Function Physical Therapy is committed to upholding the security and confidentiality of personal information that you provide to us. We do not share or sell patient information with anyone outside of our office without your written consent. This covers information including personal, financial or health information.
I understand that under the Health Insurance Portability and Accountability Act (HIPPA) I have certain rights to privacy regarding my protected health information. I understand that this information can and will be used to conduct, plan and direct my treatment directly and indirectly, obtain payment from third party payers and conduct normal healthcare operations such as quality assessments and physicians’ certification. I acknowledge that the notice of privacy policies was provided to me to be read and give authorization to Function Physical Therapy, LLC to use and disclose my protected health information for the uses listed to me.