5 Bridges Health and Fitness, 4450 Oakhurst Blvd, Harrisburg PA 17110, (717)-412-0507
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE
REVIEW IT CAREFULLY.
I. OUR PLEDGE REGARDING HEALTH INFORMATION:
Health information about you and your health care is personal. We are committed to
protecting your health information. We create a record of the care and services you receive.
This record is needed to provide you with quality care and to comply with certain legal
requirements. This notice applies to all of the records of your care generated by this
practice. This notice will tell you about the ways in which we may use and disclose your
health information. This notice also describes your rights to the health information kept
about you, and describes certain obligations we have regarding the use and disclosure of
your health information. We are required by law to:
II. HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU:
The following categories describe different ways that we may use and disclose health
information. For each category of uses or disclosures, we will explain what I mean and try to
give some examples. Not every use or disclosure in a category will be listed. However, all of
the ways we are permitted to use and disclose information will fall within one of the
For Treatment Payment, or Health Care Operations: Federal privacy rules (regulations)
allow health care providers who have direct treatment relationship with the patient/client to
use or disclose the patient/client’s personal health information without the patient’s written
authorization, to carry out the health care provider’s own treatment, payment or health care
operations. We may also disclose your protected health information for the treatment
activities of any health care provider. This too can be done without your written
authorization. For example, if a health care provider were to consult with another licensed
health care provider about your condition, we would be permitted to use and disclose your
personal health information, which is otherwise confidential, in order to assist the health
care provider in diagnosis and treatment of your condition.
Disclosures for treatment purposes are not limited to the minimum necessary standard.
Because other health care providers need access to the full record and/or full and complete
information in order to provide quality care. The word “treatment” includes, among other
things, the coordination and management of health care providers with a third party,
consultations between health care providers and referrals of a patient for health care from
one health care provider to another.
Lawsuits and Disputes: If you are involved in a lawsuit, we may disclose health information
in response to a court or administrative order. We may also disclose health information
about your child in response to a subpoena, discovery request, or other lawful process by
someone else involved in the dispute, but only if efforts have been made to tell you about
the request or to obtain an order protecting the information requested.
III. CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION:
IV. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION.
Subject to certain limitations in the law, we can use and disclose your PHI without your
Authorization for the following reasons:
VI. YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI:
EFFECTIVE DATE OF THIS NOTICE
This notice went into effect on February 1, 2023.