April 15, 2024

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.

 Smart Move Physical Therapy, LLC (Smart Move PT) values its users’ privacy. This Privacy Policy (“Policy”) will help you understand how we collect and use personal or medical information and how you can get access to this information. Our Policy has been designed and created to ensure those affiliated with Smart Move Physical Therapy, LLC of our commitment and realization of our obligation not only to meet, but to exceed, most existing privacy standards.

Your Rights:

You possess the following rights regarding the health information we maintain about you. This section delineates your rights and provides guidance on how to exercise them. You have the right to:

Request Restrictions on Information Use or Sharing:

You may request that we refrain from utilizing or sharing specific health information for treatment, payment, or our operational purposes. It’s essential to note that we may not be obligated to comply with these requests if they could potentially impact your care.

If you pay for a service or health care item out-of-pocket in full, you can request that we do not share that information for the purpose of payment or our operations with your health insurer. Such requests will be honored unless legally mandated otherwise.

Request Confidential Communications:

You have the right to ask us to contact you via a specific method (e.g., your work phone) or to send mail to a different address. We are committed to honoring all reasonable requests.

Obtain an Electronic or Paper Copy of Your Medical Record:

You may request to inspect or receive electronic or paper copies of your medical record and other health information we maintain about you.

We aim to provide a copy or a summary of your health information within 30 days of your request, and we may charge a reasonable, cost-based fee.

Request Correction or Amendment of Your Medical Record:

You have the right to ask us to correct any health information about you that you believe to be inaccurate or incomplete. While we reserve the right to deny your request, we will inform you in writing, typically within 60 days of your request. To request an amendment, your request must be made in writing and submitted to the Privacy Officer.

Obtain a List of Those With Whom We’ve Shared Your Information:

You may ask us for a list (accounting) of instances where we have shared your health information for six years prior to the date you ask, detailing the recipients and reasons for sharing.

We will include all disclosures except for those about treatment, payment, or health care operations, and certain other disclosures. We will provide one accounting per year for free but may charge a reasonable, cost-based fee if you request another one within 12 months. To request this list of disclosures, you must submit your request in writing to the Privacy Officer.

Obtain a Copy of This Privacy Notice:

You can request a paper copy of this notice at any time, even if you have previously agreed to receive it electronically. We will promptly provide you with a paper copy upon request.

Designate a Representative:

If you have given someone medical power of attorney or if someone is your legal guardian, that person (your “personal representative”) can exercise your rights and make choices about your health information.

If someone has been appointed to act for you, a copy of the document appointing that person must be provided to us. We will make reasonable efforts to verify that the person has the authority and can act for you before we take any action.

Our Responsibilities:

We are mandated by law to maintain the privacy and security of your protected health information.

We will promptly inform you if a breach occurs that may have compromised the privacy or security of your information.

It is our obligation to adhere to the duties and privacy practices described in this Notice and provide you with a copy of it. Your information will not be used or shared beyond the parameters outlined herein unless you provide us with written permission. You retain the right to change your mind at any time by informing us in writing.

Changes to This Notice:

We reserve the right to modify this notice, with any revisions or amendments being applicable to both existing and future health information. A current copy of the notice will be posted at our facility.

The effective date of the notice will be prominently displayed on the first page. Additionally, each time you register for treatment or healthcare services, you will be offered a copy of the current notice in effect. This notice is also available at www.smartmovept.us

Filing a Complaint:

If you believe your privacy rights have been violated or if you have questions regarding this notice, please contact the Privacy Officer at or email info@smartmovept.org.

Alternatively, you may file a complaint with the Office of Civil Rights, US Department of Health and Human Services, Hubert H. Humphrey Building, 200 Independence Avenue, SW, Room 509F, Washington, D.C. 20201. Filing a complaint will not impact the treatment or services you receive.

To initiate any of the aforementioned actions, please contact us using the information provided at the end of this Notice. You may have to complete a form and submit your request in writing. For example, to request an amendment of your record, you must fill out a form.

How Smart Move PT May Use and Share Your Health Information:

We may, without your written permission, use your health information within Smart Move PT and share or disclose your health information to others outside Smart Move PT for treatment, payment, and healthcare operations.

For Treatment: We may use your personal health information to provide you with health care treatment or services. We may share your health information with doctors, nurses, PTA, health students, or other personnel who are involved in your care.

Payment: Providers, Employee Plans and Affiliated Health Plans all use and disclose PHI to obtain and provide reimbursement for the provision of health care to patients and health plan members. We also use and disclose PHI to obtain premiums or determine or fulfill our responsibilities for coverage and provision of benefits under the plans. Examples of these payment activities include: billing, claims management, collections activities, and administration of reinsurance, stop loss and excess loss insurance policies, as well as related data processing; making eligibility, coverage, medical necessity, and related determinations, coordinating benefits among various payors, recovering payments from third parties liable for coverage; risk adjustment; utilization review activities, and disclosures to consumer reporting agencies. We may use or disclose PHI in connection with payment activities with or without your consent.

For Health Care Operations: We may employ your health information to support our operational activities aimed at enhancing the quality and efficiency of care. For instance, we may utilize health information to assess the effectiveness of our treatments and services, as well as to evaluate the performance of our staff in attending to your needs. Furthermore, we may utilize your health information to communicate with you regarding scheduled or canceled appointments, updates to registration or insurance information, and billing or payment matters, using the contact information you have provided.

Additional Scenarios for Utilization or Disclosure of Your Personal Health Data: Smart Move PT reserves the right to utilize or divulge your personal health data to various entities without necessitating your explicit consent, usually in the interest of broader public welfare such as public policy formulation and research endeavors. Before proceeding with any information sharing, Smart Move PT is obligated to comply with the stipulations delineated in privacy legislation. Examples include.

Research: In certain situations, we may use and share medical details about you for research objectives or reach out to you regarding potential participation in research initiatives. For instance, one research endeavor might entail comparing the health progress of patients with akin conditions who underwent distinct treatments. On occasion, your explicit consent may be necessary prior to sharing your data for research pursuits. Should your data be utilized, the researcher is committed to upholding its confidentiality.

Group Health Plan/Plan Sponsors: We may permit a health insurance provider working with us to share summary health information with a plan sponsor for diverse objectives, such as obtaining premium quotations, adjusting, revising, or discontinuing the group health scheme, and conducting plan management tasks.

As Required by Law: We will disclose your health information when mandated by federal, state, or local law, such as reporting instances of abuse, neglect, domestic violence, or certain physical injuries.

To Avert a Serious Threat to Health or Safety: We may use and disclose your health information when necessary to prevent a serious threat to your health, safety, or that of the public or another individual. However, any disclosure will only be made to individuals capable of mitigating the threat.

Military and Veterans: If you are a member of the military or a veteran, we may release your health information to authorized authorities to fulfill their legal duties.

Workers Compensation: Health information about you may be released for worker’s compensation or similar programs aimed at providing benefits for work-related injuries or illnesses.

Individuals Involved in Your Care or Payment for Your Care: Health information may be disclosed to family members, relatives, or close personal friends assisting in your care or contributing to payment for your care, limited to information necessary for those purposes.

Public Health Risks: Information about you may be disclosed for public health activities, including disease prevention, product recalls, and reporting adverse reactions to medications or problems with products.

Health Oversight Activities: Health information may be disclosed to health oversight agencies for activities authorized by law, such as audits, investigations, inspections, and licensure, necessary for monitoring the healthcare system and compliance with civil rights laws.

Lawsuits and Disputes: Health information about you may be disclosed in response to court or administrative orders, subpoenas, discovery requests, or other lawful processes in which you are involved. Efforts will be made to inform you about such requests or obtain an order protecting the requested information.

Law Enforcement: Health information may be released in response to requests from law enforcement officials, such as reporting injuries as required by law or complying with court orders, subpoenas, or similar processes.

National Security and Intelligence Activities: Health information about you may be disclosed to authorized federal officials for intelligence, counter-intelligence, protective services for the President of the United States and other national security activities authorized by law.

Inmates: If you are incarcerated or under the custody of law enforcement officials, health information about you may be disclosed to the correctional institution or law enforcement official.

Additional Utilizations of Health Information: Any further utilization or divulgence of health information not addressed in this notice or pertinent regulations will necessitate your written consent. This encompasses disclosures involving the sale of your health data or disclosures associated with marketing, except for in-person interactions and lawful promotional gifts of minimal value. If you grant us permission to utilize or disclose your health information, you retain the right to revoke that authorization in writing at any time. Nonetheless, it’s crucial to understand that we cannot retract disclosures that have already been made with your consent or those mandated to uphold records of the care dispensed to you.

Acknowledgment of Receipt of this Notice: We will request that you sign a separate form or notice acknowledging that you have been offered a copy of this notice. If you are unable to sign, a staff member may sign their name and date on your behalf. This acknowledgment will be filed with your records.

How to Contact Us

If you have any questions or concerns regarding the Privacy Policy Agreement related to our website, please feel free to contact us at the following email, telephone number or mailing address.

Email: info@smartmovept.org

Telephone Number: +1 609 249 4588

Mailing Address: Smart Move Physical Therapy, LLC 1675 Whitehorse Mercerville Rd, Suite 101 Hamilton, New Jersey 08619