Written Statement of Information Practices

Collection of Personal Health Information

We collect your personal health information directly from you, or from the person acting on your behalf. Examples of the type of personal health information that we may collect, may include, your name, date of birth, address, health history, records of your visits to ‘Acute Injury Massage’ and details of the treatment you received during your visits. We may sometimes collect personal health information about you from other sources, if we have obtained your consent to do so, or if the law permits.

Uses and Disclosures of Personal Health Information

We may use and disclose your personal health information for the following purposes:

• Treat and care for you;

• Receive or directly invoice for your treatment and care (e.g. auto insurance, legal requests from an attorney, etc);

• Plan, administer and manage our internal operations;

• Conduct risk management and quality improvement activities;

• Teach;

• Compile statistics;

• Comply with legal and regulatory requirements;

• Fulfill other purposes permitted or required by law.

Your Rights

You may access and correct your personal health records, or withdraw your consent for some of the above uses and disclosures (subject to legal exceptions) by contacting our office.