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HIPAA Notice of Privacy Practices

Effective Date: May 2026  ·  This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Our Responsibilities

Fremont Physical Therapy is required by law to maintain the privacy of your protected health information (PHI), to provide you with this notice of our legal duties and privacy practices, and to notify you in the event of a breach of your unsecured PHI. We are required to abide by the terms of the notice currently in effect.

How We May Use and Disclose Your Health Information

The following describes how we may use and disclose your health information. Not every use or disclosure will be listed, but all of the ways we are permitted to use and disclose information will fall within one of the following categories:

• Treatment: We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services. For example, sharing information with other healthcare providers involved in your care.
• Payment: We may use and disclose PHI to bill and collect payment for services provided to you, including sharing information with your insurance company.
• Healthcare Operations: We may use and disclose PHI for our own healthcare operations, such as quality assessment, staff training, and business planning.
• As Required by Law: We will disclose PHI when required to do so by federal, state, or local law.
• Public Health Risks: We may disclose PHI to public health authorities to prevent or control disease, injury, or disability.
• Serious Threats: We may use and disclose PHI to prevent a serious threat to your health or safety or the health or safety of the public or another person.
• Workers' Compensation: We may release PHI for workers' compensation or similar programs as required by law.

Your Rights Regarding Your Health Information

You have the following rights regarding the health information we maintain about you:

• Right to Inspect and Copy: You have the right to inspect and copy your PHI that we maintain.
• Right to Amend: You have the right to request an amendment to your PHI if you believe it is incorrect or incomplete.
• Right to an Accounting of Disclosures: You have the right to request a list of disclosures we have made of your PHI.
• Right to Request Restrictions: You have the right to request a restriction on certain uses and disclosures of your PHI.
• Right to Request Confidential Communications: You have the right to request that we communicate with you about your PHI in a certain way or at a certain location.
• Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice at any time upon request.
• Right to File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized for filing a complaint.

Changes to This Notice

We reserve the right to change this notice and to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice on our website and in our office.

Contact Us

To exercise any of your rights, or if you have questions about this notice, please contact us:

Fremont Physical Therapy — Privacy Officer
40 Bridge St, St. Anthony, ID 83445
Phone: 208-624-4008
Email: fremontpt@gmail.com

To file a complaint with the U.S. Department of Health and Human Services:
www.hhs.gov/ocr/privacy/hipaa/complaints