Your privacy is important to us.
Notice of Privacy Practices
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.
1) Uses and Disclosures
We will use your protected health information (PHI) for the purposes of treatment, payment and health care operations.
Treatment includes the disclosure of health information to other providers who have referred you for services or are involved in your care. This may include doctors, nurses, technicians and other physical therapists. For example, we may feel that a patient post-stroke we are treating would benefit from an evaluation by a speech-language pathologist to address a swallowing difficulty. The health information we share with the speech-language pathologist would be considered a treatment related disclosure.
Payment includes the disclosure of health information to your insurance company, including Medicare and Medicaid, so payment can be obtained for services rendered. Your insurance company may make a request to review your medical record to determine that your care was necessary.
Health Care Operations includes the utilization of your records to monitor the quality of care being given at our facility or for business planning activities.
Other Special Uses
Our practice may use your PHI to send you an appointment reminder, to inform you of our other health-related products and services, or to request a contribution to our charitable activities.
Uses and Disclosures Required by Law
The federal health information privacy regulations either permit or require us to use or disclose your PHI in the following ways: we may share some of your PHI with a family member or friend involved in your care if you do not object, we may use your PHI in an emergency situation when you may not be able to express yourself, and we may use or disclose your PHI for research purposes if we are provided with very specific assurances that your privacy will be protected. We may also disclose your PHI when we are required to do so by law, for example by court order or subpoena. Disclosures to health oversight agencies are sometimes required by law to report certain diseases or adverse drug reactions.
We may use and disclose health information about you to avert a serious threat to your health or safety or the health or safety of the public or others. If you are in the Armed Forces, we may release health information about you when it is determined to be necessary by the appropriate military command authorities. We may also release information about you for workers’ compensation or other similar programs that provide benefits for work-related injury or illness.
Your authorization is required before your PHI may be used or disclosed by us for other purposes.
Notification in the Case of a Breach: [re+active] is required by law to notify our patients in case of a breach of their unsecured protected health information when it has been or is reasonably believed to have been accessed, acquired, or disclosed as a result of a breach.
For Marketing Communications: We may use or disclose your health information to identify health-related services and products that may be beneficial to your health and we may contact you about these services and products. All marketing requires an authorization, except face-to-face, prescription refill and general health reminders, and governmental notices. If there is reimbursement above costs from a third party whose product or services is being marketed, authorization is required. No authorization is required for communications promoting health in general that do not promote a product or service from a particular provider, such as communications promoting healthy activity or communications about government and government-sponsored programs.
We may use the contact information you provide, including your mobile phone number, to send you important updates related to appointments, treatment plans, educational resources, and services offered by Re active Physical Therapy and wellness. By providing your mobile phone number and opting in to receive text messages, you consent to receive SMS communications from us. Message and data rates may apply. You may opt out of receiving text messages at any time by replying STOP to any message or by contacting us using the information provided in this Privacy Policy.
We do not sell your mobile phone number to third parties. We use reasonable safeguards to protect the information you share with us.
2) Your Privacy Rights
Restrictions
You have the right to request restrictions on how your PHI is used, however, we are not required to agree with your request. If we do agree, we must abide by your request.
Our patients have a right to a restriction to disclosure of PHI to a health plan for payment if the patient has paid in full for the series and items provided in that visit.
Confidential Communications
You have the right to request confidential communication from us at a location of your choosing. This request must be in writing.
Access to PHI
You have the right to request a copy of your medical record. You must make this request in writing and we may charge a fee to cover the costs of copying and mailing. Information held electronically must be provided in electronic form if requested by the patient.
Amendments
You have the right to request an amendment be made to your PHI, if you disagree with what it says about you. This request must be made in writing. If we disagree with you, we are not required to make the change. You do have the right to submit a written statement about why you disagree that will become part of your record. We may not amend parts of your medical record that we did not create.
Accounting of Disclosures
After September 23, 2013, you have the right to request an accounting of the disclosures made in the previous six years. These disclosures will not include those made for treatment, payment, or health care operations or for which we have obtained authorization.
Complaints
If you feel that your privacy rights have been violated, you have the right to make a complaint to us in writing without fear of retaliation. Your complaint should contain enough specific information so that we may adequately investigate and respond to your concerns. If you are not satisfied with our response, you may complain directly to the Secretary of Health and Human Services.
Our Duty to Protect Your Privacy
We are required to comply with the federal health information privacy regulations by maintaining the privacy of your PHI. These rules require us to provide you with this document, our Notice of Privacy Practices. We reserve the right to update this notice if required by law. If we do update this notice at any time in the future, you will receive a revised notice when you next seek treatment from us.
[re+active] reserves the right to change the terms of this Notice at any time, and the changes will be effective immediately and will apply to PHI that we maintain. Any material changes to the Notice will be promptly posted in our facilities and posted to our website. Our patients will be given a copy of the latest version of the Notice at their next visit or by contacting the Privacy Officer identified below.
Privacy Contact
If you would like more information about our privacy practices or to file a complaint you may contact:
Name: Julie Hershberg
Address: [re+active] physical therapy and wellness, 300 Continental Blvd. Suite 150 El Segundo, CA 90245
Phone: 424-225-1845
Effective Date:
This Notice will take effect on July 6th, 2026