HIPAA Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.
Effective Date: December 21, 2025
Acceptance of Terms
Federal and state laws require Flow Sports Medicine to maintain the privacy of your Protected Health Information (PHI) and to provide you with this notice of our legal duties and privacy practices regarding your health information.
We are required to abide by the terms of this Notice of Privacy Practices. We reserve the right to change our practices and make the new provisions effective for all protected health information we maintain. If we make material changes, we will provide you with a revised notice.
Protected Health Information (PHI) includes any identifiable information about your health status, provision of health care, or payment for health care that can be linked to you.
How We May Use & Disclose Your Health Information
Treatment
We may use and disclose your health information to provide, coordinate, or manage your healthcare and related services. This includes:
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Consultation between your providers
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Referrals to specialists or other healthcare providers
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Coordination with pharmacies, laboratories, and imaging centers
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Providing prescriptions and medical equipment
Example: We may send your health information to a specialist to whom we have referred you for further evaluation and treatment.
Payment
We may use and disclose your health information to bill and collect payment for services provided. This includes:
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Submitting claims to your insurance company
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Verifying insurance coverage and benefits
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Obtaining pre-authorization for procedures
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Collection activities for past-due accounts
Example: We may send your insurance company information about a procedure you received to obtain payment or verify coverage.
Healthcare Operations
We may use and disclose your health information for operational purposes, including:
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Quality assessment and improvement activities
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Staff training and education programs
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Compliance and regulatory reviews
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Business planning and development
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Customer service and patient satisfaction
Example: We may send your health information to a specialist to whom we have referred you for further evaluation and treatment.
Other Permitted Uses Without Authorization
Appointment Reminders
To remind you about appointments or follow-up care via phone, text, email, or mail.
Treatment Alternatives
To inform you about treatment options or health-related services that may be of interest.
Public Health Activities
To report disease, injury, vital events, and public health surveillance as required by law.
Legal Requirements
When required by federal, state, or local law, including court orders and subpoenas.
Worker's Compensation
To comply with worker's compensation laws and similar programs.
Health & Safety
To prevent serious threats to your health and safety or that of others.
Research
For research studies approved by an institutional review board with proper safeguards.
Coroners & Funeral Directors
To identify deceased persons, determine cause of death, or assist with funeral arrangements
Law Enforcement & Legal Proceedings
We may disclose health information to law enforcement officials for law enforcement purposes, including reporting crimes, locating suspects or missing persons, or complying with court orders. We may also disclose information in response to legal proceedings such as lawsuits or administrative proceedings.
Uses Requiring Your Written Authorization
Authorization Required
For uses and disclosures not described above, we will obtain your written authorization, including:
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Most uses and disclosures of psychotherapy notes
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Use or disclosure of health information for marketing purposes
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Disclosure that constitutes the sale of health information
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Other uses not described in this notice
Right to Revoke Authorization
You may revoke any authorization you provide to us in writing at any time. The revocation will not affect any use or disclosure already made in reliance on your authorization before we received your revocation. If you revoke an authorization, we will no longer use or disclose your health information for the purposes covered by that authorization, except to the extent we have already taken action in reliance on it.
Your Rights Regarding Your Health Information
You have the following rights regarding your protected health information:
1
Right to Inspect and Copy
You have the right to inspect and obtain a copy of your health information. We may charge a reasonable fee for copying and mailing costs.
How to exercise:
Submit a written request to our Privacy Officer. We will respond within 30 days.
2
Right to Amend
If you believe your health information is incorrect or incomplete, you may request an amendment.
How to exercise:
Submit a written request with supporting reasons. We may deny your request in certain circumstances, but will provide you with a written explanation.
3
Right to an Accounting of Disclosures
You may request a list of certain disclosures we made of your health information.
How to exercise:
4
Right to Request Restrictions
You may request restrictions on how we use or disclose your health information. We are not required to agree to your request except in limited circumstances.
How to exercise:
Submit a written request describing the restriction you are seeking. If we agree, we will comply unless the information is needed for emergency treatment.
5
Right to Confidential Communications
You may request that we communicate with you about health matters in a specific way or at a specific location.
How to exercise:
6
Right to a Paper Copy of This Notice
You have the right to receive a paper copy of this notice even if you have agreed to receive it electronically.
How to exercise:
Request a copy from our front desk or Privacy Officer at any time.
7
Right to Be Notified of a Breach
You have the right to be notified if we discover a breach of your unsecured health information.
Our commitment:
We will notify you promptly if a breach occurs that may compromise the privacy or security of your health information.
Filing a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.
File with Flow Sports Medicine:
Contact our Privacy Officer:
Flow Sports Medicine - Privacy Officer
225 Broadway, Suite 1012
NY, NY 10007
Phone: (646) 820-6770
Email: flowsportsmedicine@gmail.com
File with HHS:
Contact the Office for Civil Rights:
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
Questions About These Terms?
If you have questions about these Terms of Service, please contact us:
Flow Sports Medicine
225 Broadway, Suite 1012 NY, NY 10007
Phone: (646) 820-6770
Email: flowsportsmedicine@gmail.com
By using Flow Sports Medicine's services, you acknowledge that you have read, understood, and agree to be bound by these Terms of Service and our Privacy Policy.
Advanced orthopedic and sports medicine care that restores your body's natural flow and performance.
Contact
225 Broadway, Suite 1012
NY, NY 10007
Mon-Fri: 9am-5pm Sat: 9am-2pm
