Ø       How We Will Contact You. 

Unless you tell us otherwise in writing, we may contact you by either telephone or mail.  If you want to request that we communicate to you in a certain way or at a certain location, see “Right to Receive Confidential Communications” on page 7 of this Notice.

Ø       Appointment Reminders.  

We may use and disclose health information about you to contact you to remind you of an appointment for treatment or services.

Ø       Treatment and Service Alternatives.  

We may use and disclose health information about you to contact you about treatment and service alternatives that may be of interest to you.

Ø       Health Related Benefits and Services.  

We may use and disclose health information about you to contact you about health-related benefits and services that may be of interest to you.

Ø       Marketing Communications.  

We may use and disclose health information about you to communicate with you about a product or service to encourage you to purchase the product or service.  This may be:

Þ            To describe a health-related product or service that is provided by us;

Þ            For your treatment;

Þ            For case management or care coordination for you;

Þ            To direct or recommend alternative treatments, therapies, health care providers, or settings of care.

We may communicate to you about products and services in a face-to-face communication by us to you. We also may communicate about products or services in the form of a promotional gift of nominal value.

All other use and disclosure of health information about you by us to make a communication about a product or service to encourage the purchase or use of a product or service will be done only with your written authorization.

Ø       Fundraising.  

We may use and disclose health information about you to raise funds for Gauley River Physical Therapy.  We may disclose health information to a business associate of Gauley River Physical Therapy or a foundation related to Gauley River Physical Therapy so that business associate or foundation may contact you to raise money for the benefit of Gauley River Physical Therapy.  We will only release demographic information, such as your name and address, and the dates you received treatment or services from Gauley River Physical Therapy.  If you do not want to be contacted for fundraising, you must notify Amy Irvin, 704 Professional Park Drive, Suite B, Summersville, WV  26651.

Ø       Disclosures to Family and Others.
We may disclose to a parent/guardian, personal representative, family member, other relative, a close personal friend, or any other person identified by you, health information about you that is directly relevant to that person’s involvement with the services and supports you receive or payment for those services and supports.  We also may use or disclose health information about you to notify, or assist in notifying, those persons of your location, general condition, or death.  If there is a family member, other relative, or close personal friend that you do not want use to disclose health information about you to, please notify Amy Irvin, 704 Professional Park Drive, Suite B, Summersville, WV  26651.      

CONTINUED