This notice describes how medical information about you may be used or disclosed and how you can get access to information.  Please review it carefully.

Under federal law, Goldsboro Physical Therapy & Wellness has a legal duty to protect and maintain your privacy, including your personal health information (PHI) in accordance with the HIPAA Privacy Rule.  Our primary goal is to provide you with the highest quality care and, at the same time, preserve your privacy. We promise to limit the use of your personal health information (PHI). 

Uses and Disclosures of Health Information

Goldsboro PT & Wellness uses your personal health information primarily for providing quality treatment and to obtain payment for treatment. Our support staff may use your personal information to conduct administrative duties to provide you with the best care. For example, we may be required to fax an evaluative report to your referring physician to notify your doctor of the therapist’s findings or of your progress. We may also use your personal health information for evaluating the quality of care that we provide. For example, our therapist may ask another therapist a clinical question about your condition or review your chart to ensure that the therapist is documenting your functional progress clearly. We also provide information when required by law.

In any other situation such as using your information for marketing purposes, our policy is to obtain your written authorization.  At any time, you have the right to revoke your consent in writing, which would stop future disclosures.

Goldsboro PT & Wellness has the right to make changes to this policy at any time. If changes are made to our policy, we will provide you with a new Notice and replace our current posted Notice in the lobby. You may also request an updated copy of our Notice of Patient Information Practices at any time.

What are my Individual Rights?

You have the right to review and edit any incomplete or inaccurate information of your records, and request a copy of your personal health information at any time. You have the right to request a list of instances where we have disclosed your personal health information for reasons other than treatment, payment or other related administrative purposes.

You can request in writing that we not use or disclose your personal health information for treatment, payment or administrative purposes except when specifically authorized by you. Goldsboro PT & Wellness will consider each reasonable request on a case by case basis, and respond to your request(s) in writing. 

Who do I call with questions or concerns?

If you are concerned that Goldsboro PT & Wellness may have violated your rights to protect your personal health information or if you have questions about our policies, please contact our Office Manager listed below:

Goldsboro Physical Therapy & Wellness

Lori Grady, Office Manager

2503 Wayne Memorial Drive, Goldsboro, NC 27534

Telephone: (919) 734-1311 Fax: (919) 734-8816

You may also contact the U.S. Department of Health and Human Services in writing with concerns or complaints.