Privacy Notice

Myo Therapies LLC

Notice of Privacy Practices

To our Clients:

Our practice is dedicated to maintaining the privacy of your health information. We understand that health information about you is very sensitive. We will not disclose your information to others unless you ask us to or unless the law authorizes or requires disclosure. This notice describes how health information about you, as a client of this practice, may be used or disclosed and how you can get access to your health information. This notice is required by the Privacy Regulations created as a result of the Health Insurance Portability and Accountability Act of 1996 (HIPPA).

Washington State and Federal laws protect the privacy of the health information about you. These laws allow us to use and disclose your health information for your care, for our practice and for payment of your care such as, sharing information to obtain payment from your health plan or insurance provider.

Here are some examples of these uses and disclosures that do not require your authorization:

Caring for you:

  • Information we get from other health care professional will be put in your medical record and use to decide what kind of care you need.

  • We may share this information with other health care professionals to help them decide the right care for you.

  • We may use your information to tell you about treatment alternatives or other health-related benefits and services.

Health care operations:

  • We use or disclose your information:

To improve the quality of my services and your care.

To review the qualifications and performance of health care professionals.

To conduct training programs.

To remind you about your appointments.

  • We may use and disclose your information to your health plan or insurance so they can judge the quality of my care.

  • We may use and disclose your information for accounting, legal, risk management, and insurance services to us.

  • We may use and disclose your information for audits, including fraud and abuse detection and compliance programs.

Obtaining Payment

  • When we send a bill to a health plan, they need information from us about your care. Information given to health plans may include your diagnoses and care given or recommended.

Your Rights

You have the right to:

  • Receive this Notice, read it, and ask questions about it.

  • Request in writing a restriction or a limit of our use and disclose of your health information for treatment, payment, or health care operations. Additionally, you have the right to request that we restrict our disclosure of your health information to certain individuals involved in your care or the payment for your care, such as family members and friends. We are not required to agree to your request: however, if we do agree, we are bound by our agreement except when otherwise required by law, in emergencies, or when information is necessary to treat you. Request must be made in writing.

  • Our practice will obtain your written authorization for uses and disclosures that are not identified in this notice or by applicable law.

  • Receive a copy of the most current Notice of Privacy Practices at any time.

  • Inspect and obtain a copy of the heath information that may be used to make decisions about you, including patient medical records and billing records. Request must be made in writing.

  • Ask us to amend your health information if you believe it is incorrect or incomplete. Request must be made in writing. This request must include reason for change. You may write a statement of disagreement if we deny request to change health information.

  • Ask that your health information be given to you in a particular way or at a specific location. For example, you may ask that we contact you at home, rather than work. This request must be in writing.

  • File a complaint with our practice if you believe your privacy rights have been violated. You may file a complaint with our practice or with the U.S. Secretary of the Department of Health and Human Services.

Our Responsibilities

We are required to:

  • Protect the privacy of your health information.

  • Give you this Notice.

  • Follow the terms of this Notice.

We have the right to change our privacy practices. If we make changes we will up date this Notice. You may receive the most recent copy of this Notice from our office.

Notice to Family and Others

Unless you object, we may give health information about you to a friend or family member who is involved in you health care. We may also give information to someone who helps pay for your care. We may tell your family or friends your condition and that you are in a hospital. In addition, we may disclose health information about you to assist in disaster relief efforts. You have the right to object to this use or disclosure of your information. If you object, We will not disclose your health information.

We do not need your permission to use and disclose health information about you:

  • To public health authorities and health oversight agencies that are authorized by law to collect information such as the Department of Health.

  • For public health and safety reasons allowed or required by law. Necessary to reduce or prevent a serious threat to your health and safety or the health and safety of another individual of the public. We will only make disclosures to a person or organization able to help prevent the threat.

  • For health care research that complies with laws that protect your privacy.

  • To report suspected abuse or neglect.

  • To law enforcement purposes such as when a crime is being committed or when you have been a victim of certain crimes.

  • To comply with workers compensation laws or similar programs.

  • To correctional institutions or law enforcement officials if you are under the custody of a law enforcement official, as necessary for your health and the health and safety of others.

  • To comply with judicial and administrative proceedings such as a subpoena or administrative court order.

  • To Food and Drug Administration officials relating to problems with food, supplements and products.

  • To military authorities of U.S. And foreign military personnel (including veterans) as legally required by appropriate authorities.

  • To federal officials for intelligence and national security activities as authorized by law.

  • For disaster relief purposes.

  • To funeral directors and coroners to allow them to carry out their duties.

  • To organ donation programs.

For any reason not listed in this Notice, We will only use and disclose your health information as allowed or required by law or your written authorization.

To Ask for Help or Complain

Myo Therapies regards your health information and history very seriously. We understand your right and desire for privacy. Be assured that we will not unnecessarily disclose any information about you.

If you have question, want more information, or want to report a problem about the handling of your health information. Please contact: Carl Radeck LMP, PBP tel: 253-232-5858

A complaint may also be filed with the U.S. Secretary of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.

All written submissions and request should be mailed to:

Myo Therapies LLC

3601 A St

Tacoma, WA 98418


©2013 Myo Therapies LLC 9/2013