Privacy Policy

(Updated January 22, 2024)

We are pleased you have chosen Origin Physical Therapy (FL), PLLC, Origin Physical Therapy (CA), Inc., Clampett Physical Therapy (NY), PLLC, Sullivan Physical Therapy, LLC, Origin Physical Therapy (NJ), LLC, Fiat Physical Therapy, LLC, To The Core Physical Therapy & Conditioning, LLC, and / or The Origin Way, Inc. (individually or collectively referred to herein as "Origin") for your needs. Origin engages with independent doctors of physical therapy (each a “Professional” or collectively “Professionals”) to provide certain physical therapy services (“Services”).

THIS NOTICE OF PRIVACY PRACTICES (“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.

Uses and Discloses of Your Medical Information

For Treatment: We may use medical information about you to provide, coordinate, or manage your health care and any related treatment or services to include the coordination or management of your health care with a third party. For example, your protected health information may be provided to a health care provider to whom you have been referred to ensure the necessary information is accessible to diagnose or treat you. For Payment: We may use and disclose medical information about you so that the treatment and services you receive at our practice may be billed to and payment may be collected from you, an insurance company, or a third party. This may include certain activities that your health insurance plan may undertake before it approves or pays for your services, such as: making a determination of eligibility or coverage for insurance benefits and reviewing services provided to you for medical necessity. For Health Care Operations: We may use and disclose health information about you to support the business activities of our health care practice. These activities include, but are not limited to, improving quality of care, providing information about treatment alternatives or other health-related benefits and services, development or maintaining and supporting computer systems, legal services, and conducting audits and compliance programs, including fraud, waste and abuse investigations. We may de-identify or aggregate your PHI as part of these operations, at which point this Notice will no longer apply.

For Individuals Involved in Your Care or Payment for Your Care: We may release medical information about you to a friend or family member who is involved in your medical care. As Required By Law: We will disclose medical information about you when required to do so by federal, state, or local law. For Abuse or Neglect Reporting: We may use and disclose medical information as required or as permitted by federal and state law. To Avert a Serious Threat to Health or Safety: We may use and disclose medical information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. For Military and Veterans: If you are a member of the armed forces, we may release medical information about you as required by military command authorities. For Worker’s Compensation: We may release medical information about you for workers’ compensation or similar programs. For Public Health Risks: We may disclose medical information about you for public health activities. For Health Oversight Activities: We may disclose medical information to a health oversight agency for activities authorized by law. For Research: For the purposes of research approved by an institutional review board or for the acquisition of grants. For state and federal health oversight activities: As required, we may release medical information to professional licensing and review boards. For Lawsuits and Disputes: If you are involved in a lawsuit or a dispute, we may disclose medical information about you in response to a court or administrative order. For Law Enforcement: We may release medical information if asked to do so by law enforcement officials. For Coroners, Medical Examiners, and Funeral Directors: We may release medical information to a coroner, medical examiner, and funeral directors.

Technology

We may use software and equipment, including, but not limited to, email, video conference software, internet communication, facsimile and other related technology to share your PHI as described in this Notice. We take measures to safeguard the data transmitted over these technologies as well as to ensure its integrity against breach or corruption. Due to circumstances beyond our control, security protocols could fail. If this occurs, we will take steps to prevent any further breach or corruption and notify you if your medical information is impacted.

Your Rights regarding Your Medical Information

Your Right to Inspect and Copy: To inspect and copy certain portions of your medical information, you must submit your request in writing to in person at any of our locations or through email at info@theoriginway.com. Under certain circumstances, we may deny your request to inspect and copy your medical information. If you are denied access to medical information, we will provide a written explanation regarding that denial. Your Right to Amend: If you feel that medical information we have about you is incorrect or incomplete, you may request an amendment in writing. If we deny your request for modification, we will provide you with a written explanation within 30 days from your request. Your request may be denied with no further explanation if you do not include a reason to support the request.

Your Right to an Accounting of Disclosures: You have the right to request in writing, a list accounting for any disclosures of your medical information we have made, except for uses and disclosures for treatment, payment, and health care operations, as previously described. 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 treatment, payment, or health care operations. Your request must be in writing and state the specific restriction requested and to whom you want the restriction to apply. We are not required to agree to your request, except if the requested restriction is on a disclosure to a health plan for a payment or health care operations purpose regarding a service that has been paid in full out-of-pocket. Your Right to Request Confidential Communications: You consent to the use of email for communications with Origin which may not be HIPAA compliant. You have the right to request in writing that we communicate with you about medical matters in a certain way or at a certain location. Your Right to a Paper Copy of This Notice: You have the right to a paper copy of the Notice currently in effect at any time.

CHANGES TO THIS NOTICE: We reserve the right to change this notice and to make the revised Notice effective for protected health information we already have about you as well as any information we receive in the future. Any changes to this Notice will be effective immediately upon posting of the changed Notice on our website or at our facility. You agree to periodically review this Notice, and your continued use of the Services offered by Origin constitutes your agreement to follow and be bound by this Notice.

COMPLAINTS: If you have any questions about this Notice, to receive copy of this Notice, to exercise your rights under this Notice, or to file a complaint about your privacy rights, you may contact our Privacy Officer by emailing security@theoriginway.com or at:

Origin

1321 Upland Dr.

PMB 19899

Houston, Texas 77043

Additionally, you may also file a complaint with the Secretary of Health and Human Services by visiting U.S. Department of Health & Human Services - Office for Civil Rights (hhs.gov) or by sending a letter to:

Department of Health and Human Services, Office for Civil Rights

200 Independence Avenue, S.W., Room 509 HHH Bldg.

Washington, D.C. 20201, calling 1-877-696-6775.

You may also contact the state board governing the treating provider (for example the Board of Physical Therapy).

We will not retaliate against you for filing a complaint.

We must follow the duties and privacy practices described in this Notice. We will maintain the privacy of your protected health information and to notify affected individuals following a breach of unsecured protected health information. If you have any questions about this Notice, please contact us at 214-856-7922 and ask to speak with our Privacy Officer or email info@theoriginway.com.

OTHER USES OF MEDICAL INFORMATION: 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. If you provide us authorization to use or disclose your medical information, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. Any prior uses and disclosures will not be affected.