This notice describes how medical information about you may be used and disclosed and how you can get access to it. Please review it carefully.
Maxwell Massage PLLC is required by law to maintain the privacy of protected health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect. This Notice applies to the health information we create or maintain as part of providing massage therapy and related practice services.
How we may use and disclose your health information
Treatment
We may use or disclose your health information to provide, coordinate, or manage your care. For example, we may use your intake information and treatment notes to plan your massage therapy or communicate with another provider involved in your care when permitted by law.
Payment
We may use or disclose your health information to bill for and receive payment for services. This can include communicating with an insurer, claims administrator, workers’ compensation program, VA Community Care, or our clearinghouse about coverage, claims, authorization, and payment.
Health care operations
We may use or disclose health information for practice operations, such as quality review, training, compliance, auditing, legal services, and managing our practice.
Other uses and disclosures permitted or required by law
We may use or disclose health information when required by law or for public-health activities, health oversight, workers’ compensation, judicial or administrative proceedings, law-enforcement requests, reporting abuse or neglect, averting a serious threat to health or safety, and other purposes permitted by applicable law. We will make disclosures only as the law allows or requires.
Uses and disclosures that require your written authorization
Other uses and disclosures of your health information generally require your written authorization. You may revoke an authorization in writing at any time, except to the extent that we have already acted in reliance on it.
Your rights regarding your health information
- Get a copy of your records. You may ask to inspect or receive a paper or electronic copy of your health and billing records. We will provide it in the time and manner required by law and may charge a reasonable, cost-based fee where permitted.
- Ask us to correct your records. You may ask us to correct health or billing information you believe is incorrect or incomplete. We may deny the request in writing when the law permits.
- Request confidential communications. You may ask us to contact you in a particular way or at a particular location. We will accommodate reasonable requests.
- Ask us to limit certain uses or disclosures. You may ask us not to use or share certain information for treatment, payment, or operations. We are not required to agree to every request. If you pay in full out of pocket for a service, you may ask us not to share information about that service with your health plan for payment or operations, and we will honor that request unless the law requires disclosure.
- Receive a list of certain disclosures. You may ask for an accounting of disclosures made during the period allowed by law. This list does not include every routine disclosure, such as those for treatment, payment, or operations.
- Receive a copy of this notice. You may ask for a paper copy at any time, even if you agreed to receive it electronically.
- Choose someone to act for you. If you have given someone medical power of attorney or the person is your legal representative, that person may exercise your rights and make choices about your health information to the extent allowed by law.
- Receive notice of a breach. We will notify you as required by law if a breach compromises the privacy or security of your unsecured protected health information.
Our responsibilities
We will not use or share your information other than as described here unless you give us written permission. We are required to maintain the privacy and security of your protected health information, provide you with this notice, and notify you following a breach as required by law. We may change this notice; changes will apply to information we already have as well as new information. The current notice will be available at our clinic and on this website.
Questions and complaints
For questions, to exercise a right, or to make a privacy complaint, contact our Privacy Officer:
Maxwell Massage PLLC — Privacy Officer
100 Wall Street
Seattle, WA 98121
Phone: (206) 448-9407
Email: privacy@maxwell-massage.com
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.
Learn how to file a complaint with HHS Office for Civil Rights.