STRIDE PHYSIO, PLLC
HIPAA Notice of Privacy Practices for Personal Health Information
This notice describes how medical information about you may be used and disclosed and how you can get
access to this information. Please review it carefully.
Dear Stride Physio Patient:
This is your Health Information Privacy Notice from Stride Physio. Your are receiving this notices as
mandated by law to inform you of the policies and procedures employed by this clinic and its staff in order
to ensure the privacy of your Personal Health Information (PHI). This notice also describes your rights
with respect to you PHI and how you can exercise those rights. PHI includes individually identifiable
health information in any form, including information transmitted orally, or in written or electronic form.
We are required by law to:
1. Notify patients about their privacy rights and how their PHI can be used.
2. Adopt and implement privacy procedures.
3. Train employees so that they understand the privacy procedures.
4. Designate an individual responsible for ensuring that privacy practices are adopted and followed.
5. Secure patient records containing individually identifiable health information.
Permitted Uses and Disclosures
The HIPAA Privacy Rule generally requires that we make reasonable efforts to limit the use or disclosure
of, and requests for, PHI to the minimum necessary to accomplish the intended purpose. We may
use/disclose your PHI without consent in the following cases:
1. Treatment: The provision, coordination or management of health care and related services
among health care providers or by health care provider with a third party, consultations between
health care providers regarding a patient, or the referral of a patient by one health care provider
to another.
2. Payment: The various activities of health care providers to obtain payment or be reimbursed for
their services and of a health plan to obtain premiums, to fulfill their covered responsibilities, and
to obtain or provide reimbursement for the provision of health care. This includes determining
eligibility or coverage under a plan, adjudicating claims, billing and collection activities and
justification of charges.
3. Health Care Operations: Administrative, financial, legal and quality improvement activities
necessary to run our business including quality assessments, review of competence and
qualifications of health care workers, accreditation, conducting or arranging for medical review,
legal and auditing services and business management.
Your PHI may also be used/disclosed to inform you of health related products or services provided by
Stride Physio, alternative treatments or therapies, or in any communications made during a face to face
encounter with you.
Special Uses and Disclosures
Your PHI may be used/disclosed without your authorization in the following special circumstances;
Law enforcement activities.
Public health risks or activities.
Reports to appropriate authorities concerning victims of abuse, neglect or domestic violence.
Health oversight activities and government benefit programs.
Judicial and administrative proceedings (court order, warrant, and court subpoena for relevant
information.
Emergency situations with serious threats to health or safety.
