HIPPA Notice of Privacy Practices
Still Waters Occupational Therapy, PLLC
Effective Date: 02/01/2026
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 Responsibilities
Still Waters Occupational Therapy, PLLC is required by law to:
Maintain the privacy and security of your protected health information (PHI)
Provide you with this Notice of our legal duties and privacy practices
Follow the terms of this Notice currently in effect
Notify you if a breach occurs that may compromise the privacy or security of your information
Uses and Disclosures of Protected Health Information
We may use and disclose your protected health information for the following purposes without your written authorization:
Treatment: Information may be used and shared as needed to provide, coordinate, or manage your occupational therapy services, including consultation with other healthcare providers involved in your care.
Payment: Information may be used to obtain payment for services provided, including billing insurance companies or providing documentation for reimbursement.
Healthcare Operations: Information may be used for practice operations such as quality assurance, documentation review, and administrative purposes.
As Required by Law: We may disclose information when required by federal, state, or local law.
Uses and Disclosures Requiring Authorization: Any use or disclosure of your protected health information for purposes other than those listed above will be made only with your written authorization. You may revoke this authorization at any time in writing.
Your Rights Regarding Your Health Information
You have the right to:
Access Your Records: Request to review or obtain a copy of your health records.
Request Amendments: Ask for corrections to your health information if you believe it is incorrect or incomplete.
Request Confidential Communications: Ask that we contact you in a specific way (for example, by email or phone).
Request Restrictions: Request limitations on how your information is used or disclosed (we are not required to agree to all requests).
Receive an Accounting of Disclosures: Request a list of certain disclosures made of your health information.
Receive a Paper Copy of This Notice: You may request a paper copy of this Notice at any time, even if you agreed to receive it electronically.
Electronic Communication and Telehealth
Electronic communication, scheduling, documentation, and telehealth services are conducted through secure, HIPAA-compliant platforms. While reasonable safeguards are in place, no electronic communication can be guaranteed to be completely secure.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Still Waters Occupational Therapy, PLLC
Email: Stillwatersmhot@gmail.com
Phone: (951) 255 9034
You may also file a complaint with the U.S. Department of Health and Human Services. Filing a complaint will not affect your care or result in retaliation.
Changes to This Notice
Still Waters Occupational Therapy, PLLC reserves the right to change this Notice at any time. Any changes will apply to all protected health information maintained and will be posted on this website with an updated effective date.
Acknowledgment
You will be asked to acknowledge receipt of this Notice as part of the intake process.