Notice of Privacy Practices
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.
Our Pledge Regarding Medical Information
We are committed to protecting medical information about you. This Notice describes our privacy practices and that of all its employees and staff. This Notice will tell you about the ways in which we may use and disclose medical information about you. It also describes your rights and certain obligations we have regarding the use and disclosure of medical information. We are required by law to:
- Give you this Notice of our legal duties and privacy practices with respect to medical information about you;
- Make sure that medical information that identifies you is kept private;
- Follow the terms of the Notice that is currently in effect; and
- Notify you in writing at the address in your medical record if we learn of a breach of your unsecured medical information held at Everest Medical Care.
How We May Use and Disclose Medical Information About You
The following categories describe different ways we use and disclose medical information. For each category we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.
Treatment. We may use and disclose medical information about you to provide you with medical treatment or services. For example, a specialist we may refer you to may need to know about a treatment you received at our office in order to coordinate other treatments you are receiving. We will use the telephone number you provide us to contact you about testing results or other follow-up to your treatment.
Payment. We may use and disclose medical information about you so that the treatment and services you receive at our office may be billed and payment may be collected from you, an insurance company or a third party. For example, we may need to give your health plan information about services you received at our office so your health plan will pay us or reimburse you for the services. We may contact the guarantor that you list for billing purposes.
Health Care Operations. We may use and disclose medical information about you for our office operations including notifying you of a breach of your medical information. For example, we may use medical information to review our treatment and services and to evaluate the performance of our staff in caring for you.
Appointment Reminders. We may use and disclose medical information to contact you as a reminder that you have an appointment for treatment or medical care at our office.
Treatment Alternatives. We may use and disclose medical information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
Health-Related Benefits and Services. We may use and disclose medical information to tell you about health-related benefits or services that may be of interest to you.
Individuals Involved in Your Care or Payment for Your Care. We may release medical information about you to a close personal friend or family member who is involved in your medical care or payment for your care, so long as you have not objected and it is reasonable for us to infer that such disclosure is in your best interest.
Special Purposes When Permitted or Required by Law. We may disclose medical information about you for special purposes when permitted or required by law, including the following:
To avert a serious threat to health or safety against you, the public or another person.
For public health and administrative oversight activities such as disease control, abuse or neglect reporting, health and vital statistics, audits, investigations, and licensure reviews.
For organ and tissue donation and transplant to facilitate organ or tissue donation and transplant.
For research purposes limited information may be disclosed as permitted by law.
To workers’ compensation or similar programs for the payment benefits for work-related injuries.
To coroners, medical examiners and funeral directors to identify a deceased person, determine cause of death, or to carry out their duties.
To comply with court orders, judicial proceedings, or other legal processes related to law enforcement, custody of inmates, legal and administrative actions, and criminal activity.
For U.S. military and veteran reporting regarding members and veterans of the armed forces of U.S. or foreign military.
For national security and intelligence activities such as protective services for the President and other authorized persons.
State and Other Federal Laws. We will comply with all applicable State and Federal laws. For example, under State law, there are more limits on the disclosure of HIV and AIDS information. We will continue to abide by all applicable state and federal laws.
Other Uses of Medical Information Require an Authorization. Other uses and disclosures of medical information not covered by this Notice or the laws that apply to us will be made only with your written authorization. Specifically these uses require your written authorization:
Marketing to you if Everest Medical Care was paid by the company doing the marketing;
- Selling your health information;
- Uses not specified in this Notice;
- Disclosure to your health plan if you paid in full for your visit.
If you provide us an authorization to use or disclose medical information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose medical information about you for the reasons covered by the written authorization. You understand that we are unable to take back any disclosures we have already made with your authorization, and that we are required to retain our records of the care that we provide to you.
Your Rights Regarding Medical Information About You
You have many rights with regard to your medical information. If you wish to exercise any of these rights, you must submit your request in writing, unless otherwise noted.
Your Right to Inspect and Copy. You have the right to inspect and copy medical information that may be used to make decisions about your care. We may charge a reasonable fee for the costs of copying, mailing or other supplies associated with your request.
Your Right to Amend. If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to add a statement. You must provide a reason that supports your request for an amendment.
Your Right to an Accounting of Disclosures. You have the right to request an “accounting of disclosures.” This is a list of certain disclosures we made of medical information about you. Your request must state a time period. We may limit the time period to 6 years. The first list you request within a 12-month period is free. For additional lists, we may charge you for the costs of providing the list.
Your Right to Request Restrictions. You have the right to request a restriction or limitation on the medical information we use or disclose about you. For any services for which you paid out-of-pocket in full, we will honor any request you make to restrict information about those services from your health plan, provided that such release is not necessary for your treatment. In all other circumstances, we are not required by law to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.
Your Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. If we maintain medical information about you in electronic format, you also have the right to obtain a copy of such information in electronic format and to direct us to transmit such information directly to an entity or person clearly, conspicuously, and specifically designated by you. We will not ask you the reason for your request. You may make this request in writing or verbally.
Right to Paper Copy of this Notice. Your have the right to a paper copy of this Notice. You may ask us to give you a copy of this Notice at any time.
Right to File a Complaint. If you believe your privacy rights have been violated, you may file a complaint with us. You may also file a complaint directly with the Secretary of the Department of Health and Human Services. You will not be penalized in any way for filing a complaint.
Everest Medical Care will use your email address only for communications related to past and future clinic visits, billing, and customer service. We do not provide your email address to third parties except in direct support of these communications. You can opt out of email communications at any time by emailing webmaster@EverestMedicalCare.com or calling our customer service line at (610) 565-2987.
Changes to This Notice
We reserve the right to change this Notice. We reserve the right to make the revised or changed Notice effective for medical information we already have about you as well as any information we receive in the future.
Privacy Notice Contact Information
For questions about this Privacy Notice, contact:
Everest Physical Therapy & Rehabilitation, Privacy Officer
6787 Market Street – Suite 101
Upper Darby, PA 19082
Phone 610-563-2987
The transmission and receipt of information contained on this website, in whole or in part, or communication with Everest Physical Therapy & Rehabilitation via the Internet or email through this website, does not constitute or create a medical provider and patient relationship. You should not send confidential information via this webpage. The information, software, products, and services included in or available through this web site may include inaccuracies or typographical errors. Changes are periodically added to this website. Everest Physical Therapy & Rehabilitation and/or its suppliers may make improvements and/or changes in the Everest Physical Therapy & Rehabilitation web sites at any time. Advice received via the Everest Physical Therapy & Rehabilitation web sites should not be relied upon for personal, medical, legal or financial decisions. You should consult an appropriate professional for specific advice based on your situation.
Everest Physical Therapy & Rehabilitation and/or its suppliers make no representations about the suitability, reliability, availability, timeliness, and accuracy of the information, software, products, services and related graphics contained on Everest Physical Therapy & Rehabilitation web sites for any purpose. To the maximum extent permitted by applicable law, all such information, software, products, services and related graphics are provided ‘as is’ without warranty or condition of any kind. Everest Physical Therapy & Rehabilitation and/or its suppliers hereby disclaim all warranties and conditions with regard to this information, software, products, services and related graphics, including all implied warranties or conditions of merchantability, fitness for a particular purpose, title and non-infringement.
To the maximum extent permitted by applicable law, in no event shall Everest Physical Therapy & Rehabilitation and/or its suppliers be liable for any direct, indirect, punitive, incidental, special, consequential damages or any damages whatsoever including, without limitation, damages for loss of use, data or profits, arising out of or in any way connected with the use or performance of the Everest Physical Therapy & Rehabilitation web sites, with the delay or inability to use the Everest Physical Therapy & Rehabilitation web sites or related services, the provision of or failure to provide services, or for any information, software, products, services and related graphics obtained through the Everest Physical Therapy & Rehabilitation web sites, or otherwise arising out of the use of the Everest Physical Therapy & Rehabilitation web sites, whether based on contract, tort, negligence, strict liability or otherwise, even if Everest Physical Therapy & Rehabilitation or any of its suppliers has been advised of the possibility of damages. Because some states/jurisdictions do not allow the exclusion or limitation of liability for consequential or incidental damages, the above limitation may not apply to you. If you are dissatisfied with any portion of any of the Everest Physical Therapy & Rehabilitation web sites, or with any of these terms of use, your sole and exclusive remedy is to discontinue using the Everest Physical Therapy & Rehabilitation web sites.
