Notice of Privacy Practices

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 to Your Privacy

At Progressive Physical Therapy, we understand that your medical information is personal. We are committed to protecting your health information. We create a record of the care and services you receive to provide quality care and to comply with legal requirements.

This notice applies to all of the records of your care generated by our clinic. It describes our legal duties and privacy practices, as well as your rights regarding your Protected Health Information (PHI).

How We May Use and Disclose Your Health Information

We may use and disclose your PHI for the following purposes without your explicit authorization:

For Treatment: We can use your health information and share it with other professionals who are treating you. Example: A physical therapist may share your progress notes with your referring orthopedic surgeon.

For Payment: We can use and disclose your health information to bill and collect payment from you, your insurance company, or third-party payers. Example: We send data about your therapy sessions to your health insurance plan so they will pay for your services.

For Healthcare Operations: We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: We use health information to manage your treatment and services or to evaluate our staff's performance.

Appointment Reminders: We may use and disclose medical information to contact you as a reminder that you have an appointment for treatment or physical therapy.

Other Permitted Uses and Disclosures

We are allowed or required to share your information in other ways that contribute to the public good or safety, such as:

  • Public health and safety issues (preventing disease, reporting adverse reactions)
  • Compliance with state and federal laws
  • Responding to organ and tissue donation requests
  • Working with a medical examiner or funeral director
  • Addressing workers' compensation, law enforcement, and other government requests
  • Responding to lawsuits and legal actions

Your Rights Regarding Your Health Information

When it comes to your health information, you have certain rights:

Get an electronic or paper copy of your medical record: You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record: You can ask us to correct health information about you that you think is incorrect or incomplete. We may say "no" to your request, but we will tell you why in writing within 60 days.

Request confidential communications: You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will say "yes" to all reasonable requests.

Ask us to limit what we use or share: You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say "no" if it would affect your care. If you pay for a service out-of-pocket in full, you can ask us not to share that information with your health insurer, and we will agree unless a law requires us to share it.

Get a list of those with whom we've shared information: You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why.

Get a copy of this privacy notice: You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.

Choose someone to act for you: If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we can in writing. You may change your mind at any time by letting us know in writing.

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

Effective Date: September 22, 2026

Complaints & Contact Information

If you believe your privacy rights have been violated, you can file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

To file a complaint or ask questions, please contact:

Richard S. Leichter, M.A., P.T. — Privacy Officer
Progressive Physical Therapy of NY, PC.
28 North Country Rd., Suite 104
Mt. Sinai, NY 11766
Phone: 631-331-6047
Email: progressivept@optonline.net