7/21/2019 Notice of PrivacyPractices http://slidepdf.com/reader/full/notice-of-privacypractices 1/1 NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. THIS NOTICE OF HEALTH INFORMATION PRIVACY (NPP) PRACTICES SHALL BE POSTED IN THE RECEPTION AREA AT EACH LOCATION. Introduction: At Mercer Ph!"c#$ Ther#%& 'e #re c"tte* t tre#t"+, #+* -!"+, %rtecte* he#$th "+r#t"+ #/-t - re!%+!"/$. Th"! Nt"ce He#$th I+r#t"+ Pr#ct"ce! *e!cr"/e! the %er!+#$ "+r#t"+ 'e c$$ect& #+* h' #+* 'he+ 'e -!e r *"!c$!e th#t "+r#t"+. It *e!cr"/e! -r r",ht! #! the re$#te t -r %rtecte* he#$th "+r#t"+ #! *e"+e* / e*er#$ re,-$#t"+!. U+*er!t#+*"+, 'h#t "! "+ -r recr* #+* h' -r he#$th "+r#t"+ "! -!e* he$%! - t e+!-re "t! #cc-r#c& /etter -+*er!t#+* 'h& 'h#t& 'he+& 'here #+* 'h ther! # #cce!! -r he#$th "+r#t"+& #+* #0e re "+re* *ec"!"+! 'he+ #-thr"1"+, *"!c$!-re t ther!. Your Health Information rights A$th-,h -r he#$th recr* "! the %h!"c#$ %r%ert Mercer Ph!"c#$ Ther#%& the "+r#t"+ /e$+,! t -. Y- h#2e the r",ht t: • O/t#"+ # %#%er c% th"! Nt"ce Pr"2#c Pr#ct"ce! -%+ re3-e!t • I+!%ect #+* c% -r he#$th recr* #! %r2"*e* / HIPAA Re,-$#t"+! #+* GA $#' • Re3-e!t th#t -r he#$th recr* /e #e+*e* #! %r2"*e* / HIPAA Re,-$#t"+! • O/t#"+ #+ #cc-+t"+, *"!c$!-re! -r he#$th "+r#t"+ #! %r2"*e* / HIPAA Re,-$#t"+! #+* GA $#' • Re3-e!t # re!tr"ct"+! + cert#"+ -!e! #+* *"!c$!-re! -r "+r#t"+ #! %r2"*e* / HIPAA Re,-$#t"+! • Re20e -r #-thr"1#t"+ t -!e r *"!c$!e he#$th "+r#t"+ e4ce%t t the e4te+t th#t #ct"+ h#! #$re#* /ee+ t#0e+. Other Responsibilities Mercer Ph!"c#$ Ther#% "! re3-"re* t: • M#"+t#"+ the %r"2#c -r he#$th "+r#t"+ • Pr2"*e - '"th th"! +t"ce #! t -r $e,#$ *-t"e! #+* %r"2#c %r#ct"ce! '"th re!%ect t "+r#t"+ 'e c$$ect #+* #"+t#"+ #/-t - • A/"*e / the ter! th"! +t"ce • Nt" - " 'e #re -+#/$e t #,ree t # re3-e!te* re!tr"ct"+ We re!er2e the r",ht t ch#+,e -r %r#ct"ce! #+* t #0e the +e' %r2"!"+! eect"2e r #$$ %rtecte* he#$th "+r#t"+ 'e #"+t#"+. Sh-$* -r "+r#t"+ %r#ct"ce! ch#+,e& 'e '"$$ er # re2"!e* +t"ce t - -%+ -r +e4t "ce 2"!"t. For more information or to Report a Problem: I - h#2e 3-e!t"+! #+* '-$* $"0e #**"t"+#$ "+r#t"+& - # c+t#ct the C$"+"c D"rectr #t 567896859;. I - /e$"e2e -r %r"2#c r",ht! h#2e /ee+ 2"$#te*& - c#+ "$e # c%$#"+t '"th the C%$"#+ce O"cer r Mercer Ph!"c#$ Ther#% r '"th O"ce r C"2"$ R",ht!& US De%#rte+t He#$th #+* H-#+ Ser2"ce!. There '"$$ /e + ret#$"#t"+ r "$$"+, # c%$#"+t '"th the C%$"#+ce O"cer. Revised 05-09-11

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Mercer University Physical Therapy Notice of Privacy Practices

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7/21/2019 Notice of PrivacyPractices

http://slidepdf.com/reader/full/notice-of-privacypractices 1/1

NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND

HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. THIS NOTICEOF HEALTH INFORMATION PRIVACY (NPP) PRACTICES SHALL BE POSTED IN THE RECEPTION AREA

AT EACH LOCATION.

Introduction:At Mercer Ph!"c#$ Ther#%& 'e #re c"tte* t tre#t"+, #+* -!"+, %rtecte* he#$th "+r#t"+ #/-t

- re!%+!"/$. Th"! Nt"ce He#$th I+r#t"+ Pr#ct"ce! *e!cr"/e! the %er!+#$ "+r#t"+ 'e c$$ect& #+*

h' #+* 'he+ 'e -!e r *"!c$!e th#t "+r#t"+. It *e!cr"/e! -r r",ht! #! the re$#te t -r %rtecte* he#$th

"+r#t"+ #! *e"+e* / e*er#$ re,-$#t"+!.

U+*er!t#+*"+, 'h#t "! "+ -r recr* #+* h' -r he#$th "+r#t"+ "! -!e* he$%! - t e+!-re "t!

#cc-r#c& /etter -+*er!t#+* 'h& 'h#t& 'he+& 'here #+* 'h ther! # #cce!! -r he#$th "+r#t"+& #+* #0ere "+re* *ec"!"+! 'he+ #-thr"1"+, *"!c$!-re t ther!.

Your Health Information rights

A$th-,h -r he#$th recr* "! the %h!"c#$ %r%ert Mercer Ph!"c#$ Ther#%& the "+r#t"+ /e$+,!

t -. Y- h#2e the r",ht t:

• O/t#"+ # %#%er c% th"! Nt"ce Pr"2#c Pr#ct"ce! -%+ re3-e!t

• I+!%ect #+* c% -r he#$th recr* #! %r2"*e* / HIPAA Re,-$#t"+! #+* GA $#'

• Re3-e!t th#t -r he#$th recr* /e #e+*e* #! %r2"*e* / HIPAA Re,-$#t"+!

• O/t#"+ #+ #cc-+t"+, *"!c$!-re! -r he#$th "+r#t"+ #! %r2"*e* / HIPAA Re,-$#t"+! #+*

GA $#'

• Re3-e!t # re!tr"ct"+! + cert#"+ -!e! #+* *"!c$!-re! -r "+r#t"+ #! %r2"*e* / HIPAA

Re,-$#t"+!

• Re20e -r #-thr"1#t"+ t -!e r *"!c$!e he#$th "+r#t"+ e4ce%t t the e4te+t th#t #ct"+ h#!

#$re#* /ee+ t#0e+.Other Responsibilities

Mercer Ph!"c#$ Ther#% "! re3-"re* t:

• M#"+t#"+ the %r"2#c -r he#$th "+r#t"+

• Pr2"*e - '"th th"! +t"ce #! t -r $e,#$ *-t"e! #+* %r"2#c %r#ct"ce! '"th re!%ect t "+r#t"+ 'e

c$$ect #+* #"+t#"+ #/-t -

• A/"*e / the ter! th"! +t"ce

• Nt" - " 'e #re -+#/$e t #,ree t # re3-e!te* re!tr"ct"+

We re!er2e the r",ht t ch#+,e -r %r#ct"ce! #+* t #0e the +e' %r2"!"+! eect"2e r #$$ %rtecte* he#$th

"+r#t"+ 'e #"+t#"+. Sh-$* -r "+r#t"+ %r#ct"ce! ch#+,e& 'e '"$$ er # re2"!e* +t"ce t - -%+ -r+e4t "ce 2"!"t.

For more information or to Report a Problem:

I - h#2e 3-e!t"+! #+* '-$* $"0e #**"t"+#$ "+r#t"+& - # c+t#ct the C$"+"c D"rectr #t 567896859;.

I - /e$"e2e -r %r"2#c r",ht! h#2e /ee+ 2"$#te*& - c#+ "$e # c%$#"+t '"th the C%$"#+ce O"cer r

Mercer Ph!"c#$ Ther#% r '"th O"ce r C"2"$ R",ht!& US De%#rte+t He#$th #+* H-#+ Ser2"ce!. There '"$$ /e + ret#$"#t"+ r "$$"+, # c%$#"+t '"th the C%$"#+ce O"cer.

Revised 05-09-11