HIPAA Notice of Privacy Practices

NOTICE OF PRIVACY PRACTICES

Date updated: April 2026

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.

Our Commitment

Mbody Physical Therapy and Wellness is required by law to maintain the privacy of your protected health information (PHI), to provide you with this Notice of our legal duties and privacy practices, and to notify you following a breach of unsecured PHI.

How We May Use and Disclose Your Health Information

Treatment: We may use and disclose your PHI to provide, coordinate, or manage your care. For example, your physical therapist may share relevant information with another clinician on our team involved in your treatment.

Payment: We may use and disclose your PHI to bill and receive payment for services. This may include submitting claims to insurance companies or verifying coverage.

Healthcare Operations: We may use and disclose your PHI for internal operations such as quality assessment, staff training, and administrative functions necessary to run our practice.

Other Permitted Disclosures: We may also disclose your PHI without your authorization when required by law, including for public health activities, law enforcement purposes, workers’ compensation, or in response to a court order.

Uses and Disclosures Requiring Your Authorization

Any use or disclosure of your PHI not described above — including most uses for marketing purposes or the sale of your PHI — requires your written authorization. You may revoke an authorization at any time in writing.

Your Rights Regarding Your Health Information

You have the right to:

• Request Restrictions: Ask us to limit how we use or disclose your PHI. We are not required to agree, but if we do, we are bound by that agreement.

• Receive Confidential Communications: Request that we contact you by a specific method or at a specific location.

• Inspect and Copy Your PHI: Request access to your health records. We may charge a reasonable fee for copies.

• Request Amendments: Ask us to correct or add information to your health record if you believe it is inaccurate or incomplete.

• Receive an Accounting of Disclosures: Request a list of certain disclosures we have made of your PHI.

• Receive a Paper Copy of This Notice: You may request a paper copy at any time, even if you have received this notice electronically.

Breach Notification

We are required by law to notify you in the event of a breach of your unsecured PHI.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized for filing a complaint.

To file a complaint with us:

hello@mbodyptandwellness.com | (805) 750-0209

To file with HHS:

www.hhs.gov/ocr/privacy/hipaa/complaints

Changes to This Notice

We reserve the right to change this Notice and to make the new Notice effective for all PHI we maintain. The current Notice will always be posted on our website.