I am happy to provide physical therapy via CPSE. Please see policies below.
Attendance Policy
Attendance matters. Please contact me if the set schedule becomes difficult for you so we can re-arrange. If you need to cancel or re-schedule a visit, please let me know as soon as you know. I use those times to try to schedule make up sessions for other children. If I will be seeing your child at preschool or daycare, please let me know if they will be absent, or if there is a special event at school that might prevent a session from happening.
If I arrive for a scheduled appointment and your child is not available (“No Call, No Show”) the following will occur:
1st time: I will call or text you to re-schedule.
2nd time: I will remind you of this attendance policy.
3rd time: I will contact the district to discuss possible discharge.
Illness Policy
Illness Policy and Procedure for Patients and Providers
If a child is kept home from school or daycare due to illness for a medical reason, the therapist will not be able to provide services that day at home. In the event that the service is canceled, the therapist will discuss/schedule a make up visit for said missed visit if parent/caregiver is in agreement.
Guidelines for Illnesses Requiring Exclusion for Adults (Providers) and Children:
General Information:
Any child who has diarrhea, vomiting or fever, may not be seen until a full 24 hours after the last occurrence of diarrhea, vomiting or fever.
Temperature, oral temperature 100 or greater, rectal temperature 101 or greater, auxiliary (under arm temperature) 100 or greater, accompanied by behavior changes or other signs or symptoms of illness- until medical evaluation indicates inclusion in therapy.
Diarrhea in the previous 24 hours, defined as increased number of stools compared with the child’s normal pattern.
Vomiting in the previous 24 hours unless the vomiting is determined to be due to a non-communicable condition and the child is not in danger of dehydration.
Mouth sores with drooling unless the physician or local health department authority states the child is non-infectious.
Rash with fever or behavior changes, until a physician has determined the illness not to be a communicable disease.
Purulent conjunctivitis defined as a pink or red conjunctiva with white or yellow eye discharge, often with matted eyelids after sleep, and including with eye pain or redness of the eyelids or skin surrounding the eye, until redness is gone from eye.
Infestation (e.g., scabies, head lice) until 36 hours after treatment was begun.
Tuberculosis until physician or local health department authority states the person or child in non-infectious.
Impetigo until 24 hours after treatment was begun.
Streptococcal Pharyngitis (strep throat) until 24 hours after treatment has been initiated and until the child or person has been without fever for 24 hours.
Ringworm infection (tinea capitis, tinea corporis, tinea cruris, and tinea pedis) until 24 hours after treatment was begun.
Varicella (chicken pox) until 6 days after onset of rash or until all lesions have dried.
Shingles only if the sores cannot be covered by clothing or dressing, until the sores have crusted.
Pertussis which is laboratory confirmed, or suspected based on symptoms of the illness, or suspected because of cough onset within 14 days after having face to face contact with a laboratory confirmed case of Pertussis in a household or classroom, until 5 days of appropriate antibiotic (currently erythromycin) has been completed.
Mumps until 9 days after onset of parotid gland swelling.
Hepatitis A virus infection, until one week after Onset of illness or until after immunization has been given to appropriate children/adults and/or family members, as directed by the responsible health department.
Measles until 6 days after the rash appears.
Rubella until 6 days after the rash appears.
Source: American Academy of Pediatrics, & American Public Health Association
HIPAA Policy
HIPAA Notice of Privacy Practices/Privacy Notice (“Notice”)
1. Purpose. This Notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review this Notice carefully. Please note that to provide you with the best possible care and treatment, all professional staff involved in your treatment and employees involved in the health care operations of the Provider may have access to your records. Lift Bridge Physical Therapy, PLLC (“Provider”) is committed to maintaining the privacy of your protected health information ("PHI"), which includes electronic PHI, and which includes information about your medical condition and the care and treatment you receive from the Provider and other health care providers, all in accordance with the provisions of the Health Insurance Portability and Accountability Act and the Health Information Technology for Economic and Clinical Health Act, and their regulations (collectively, the “HIPAA Rules”). This Notice details how your PHI may be used and disclosed to third parties for purposes of your care, payment for your care, health care operations of the Provider, and for other purposes permitted or required by law and the HIPAA Rules. This Notice also details your rights regarding your PHI.
2. What are treatment, payment, and health care operations? The Provider may use and/or disclose your PHI for purposes related to your care, payment for your care, and health care operations of the Provider. In order to provide, coordinate and manage your care, the Provider will provide your PHI to those health care professionals directly involved in your care so that they may understand your medical condition and needs and provide advice or treatment (e.g., a specialist or laboratory). We may use and disclose your medical information to bill and collect payment for treatment and services provided to you. In order for the Provider to operate in accordance with applicable law and in order for the Provider to provide quality and efficient care, it may be necessary for the Provider to compile, use and/or disclose your PHI. For example, the Provider may use your PHI in order to evaluate the performance of the Provider’s personnel in providing care to you. Treatment records may be reviewed as part of an on-going process directed toward assuring the quality of this Provider's operations. Information will not be shared with other providers without a signed exchange of information/authorization form, unless otherwise required by law or permitted to be disclosed without an authorization.
3. How will This Provider use my PHI? Your personal health record will be retained by the Provider for at least six years after your last clinical contact with the Provider, unless a longer time frame is required by law. After that time has elapsed, the record will be destroyed or otherwise maintained in a way that protects your privacy. Until the records are destroyed, they may be used appropriately by the Provider (subject to any disclosure restrictions), for the following purposes without the need for a written authorization from you: a. To provide you with your PHI as well as appointment reminders; b. Notification when an appointment is cancelled or rescheduled; c. To contact you about treatment alternatives or other health benefits or services that may be of interest to you; d. Research. If the Provider is involved in research activities, your PHI may be used, but such use is subject to numerous governmental requirements intended to protect the privacy of your PHI such as approval of the research by an institutional review board and the requirement that protocols must be followed. If the Provider believes you may be interested in, or benefit from, participation in a research study, the Provider and the institutional review board will approve someone to contact you to see if you are interested in the study. At that time, you would receive more information and you would have the right to authorize continued contact or refuse further contact; e. Workers’ Compensation. We may release medical information about you for workers’ compensation or similar programs that provide benefits for work-related injuries or illness; f. Required by Law. If otherwise required by law, but such use or disclosure will be made in compliance with the law and limited to the requirements of the law; g. For public health purposes – such purposes include, for example, information collected by a public health authority, as authorized by law, or to prevent or control disease, injury or disability. This includes reports of child abuse or neglect; h. Health oversight activities, e.g., audits, inspections or investigations of administration and management of the Provider; i. Individuals involved in your care or payment for your care. We may release medical information about you to a friend or family member who is involved in your therapeutic care. In addition, we may disclose medical information about you to another entity assisting in disaster relief efforts so that your family can be notified about your condition, status, and location. If you do not want this information shared, please let us know in writing; j. Lawsuits and disputes for a Judicial and Administrative Proceeding. For example, the Provider may be required to disclose your PHI in response to a court order or a lawfully issued subpoena; k. Law Enforcement Purposes. In certain instances, your PHI may have to be disclosed to a law enforcement official for law enforcement purposes. Law enforcement purposes include: (i) complying with a legal process (i.e., subpoena) or as required by law; (ii) information for identification and location purposes (e.g., suspect or missing person); (iii) information regarding a person who is or is suspected to be a crime victim; (iv) in situations where the death of an individual may have resulted from criminal conduct; (v) in the event of a crime occurring on the premises of the Provider; and (vi) a medical emergency (not on the Provider's premises) has occurred, and it appears that a crime has occurred; l. Law enforcement (e.g., in response to a court order or other legal process) to identify or locate an individual being sought by authorities; about victim of a crime under restricted circumstances; about a death that may be the result of criminal conduct; and about criminal conduct that occurred in the Provider facilities, when emergency circumstances occur relating to a crime; m. To prevent a serious threat to health or safety, the Provider may disclose your PHI if it believes that such disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public and the disclosure is to an individual who is reasonably able to prevent or lessen the threat.; n. To carry out treatment and health care operations functions through medical transcription services; o. Specialized Government Functions. When the appropriate conditions apply, the Provider may use PHI of individuals who are Armed Forces personnel: (1) for activities deemed necessary by appropriate military command authorities; (2) for the purpose of a determination by the Department of Veteran Affairs of eligibility for benefits; or (3) to a foreign military authority if you are a member of that foreign military service. The Provider may also disclose your PHI to authorized federal officials for conducting national security and intelligence activities including the provision of protective services to the President or others legally authorized; p. Business Associate Purposes. To a Business Associate who the Provider contracts with to provide a service necessary for your treatment, payment for your treatment, and health care operations of the Provider; q. Food and Drug Administration (“FDA”). For example, if required by the FDA to report adverse events, product defects, or to enable product recalls; r. Abuse, Neglect, or Domestic Violence. To a government authority if the disclosure is necessary to prevent serious harm or if the Provider believes you have been the victim of abuse, neglect, or domestic violence; s. Coroner/Medical examiner. The Provider may disclose your PHI to a coroner or medical examiner for the purpose of identifying you or determining your cause of death, or to a funeral director as permitted by law; t. Organ Donation. If you are an organ donor, the Provider may disclose your PHI to the entity to whom you have agreed to donate your organs; and u. Inmates. The Provider may disclose your PHI to a correctional institution or law enforcement official if you are an inmate of that correctional facility and your PHI is necessary to provide care and treatment to you or is necessary for the health and safety of other individuals or inmates.
4. Your authorization is required for other disclosures. Except as described previously, we will not use or disclose information from your record unless you authorize (permit) in writing the Provider to do so. You may revoke your permission in writing, which will be effective only after the date of your written revocation.
5. You have rights regarding your PHI. You have the following rights regarding your health information if you make a written request to invoke the right to the Provider. a. Right to request restrictions. You may request limitations on your/your child's PHI as provided by law and the HIPAA Rules. However, the Provider is not obligated to agree to every requested restriction, except to the extent required by the HIPAA Rules or by law. In your written request, you must inform the Provider of what information you want to limit, whether you want to limit the Provider's use or disclosure, or both, and to whom you want the limits to apply. If the Provider agrees to your request, the Provider will comply with your request unless the information is needed in order to provide you with emergency treatment. b. Right to confidential communications. You may request communications in a certain way or at a certain location, but you must specify in writing how or where you wish to be contacted. The Provider will accommodate all reasonable requests; c. Right to inspect and copy your PHI. You have the right to inspect and copy your/your child's PHI regarding decisions about your care. We may charge a fee for copying, mailing, and supplies. Under limited circumstances, your request may be denied; you may request review of the denial. The Provider will comply with the outcome of the review; d. Right to request record clarification/amend your PHI. If you believe that the information we have about you is incorrect or incomplete you may ask to add clarifying information. The Provider is not required to accept the information that you propose if it is not in writing, if you do not provide a reason and support of your request, if the information to be amended was not created by the Provider (unless the individual or entity that created the information is no longer available), if the information is not part of your PHI maintained by the Provider, if the information is not part of the information you would be permitted to inspect and copy, and/or if the information is accurate and complete. If you disagree with the Provider's denial, you have the right to submit a written statement of disagreement. e. Right to accounting of disclosures. You may request a list of the disclosures of your/your child's PHI that have been made to persons or entities other than for treatment or health care operations in the last six (6) years, but not prior to April 14, 2003. The first list you request within a 12 month period will be free, but the Provider may charge you for the cost of providing additional lists in that same 12 month period. The Provider will notify you of the costs involved and you can decide to withdraw or modify your request before any costs are incurred; f. Right to a copy of this Notice. You may request a copy of this Notice at any time, even if you have been provided a copy; g. Right to restrict disclosures. You have the right to restrict disclosures of PHI about you to a health plan where you pay out of pocket in full for the health care item or service; and h. Notification.You have the right to be notified after a breach of your Unsecured PHI.
6. Requirements regarding this Notice. The Provider is providing you with this Notice that governs our privacy practices. The Provider may change its privacy policies or procedures. When changes occur, the changes will be effective for PHI we have about you as well as any information we receive in the future. Any time you come into the Provider facilities for an appointment, you may ask for and receive a copy of the Notice that is in effect at the time.
7. Complaints. You may file a written complaint with the Provider if you believe your privacy rights have been violated. You will not be penalized or retaliated against in any way for making a complaint.
8. Other Requirements. The Provider will maintain the Privacy of your PHI and provide you with this Notice of the Provider’s privacy practices with respect to your PHI. The Provider will make a good faith effort to obtain from you an acknowledgment of receipt of this Notice. The Provider will provide this Notice to you by email if you so request, but you can also obtain a paper copy. This Notice is available on the Provider’s website. You can contact the Provider’s office to obtain more information.