Notice of Patient Privacy Practices and Rights

School Kids Occupational Therapy LLC

Parisa McPhee, OTR/L

[email protected]

www.schoolkidsot.com

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:

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