
Privacy Policy
NOTICE OF PRIVACY PRACTICES:
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
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MY PRACTICE:
Lisa Iafrate PT, DPT, CEIS provides professional physical therapy services to children under the age of three. When your child receives care from me, I will create a patient record, which can be paper, electronic, or both. The patient record has information about your child’s medical and developmental history, their treatment, and their progress. In some cases, it may also contain sensitive information regarding family social history. As the clinician, I will follow the privacy practices outlined in this notice to ensure your child’s privacy.
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MY PLEDGE REGARDING HEALTH INFORMATION:
I understand that health information about your child’s health care is personal. I am committed to protecting health information about your child. I
create a record of the care and services you receive from me. I need this record to provide your child with quality care and to comply with certain legal requirements. This notice applies to all of the records of your child’s care generated by this practice. This notice will tell you about the ways in which I may use and disclose health information about your child. I also describe your rights to the health information I keep about your child, and describe certain obligations I have regarding the use and disclosure of your child’s health information.
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I am required by law to:
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I am required by law to maintain the privacy and security of your child’s identifying protected health information (“PHI”).
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I must follow the legal duties and privacy practices described in this notice with respect to PHI.
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I must give you a copy of this privacy policy.
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I will not use or share your child’s information other than as described in this policy unless you give me permission in writing. If you give me permission, you may change your mind at any time; please let me know in writing if you change your mind.
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I will let you know promptly if a breach occurs that may have compromised the privacy or security of your child’s information.
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I can change the terms of this notice, and such changes will apply to all information I have about your child; the new notice will be available upon request.
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For more information see: HIPPA Privacy Practices Notice
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HOW I MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOUR CHILD
The following categories describe different ways that I use and disclose health information. For each category of uses or disclosures I will explain what I mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways I am permitted to use and disclose information will fall within one of the categories. As a health care provider, I will not use or disclose your child’s PHI for marketing purposes. Additionally, as a health care provider, I will not sell your child’s PHI in the regular course of my business.
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USES AND DISCLOSURES OF CLINICAL NOTES
I do keep clinical notes and any use or disclosure of such clinical notes requires your authorization except when the use or disclosure is:
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For my use in treating your child.
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I can use your child’s PHI to guide and improve my treatment of your child.
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I can share your child’s PHI with other professionals who are treating your child.
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For my use in running my practice.
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I can use and share your child’s PHI to contact you when necessary.
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To provide you with appointment reminders.
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To bill you for my services.
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I can use PHI to monitor the quality of my care and to make improvements.
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For the facilitation of emergency care.
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In case of emergency, I can provide your child’s PHI to facilitate emergency care through communication with emergency personnel, law enforcement personnel, family, or friends.
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For public health activities as required to help avert a serious threat to the health and safety of others.
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To report suspected abuse or neglect of a child, elder, or dependent adult.
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To report domestic violence.
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To prevent or reduce a serious threat to anyone’s health or safety.
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To prevent disease.
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To help with product recalls.
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To report adverse reactions to medications.
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Required by federal or state law.
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I will share PHI about your child if state or federal laws require it; it will be limited to the relevant requirements of such law.
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I will share PHI with the Department of Health and Human Services if it wants to see that I am complying with federal privacy law.
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For law enforcement purposes.
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This includes reporting crimes occurring on my office premises.
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For health oversight activities.
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This includes audits and investigations.
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For research purposes.
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This includes studying and comparing the patients who received one form of treatment versus those who received another form of treatment for the same condition.
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As required by a coroner who is performing duties authorized by law.
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I can share PHI with a coroner, medical examiner, or funeral director when a patient dies.
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To respond to lawsuits and legal actions.
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I can share PHI about your child in response to a court or administrative order.
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I can share PHI about your child in response to a subpoena, discovery request, or other lawful process.
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For my use in defending myself in legal proceedings.
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To support specialized government functions designed for the following purposes.
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To ensure proper execution of military missions.
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To protect the President of the United States.
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To conduct intelligence or counterintelligence operations.
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To ensure the safety of those working within or housed in correctional institutions.
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YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR CHILD’S PROTECTED HEALTH INFORMATION (PHI):
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The right to ask me to limit the PHI that I share.
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The right to request confidential communication.
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The right to get a copy of your child’s paper or electronic medical record.
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The right to get a list of those with whom I have shared your child’s PHI.
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The right to correct your child’s paper or electronic patient record.
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The right to get a paper or electronic copy of this privacy notice.
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The right to file a complaint if you believe that your child’s privacy rights have been violated.
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You can file a complaint with me if you feel I have violated your child’s rights by contacting me by email at lisa@capecodpediatricpt.com or by phone at (774) 534-2365.
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You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by: sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, or calling (877) 696-6775, or visiting HIPPA Complaints.
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I will not retaliate against you for filing a complaint.
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EFFECTIVE DATE OF THIS NOTICE:
This notice went into effect on 1/18/26.
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