NOTICE OF PRIVACY PRACTICES
Root Holisitic Manual Therapy and Performance, llc understands that your medical and health information, also known as your protected health information (“PHI”), is personal, and is committed to protecting this information. To ensure that the highest level of care is provided and to meet legal requirements, a record of the services and care you receive in the clinic is maintained. This Notice applies to all records of your care generated by Root Holisitic Manual Therapy and Performance, llc.
HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
Root Holisitic Manual Therapy and Performance, llc may use or disclose your PHI in the ways described below without your written authorization.
Treatment. In the course of managing, providing, or coordinating your care, Root Holisitic Manual Therapy and Performance, llc may use and disclose your PHI. These uses and disclosures may occur among therapists, physicians, nurses, technicians, students, and other healthcare professionals who provide services to you or are otherwise involved in your care. Root Holisitic Manual Therapy and Performance, llc may also disclose your PHI to people outside the clinic, such as family members or others involved in your care.
Payment. Root Holisitic Manual Therapy and Performance, llc may use and disclose your PHI to facilitate reimbursement for the healthcare services provided to you.
As Required by Law and for Law Enforcement. Root Holisitic Manual Therapy and Performance, llc may use or disclose your PHI when required to do so by applicable law or in response to a judicial or administrative order.
Public Health Activities and Risks. Root Holisitic Manual Therapy and Performance, llc may disclose your PHI to public health or other authorized government officials for purposes such as reporting births or deaths, reporting suspected abuse or neglect, reporting reactions to medications or product problems, and notifying a person who may have been exposed to a communicable disease or may be at risk of contracting or spreading a disease or condition.
Health Oversight Activities. Root Holisitic Manual Therapy and Performance, llc may disclose your PHI to government agencies for oversight activities authorized by law, including audits, investigations, inspections, licensure actions, disciplinary proceedings, and other activities necessary to monitor the healthcare system, government programs, and compliance with applicable laws.
Appointment Reminders and Health-Related Services. Root Holisitic Manual Therapy and Performance, llc may use and disclose your PHI to contact you about appointments or to tell you about health-related benefits and services that may be of interest to you.
Disclosures to You and for HIPAA Compliance Investigations. Root Holisitic Manual Therapy and Performance, llc may disclose your PHI to you or your personal representative and is required to do so in certain circumstances related to your rights of access and accounting of disclosures. Root Holisitic Manual Therapy and Performance, llc must also disclose your PHI to the Secretary of the United States Department of Health and Human Services when requested for purposes of investigating compliance with HIPAA privacy regulations.
OTHER USES AND DISCLOSURES
Other uses and disclosures of your PHI not described in this Notice will be made only with your written authorization. You may revoke that authorization in writing at any time, subject to certain limitations.
LEGAL DUTIES
Root Holisitic Manual Therapy and Performance, llc is required by law to maintain the privacy of your PHI, provide you with notice of legal duties and privacy practices with respect to PHI, and follow the terms of the Notice currently in effect.
YOUR RIGHTS
You have the following rights regarding your PHI.
Restrictions. You may request restrictions on certain uses and disclosures of your PHI. For example, you may ask that information about a treatment you received not be used or disclosed. To request a restriction, you must submit your request in writing to the Privacy Officer. Your request should describe: (1) what information you want to limit; (2) whether you want to limit use, disclosure, or both; and (3) to whom the restrictions should apply, such as disclosures to a spouse.
Alternative Communications. You have the right to request that communications containing your PHI be sent by alternative means or to alternative locations, such as at a work address instead of your home address. Requests must be made in writing to the Privacy Officer. Root Holisitic Manual Therapy and Performance, llc will accommodate reasonable requests.
Inspect and Copy. In most cases, you have the right to inspect and obtain a copy of the PHI maintained by Root Holisitic Manual Therapy and Performance, llc, provided that your request is made in writing to the Privacy Officer. If you request copies, a reasonable fee may be charged for copying and postage.
Accounting of Disclosures. You generally have the right to request and receive a list of certain disclosures of your PHI made during the six years prior to the date of your request. This list will not include disclosures made for treatment, payment, healthcare operations, disclosures made to you, disclosures made with your authorization, certain disclosures to persons involved in your care, or certain disclosures for national security, intelligence, correctional, or law enforcement purposes. Requests should be submitted in writing to the Privacy Officer.
Right to a Copy of This Notice. You have the right to keep a copy of this Notice. To obtain a paper copy, please contact the Privacy Officer.
Right to File a Complaint. You may file a complaint with Root Holisitic Manual Therapy and Performance, llc if you believe your privacy rights have been violated by submitting a written complaint to the Privacy Officer. You may also file a complaint with the Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.
PRIVACY OFFICER CONTACT INFORMATION
The current Privacy Officer is Jonathan Schehr.
If you have any questions about this Notice, please contact:
email: Jschehrdpt@gmail.com
This Notice was originally published and became effective on April 25, 2026