Notice of Patient Privacy Practices and Rights
School Kids Occupational Therapy LLC
Parisa McPhee, OTR/L
This notice describes how health information about you may be used and disclosed, and how you can access this information. Please read it carefully.
Your basic rights and our basic responsibilities under HIPAA. Patients of this practice have the right to obtain a copy of paper or electronic medical records, make corrections to the record, request confidential communication, request that we limit the information we share, get a list of entities with whom we have shared your information, get a copy of this notice, choose someone to act on your behalf, and file a complaint if you believe your privacy rights have been violated.
Get a copy (paper or electronic) of your records. We will provide a copy of your record, and can charge you a reasonable, cost-based fee.
Ask us to correct your medical record. You can ask us to correct health information about you that you think is incomplete or incorrect.
Request preferred confidential communications. You can ask us to contact you by a preferred method ( ie. Home/office/cell) or ask to send mail to a specified address.
Limit what we share or use. You can ask us not to share or use certain health information for our operations, treatment or payment, although we are allowed to refuse your request if it would affect your care. If you pay for a service out of pocket in full, you can ask us not to share that with your health insurer, and we will comply unless a law requires us to share that information.
Get a list of those with whom we have shared information. Upon request you are entitled to receive a list of the times we have shared your health information, who we shared it with, and why for up to six years prior to the date you asked. We will include all the disclosures except those about treatment, payment and health care operations, and certain other disclosures, such as any you requested. There is no charge for a yearly request of this list, but there is a reasonable cost based fee if such list is requested more than once in a 12 month period.
Get a hard copy of this privacy notice. Upon request, you can receive a paper copy of this notice, if you have previously received this electronically.
Choose someone to act on your behalf. If someone is your legal guardian, or has medical power of attorney for you, that person can exercise your rights and make choices about your healthcare information. We will verify that any person has the authority to act on your behalf before taking any action.
File a complaint if you think your rights are violated. If you feel your rights have been violated, please contact us (see contact information above). If you are not satisfied with the manner in which we handle your complaint, you may submit a formal complaint to the U.S. Department of Health and Human Services Office of Civil Rights by visiting www.hhs.gov/ocr/privacy/hipaa/complaints/, calling 877.696.6775 or writing to: US Dept of H and H Services, Office of Civil Rights, 200 Independence Avenue, S.W. Washington, D.C. 20201. We will not retaliate against you for filing a complaint.
Washington State Privacy Law: Washington state law provides additional privacy protections for health information, particularly for minors. We are required to obtain your written consent before disclosing your child’s health information to anyone, except as permitted or required by law. This includes disclosures for treatment, payment, and healthcare operations. This requirement is in addition to the federal HIPAA privacy rules. Please see the “Consent to Release Information” section of our intake forms for the specific authorizations needed.
Your Basic choices and our basic responsibilities under HIPAA. For certain health care information, you can tell us your choices about what we share. You can tell us whether to share information with your family, close friends, others involved in your care. You can tell us whether to share information in a disaster relief situation. We will never share your information for the sale of the information or for marketing purposes unless we have express written permission. We can contact you in the case of fundraising, but you can tell us not to contact you again.
Our use and disclosures of your health information to treat you, run our practice or bill for your services. We may use and disclose your health information for the following purposes:
- Treatment: We may use and share your health information to provide you with occupational therapy services. This includes coordinating and managing your care with other healthcare providers, such as physicians, therapists, and, when appropriate, teachers or school staff to support therapy goals within the school setting.
- Other ways we may share or use your health information. We are required (upon request) to share your information in other ways that contribute to the public good, such as public health and research. These conditions are stringent and regulated by many laws before any information can be shared.
Help with safety and public health issues. We can share health information about you for certain situations such as preventing disease, helping with product recall, reporting adverse reactions to medications, reporting suspected abuse, neglect or domestic violence, preventing or mitigating a serious threat to someone’s health or safety.
Do research. We can use or share your information for health research.
Respond to organ and tissue donation requests. We can share health information about you with organ procurement organizations.
Comply with the law, respond to any legal action. We will share information about you if state or federal law requires it, including any audits conducted by the Dept. of Health and Human Services. We can share information about you in response to a court or administrative order or in response to a subpoena.
Comply with worker’s compensation, law enforcement, other gov’t requests. Information about you can be shared for worker’s comp claims, law enforcement purposes, health oversight agencies for activities authorized by law, and for special government functions such as military, national security, and presidential protective services. - Business Associates: We may share your health information with others called “Business Associates,” who perform services on our behalf. The Business Associate must agree in writing to protect the confidentiality of the information. For example, we may share your health information with Google workspace for document storage related to patient records, an EMR system for electronic record keeping and secure messaging, and payment processing company.
Summary of Our Responsibilities
We are required by law to maintain the privacy and security of your protected health information. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. We can give you a hard copy of this notice and follow the duties and privacy practices described in this notice. We will not use or share your information other than as described here unless you tell us we can in writing that we can. You may also change your mind at any time and let us know in writing if you do. Add’t info is available at: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
Changes to This Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, and on our website.
Effective Date: 2/21/2025