PlayRx (referred to as “we”) is required by federal law to provide you with this Notice about your rights and our legal duties and privacy practices with respect to your personal medical information. This Notice also describes your rights to access and control of your protected information. “Protected Health Information” (PHI), is information about you, including demographics that may identify you and that relates to your past, present and future physical or mental and related health care services. We must follow the terms of this Notice while it is in effect. Some of the uses and disclosures described in this Notice may be limited in certain cases by applicable state laws that are more stringent than federal standards.

We have the right to use or disclose your personal medical information to facilitate the payment of your covered health expenses involved in your treatment. The following examples illustrate some of the ways we may use your information:

•  PHI is shared between PlayRx and therapists assigned to your child so that your child’s assigned        therapists have information relevant and necessary to the provision of services.
• To process claims or be reimbursed by another insurer that may be responsible for payment
•  To conduct quality assessment activities or administrative activities, including utilization reviews and audits

We must use or disclose your personal medical information:

•  When required to do so by law or to you
• To you or your designated representative upon request

We may use or disclose your personal medical information:

• To government oversight agencies for activities authorized by law
• In response to a court or administrative order, a subpoena, a discovery request or other lawful process.
•  To a law enforcement official in response to a warrant or similar process; to identify or locate a suspect; or to provide information about the victim of a crime
•  For research purposes, provided certain measures have been taken to protect your privacy
• When necessary to prevent serious threat to your health and safety or the health & safety of the public or another person
•  To public health agencies to prevent or control disease, injury or disability

Other uses or disclosures of your personal medical information will be made only with your written authorization, unless otherwise permitted or required by law. You may revoke authorization at any time in writing, except to the extent that we have already acted on the information disclosed or if we are permitted by law to use the information to contest a claim or coverage of treatment.

•  To review or obtain copies of your personal medical records.  If services are established, you will have access to all medical chart documents.
• To request a listing of disclosures of your personal medical information. The list will not include our disclosures related to reimbursement, normal operations involving services, disclosures made to you or with your authorization, or certain other disclosures, such as for national security purposes. Your request for a listing of disclosures must be made in writing and must state a time for which you want an accounting. This time may not be longer than six years and may not include dates before April 14, 2003. The first listing of disclosures that you request within a 12-month period will be free.
• To request that we restrict or limit how we use or disclose your personal medical information for payment or health care operations. We may not agree to your request. If we do, we will comply with your request unless the information is needed for an emergency. Your request for a restriction must be made in writing & must clearly state (1) that all or part of the communication from us could endanger you & (2) how or where you wish to be contacted. We will accommodate reasonable requests.
• To receive a copy of this Notice.

You may exercise any of the rights described above by contacting our office. If you believe that your privacy rights have been violated, you may file a complaint with us and/or the Secretary of the Department of Health and Human Services. All complaints must be made in writing and sent to the privacy office listed at the beginning of this Notice. We will not retaliate against you or penalize you for filing a complaint.

Your personal medical records are either kept electronically and are password protected and/or they are kept in locked cabinets behind locked doors in the office of PlayRx.  There may be instances when your child is receiving medical services at Clinic or Daycare that other children/parents may see your child receiving these services.  In accordance with HIPAA, no discussion of your child’s identity, therapy records, or progress will be discussed in front of such visitors.  Your child’s identity and progress may be discussed with their classroom teacher and their daycare director in instances when therapy techniques are applicable to be used or carried over into the classroom to assist in overall progress.