1429
(One Block North Of Northport LIRR)
Phone: 631-261-5277 Or Text 631-664-1182
(Saint James Office Available)
