NOTICE OF PRIVACY PRACTICES

Island Neuro Rehab
Effective Date: 2/23/26
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.
Island Neuro Rehab (“we,” “our,” or “us”) is 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, and follow the terms currently in effect.
1. What Is Protected Health Information (PHI)?
Protected Health Information (PHI) is information that identifies you and relates to your past, present, or future physical or mental health condition, the provision of healthcare to you, or payment for your healthcare services.
2. How We May Use and Disclose Your PHI
We may use or disclose your PHI without your written authorization for the following purposes:
A. Treatment
We may use and disclose your PHI to provide, coordinate, or manage your care.
Example: Sharing information with your physician or another healthcare provider involved in your rehabilitation.
B. Payment
We may use and disclose your PHI to bill and receive payment for services.
Example: Sending information to your insurance company to verify coverage or process claims.
C. Healthcare Operations
We may use your PHI for business activities necessary to operate our clinic.
Examples:

• Quality assessment and improvement

• Staff training

• Licensing and accreditation activities

• Compliance reviews

3. Other Uses and Disclosures Permitted or Required by Law
We may disclose your PHI without authorization in the following situations:

• As required by federal or state law

• Public health activities (e.g., reporting communicable diseases)

• Health oversight activities (e.g., audits or inspections)

• Judicial or administrative proceedings

• Law enforcement purposes

• To avert a serious threat to health or safety

• Workers’ compensation claims

• As required by the Department of Health and Human Services

4. Uses and Disclosures That Require Your Authorization
We will obtain your written authorization for:

• Marketing purposes

• Sale of PHI

• Most disclosures of psychotherapy notes (if applicable)

• Any other use not described in this Notice

You may revoke your authorization at any time in writing.
5. Your Rights Regarding Your PHI
You have the following rights:
A. Right to Inspect and Copy
You may request access to your medical records. We may charge a reasonable fee for copies.
B. Right to Amend
You may request corrections to your PHI if you believe it is incorrect or incomplete.
C. Right to an Accounting of Disclosures
You may request a list of certain disclosures made of your PHI.
D. Right to Request Restrictions
You may request limits on how we use or disclose your PHI. While we are not required to agree to all requests, we will comply when required by law.
E. Right to Confidential Communications
You may request that we contact you in a specific way (e.g., at a different phone number or address).
F. Right to a Paper Copy of This Notice
You may request a paper copy at any time, even if you agreed to receive it electronically.
6. Our Responsibilities
Island Neuro Rehab is required to:

• Maintain the privacy and security of your PHI

• Provide you with this Notice

• Notify you following a breach of unsecured PHI

• Follow the terms of this Notice

We reserve the right to change this Notice and make the revised Notice effective for all PHI we maintain. The updated Notice will be posted in our clinic and on our website.
7. Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Island Neuro Rehab
 
You may also file a complaint with:
U.S. Department of Health & Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: www.hhs.gov/ocr/privacy/hipaa
You will not be retaliated against for filing a complaint.