Notice of Privacy Practices

Effective Date: January 1, 2026

This Notice describes how we may use and disclose your protected health information (PHI) and how you can access this information. Please review it carefully.

1. Our Legal Duty
   We are required by law to:

Maintain the privacy and security of your PHI
Provide you with this Notice explaining our legal duties and privacy practices
Follow the terms of this Notice (unless we change it, in which case we’ll apply the updated version to all PHI we maintain)

2. How We May Use & Disclose Your Health Information
   We may use or disclose your PHI without your written authorization only for the following purposes:

A. Treatment

To evaluate your condition, develop a plan of care, and provide physical therapy services
To coordinate care with your physician, specialists, or other healthcare providers (e.g., sharing progress notes with your referring doctor)
B. Payment

To bill and collect payment from you, your insurance company, or other third-party payers
To determine eligibility or coverage (e.g., verifying benefits with your insurer)
C. Health Care Operations

For quality improvement, staff training, compliance reviews, or accreditation
To contact you about appointments, treatment reminders, or clinic updates (via phone, email, or mail—unless you ask us not to)
D. Other Permitted or Required Uses
We may also disclose PHI when required by law, such as:

Reporting certain injuries (e.g., suspected abuse or gunshot wounds)
Responding to public health authorities
Complying with court orders or subpoenas
🔒 We will never sell your PHI or use it for marketing without your explicit written authorization.

3. Your Rights Regarding Your Health Information
   Under HIPAA, you have the right to:

Inspect and obtain a copy of your health records (we may charge a reasonable fee for copying)
Request an amendment to your records if you believe information is incorrect or incomplete
Receive an accounting of disclosures (a list of certain non-routine disclosures of your PHI made in the past 6 years)
Request restrictions on how we use or disclose your PHI (we are not always required to agree, but we will consider your request)
Request confidential communications (e.g., ask us to call you only at a specific number or send mail to a different address)
Receive a paper copy of this Notice, even if you agreed to receive it electronically
To exercise any of these rights, submit a written request to our Privacy Officer (contact info below).

4. Complaints
   If you believe your privacy rights have been violated, you may file a complaint:

With us: Contact our Privacy Officer using the information below
With the U.S. Department of Health and Human Services (HHS):
Office for Civil Rights
Website: https://www.hhs.gov/ocr
Phone: 1-800-368-1019
We will not retaliate against you for filing a complaint.

5. Contact Us
   For questions about this Notice or to exercise your rights, please contact:

Privacy Officer
Tee It Up Physical Therapy & Wellness
📞 Phone: 925.577.3815
✉️ Address: 10447 Roselle Street, Suite 1, San Diego, CA 92121

📧 Secure Email: therapy@teeituppt.com

6. Changes to This Notice
   We reserve the right to change our privacy practices and this Notice. Any changes will apply to all PHI we maintain. You may request a current copy at any time.