Notice of Privacy Practices

Your rights at a glance

You have the right to:

• Get an electronic or paper copy of your medical record.
• Ask us to correct your medical record.
• Request confidential communications.
• Ask us to limit the information we use or share.
• Get a list of certain disclosures we have made.
• Get a paper copy of this notice.
• Choose someone to act for you.
• File a complaint if you believe your privacy rights were violated.

Your rights in detail

Get an electronic or paper copy of your medical record

• You may ask to see or receive an electronic or paper copy of your medical record and other health information we maintain about you. Ask us how to do this.
• We will provide a copy or summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee as permitted by law.

Ask us to correct your medical record

• You may ask us to correct health information that you believe is incorrect or incomplete. Ask us how to do this.
• We may deny the request in certain circumstances, but we will explain the reason in writing within 60 days.

Request confidential communications

• You may ask us to contact you in a particular way—for example, at your home, office, or mobile number—or to send mail to a different address.
• We will agree to reasonable requests.

Ask us to limit what we use or share

• You may ask us not to use or share certain health information for treatment, payment, or health care operations. We are not always required to agree, and we may deny a request if it could affect your care. If we agree, we may still share information when emergency treatment requires it.
• If you pay for a health care service or item out of pocket in full, you may ask us not to share information about that service or item with your health insurer for payment or health care operations. We will agree unless a law requires us to share it.

Get a list of disclosures

• You may ask for an accounting of certain times we shared your health information during the six years before your request, including whom we shared it with and why.
• The accounting does not include disclosures for treatment, payment, or health care operations and certain other disclosures, including disclosures you asked us to make.
• We will provide one accounting in a 12-month period at no charge. We may charge a reasonable, cost-based fee for additional accountings within the same period.

Get a copy of this notice

You may ask for a paper copy of this notice at any time, even if you agreed to receive it electronically. We will provide it promptly.

Choose someone to act for you

• If a person has legal authority to act as your personal representative—for example, under a medical power of attorney or guardianship—that person may exercise your rights and make choices about your health information.
• We will verify the person's authority before taking action.

Your choices

For certain health information, you may tell us your preferences about what we share. Tell us what you want us to do, and we will follow your instructions when the law allows.

When you may tell us what to share

You may tell us whether to:

• Share information with family, close friends, or others involved in your care or payment for your care.
• Share information in a disaster-relief situation.

If you cannot tell us your preference—for example, if you are unconscious—we may share information when we believe it is in your best interest. We may also share information when necessary to lessen a serious and imminent threat to health or safety.

When written permission is required

Unless an exception under law applies, we will not use or share your health information for the following purposes without your written authorization:

• Marketing purposes.
• Sale of your health information.
• Most uses and disclosures of psychotherapy notes, if we maintain any.

Limitless Physiotherapy does not sell protected health information and does not currently use protected health information for fundraising.

How we typically use or share your health information

Treat you

We may use your health information and share it with other professionals who are treating you. For example, we may communicate with a physician involved in your care about your condition or rehabilitation plan.

Run our organization

We may use and share health information to operate the practice, improve care, manage services, and contact you when necessary.

Bill for your services

We may use and share health information to bill and obtain payment from health plans or other responsible entities. For example, we may give necessary information to your insurer to process a claim.

Other uses and disclosures permitted or required by law

We may use or share information in other ways that contribute to the public good or are required by law. We must meet applicable legal conditions before doing so.

Help with public health and safety

We may share health information in certain situations involving:

• Preventing disease.
• Product recalls or adverse reactions to medications or products.
• Suspected abuse, neglect, or domestic violence.
• Preventing or reducing a serious threat to anyone's health or safety.

Research

We may use or share information for health research when all applicable legal requirements are met.

Comply with the law

We will share information when state or federal law requires it, including with the U.S. Department of Health and Human Services if it requests information to determine whether we are complying with federal privacy law. When Maryland or another applicable law provides greater privacy protection, we will follow the more protective requirement.

Organ and tissue donation

We may share health information with organ-procurement organizations when applicable.

Medical examiners and funeral directors

We may share health information with a coroner, medical examiner, or funeral director when an individual dies.

Workers' compensation, law enforcement, and government requests

We may use or share health information:

• For workers' compensation claims.
• For law-enforcement purposes or with a law-enforcement official when permitted or required by law.
• With health-oversight agencies for activities authorized by law.
• For special government functions such as military, national-security, or presidential-protective services.

Lawsuits and legal actions

We may share health information in response to a court or administrative order or, when legally permitted, in response to a subpoena.

Substance use disorder records

To the extent we receive or maintain substance use disorder patient records protected by 42 CFR Part 2, we will not use or share information from those records in a civil, criminal, administrative, or legislative investigation or proceeding against you without your written consent or a court order accompanied by a subpoena or other legal requirement specified by law. If protected Part 2 information is ever used for fundraising, we will provide clear advance notice and a choice not to receive those communications.

Our responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy upon request.
• We will not use or share your information other than as described here unless you authorize us in writing. You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.

Changes to this notice

We may change the terms of this notice, and the changes may apply to all information we maintain about you. The current notice will be available upon request, in the clinic, and on this website.

Questions and complaints

Privacy Officer: Brandon Lim, PT, DPT
Limitless Physiotherapy, LLC
9192 Red Branch Road, Suite 120
Columbia, MD 21045
Phone: 443-545-7171
Email: info@limitlessptmd.com

You may complain to us if you believe your privacy rights have been violated. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by mailing 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting the HHS complaint website.

We will not retaliate against you for filing a complaint.