This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
If you have any questions or comments about this notice please contact:
Held Massage
C/o Tisha Held
115 N. 85th Street
Suite 202
Seattle, WA 98103
p. 206-790-4976
f. 206-782-2095
Who does this notice apply to?
This notice has been published by Held Massage (Tisha Held, LMP, owner). It applies to everyone who works for Held Massage.
Why do we publish this notice?
As a health professional, I understand that information about you and your health is sensitive and personal. I’m also required by law to maintain the privacy of information I gather and use about my patients, and provide them with notices of my legal duties and privacy practices with respect to their information.
While I’m committed to the privacy of my patients’ information, in order to serve them I need to gather, keep and use records of this information. I sometimes also need to share information with other parties. This notice is intended to let you know how I use and disclose your information.
This notice is also to let you know about certain legal rights you have with respect to the information I hold about you. You have certain rights to review and copy my records of information about you. You may also request that I amend these records, and may ask me to account for certain disclosure(s) I have made about you.
When is this notice effective?
I’m required to comply with the terms of this notice while it is in effect. I reserve the right to change the terms of this notice, and make the news effective for all information to which this notice applies. This Notice takes effect April 14, 2003 until the date I publish an amended Notice. If I do publish an amended Notice, I will notify you by sending a copy to you at your last address shown in my records. I will also publish the amended Notice in my office.
What information does this notice cover?
This notice covers all information in our written or electronic records which concern you, your health care, and payment for your health care. It also covers information I may have shared with other organizations to help me provide your care, get paid for providing care, or manage some of my administrative options.
When can I disclose information about you?
Except for certain disclosures for legal purposes described below, I can only use or disclose information about you with your written authorization or consent.
Treatment: I may use or disclose your health information to physicians, or other healthcare providers for: (a) the provision, coordination, or management of health care and related services by health care providers; (b) consultation between health care providers relating to a patient; (c) the referral of a patient for health care from one health care provider to another; or (d) recall information.
Payment: I may use and disclose your health information to obtain payment for services I provide to you. This may include: (a) billing and collection activities and related data processing; (b) actions by a health plan or insurer to obtain premiums or to determine or fulfill its responsibilities for coverage and provision of benefits under its health plan or insurance agreement, determinations of eligibility or coverage, adjudication or subrogation of health benefit claims; (c) medical necessity and appropriateness of care reviews, utilization review activities: and (d) disclosure to consumer reporting agencies of information relating to collection of premiums or reimbursement.
Healthcare Operations: I may use and disclose your health information in connection with my healthcare operations. Healthcare operations include things such as quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities.
Your Authorization: In addition to my use of your health information for treatment, payment or healthcare operations, you may give me written authorization to use your health information or to disclose it to anyone for any purpose. If you give me an authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect. Unless you give me a written authorization, I cannot use or disclose your health information for any reason except those described in this Notice.
Required by Law: I may use or disclose your health information when I’m required to do so by law, including judicial and administrative proceedings.
Abuse or Neglect: I may disclose your health information to appropriate authorities if I reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the possible victim of other crimes. I may disclose your health information to the extent necessary to avert a serious threat to your health or safety or the health or safety of others.
Appointment Reminders and Treatment Alternatives: I may use or disclose your health information to provide you with appointment reminders (such as voicemail messages, postcards, or letters) or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Questions and Complaints
If you want more information about my privacy practices or have questions or concerns, please contact me.
If you are concerned that I may have violated your privacy rights, or you disagree with a decision I made about access to your health information or in response to a request you made to amend or restrict the use or disclosure of your health information or to have me communicate with you by alternative means or at alternative locations, you may complain to me in writing using the contact information listed at the top of this Notice.
I support your right to the privacy of your health information. |
Call to schedule an appointment at: 206-790-4976.
