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Notice Of Privacy Practices

Applied Physiologics – Physical Therapy Services
Effective Date: 04/03/2026

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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION.

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Please review it carefully.

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1. Who This Notice Applies To

This Notice applies only to clinical physical therapy services provided by Applied Physiologics.

It does not apply to:

  • Non-clinical performance training services

  • General website use

  • Informational or educational content

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2. Our Commitment to Your Privacy

We are required by law to:

  • Maintain the privacy of your Protected Health Information (PHI)

  • Provide you with this Notice of our legal duties and privacy practices

  • Follow the terms of this Notice

PHI includes information about your health, treatment, and payment for services that can identify you.

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3. How We May Use and Disclose Your Information

We may use or disclose your PHI for the following purposes:

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A. Treatment

We may use your PHI to provide, coordinate, or manage your care.

Examples:

  • Developing treatment plans

  • Communicating with you about your condition

  • Consulting with other healthcare providers (with your consent when required)

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B. Payment

We may use your PHI to:

  • Process payments

  • Provide invoices or receipts

  • Verify coverage (if applicable)

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C. Healthcare Operations

We may use your PHI to:

  • Improve services

  • Maintain records

  • Conduct administrative activities

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D. Required by Law

We may disclose PHI when required by federal, state, or local law.

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E. Public Health and Safety

We may disclose PHI when necessary to:

  • Prevent serious threats to health or safety

  • Report abuse, neglect, or domestic violence (as required by law)

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F. With Your Authorization

We will obtain your written authorization for uses or disclosures not covered above.

You may revoke authorization at any time in writing.

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4. Telehealth and Communication

Physical therapy services may be delivered via telehealth.

You acknowledge that:

  • Electronic communication carries some inherent privacy risks

  • We take reasonable steps to use secure platforms when appropriate

  • You may request alternative communication methods when available

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5. Your Rights Regarding Your Information

You have the following rights regarding your PHI:

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A. Right to Access

You may request copies of your records.

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B. Right to Amend

You may request corrections to your information if you believe it is inaccurate.

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C. Right to Restrict

You may request limits on how your PHI is used or disclosed.

We may not be required to agree to all requests.

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D. Right to Confidential Communications

You may request that we communicate with you in a specific way (e.g., email vs phone).

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E. Right to an Accounting of Disclosures

You may request a list of certain disclosures of your PHI.

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F. Right to a Copy of This Notice

You may request a paper or electronic copy of this Notice at any time.

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6. Our Responsibilities

We are required to:

  • Maintain appropriate safeguards for your PHI

  • Notify you in the event of a breach of unsecured PHI

  • Follow the practices described in this Notice

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7. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services.

You will not be penalized for filing a complaint.

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8. Changes to This Notice

We reserve the right to update this Notice.

Any changes will apply to all information we maintain and will be posted with a revised effective date.

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9. Contact Information

For questions or concerns:

Applied Physiologics
Email: michael@appliedphysiologics.com
Website: appliedphysiologics.com

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