NOTICE OF PRIVACY PRACTICES
Effective Date: September 1, 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.
The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) is a federal law that protects the privacy of individually identifiable health information.
Amity Point, LLC is required by law to maintain the privacy of your protected health information (“PHI”), provide you with this Notice describing our legal duties and privacy practices, and follow the terms of the Notice currently in effect.
This Notice explains how we may use and disclose your PHI and describes your rights concerning your health information.
For purposes of this Notice, “you” and “your” may refer to the patient or, when legally authorized, the patient's parent, legal guardian, personal representative, or other person acting on the patient's behalf.
YOUR HEALTH INFORMATION
Your PHI may include information that identifies you and relates to your health, health care, or payment for health care.
This information may include:
Notes from your doctor, teacher, or other health care provider;
Medical or developmental history;
Evaluation and assessment results;
Treatment notes;
Therapy records;
Treatment plans and goals;
Progress information;
Insurance information;
Billing information;
Appointment information; and
Other information related to your health care.
We may also create and distribute de-identified health information by removing information that identifies you, as permitted by law.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
We may use or disclose your PHI without your written authorization for purposes permitted or required by law.
Treatment
We may use and disclose your PHI to provide, coordinate, or manage your health care and related services.
For example, Amity Point may use information about your child's condition, evaluation, treatment history, therapy goals, and progress to provide occupational, feeding, and speech therapy services.
Payment
We may use and disclose your PHI to obtain payment for services.
This may include verifying insurance eligibility and benefits, obtaining prior authorization, submitting claims, confirming coverage, billing, collections, utilization review, and communicating with insurance companies or other payers.
Health Care Operations
We may use and disclose PHI for health care operations necessary to operate our practice, including quality assessment and improvement, auditing, staff training, business planning, compliance, cost-management activities, scheduling, and customer service.
Appointment Reminders and Health-Related Communications
We may contact you to provide appointment reminders, scheduling information, treatment alternatives, or information about other health-related benefits and services that may be of interest to you.
Individuals Involved in Your Care
When appropriate and permitted by law, we may disclose relevant health information to a parent, legal guardian, caregiver, family member, or other person identified as being involved in your care or payment for your care.
For pediatric patients, a parent or legal guardian will generally be treated as the patient's personal representative when legally authorized. Applicable federal or state law may limit or affect a parent's or guardian's access to certain information.
Required by Law
We may use or disclose PHI when required by federal, state, or local law.
Public Health
We may disclose PHI for certain public health activities permitted or required by law.
Abuse, Neglect, or Domestic Violence
We may disclose PHI when required or permitted by law to report suspected abuse, neglect, or domestic violence.
Health Oversight
We may disclose PHI to government agencies for activities authorized by law, including audits, investigations, inspections, and licensing activities.
Legal Proceedings
We may disclose PHI in response to a court or administrative order, subpoena, discovery request, or other lawful process when permitted or required by law.
Law Enforcement
We may disclose PHI to law enforcement officials when permitted or required by applicable law.
Serious Threats to Health or Safety
We may use or disclose PHI when necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public, consistent with applicable law.
Workers' Compensation
We may disclose PHI as necessary to comply with workers' compensation laws and similar programs.
Business Associates
We may use third-party companies to perform services on our behalf, such as billing, scheduling, technology, electronic communications, or administrative services.
When these services require access to PHI, we require appropriate protections, including a Business Associate Agreement when required by HIPAA.
USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION
Other than the uses and disclosures described in this Notice or otherwise permitted or required by law, Amity Point will obtain your written authorization before using or disclosing your PHI.
Certain uses and disclosures generally require written authorization, including certain uses or disclosures for marketing purposes and the sale of PHI.
You may revoke an authorization in writing to the extent permitted by law. Revocation does not affect actions already taken in reliance on the authorization.
YOUR RIGHTS
Right to Inspect and Obtain a Copy
You have the right to inspect and obtain a copy of your PHI maintained by Amity Point, subject to applicable law.
Right to Request an Amendment
You have the right to request that we amend PHI that you believe is incorrect or incomplete.
Right to Request Restrictions
You have the right to request restrictions on certain uses and disclosures of your PHI.
We are not required to agree to every requested restriction.
You may also request a restriction on disclosure of PHI to a health plan for payment or health care operations when the information relates solely to a health care service that you or another person has paid for completely out of pocket, when required by HIPAA.
Right to Request Confidential Communications
You have the right to request that we communicate with you about your PHI by alternative means or at alternative locations.
Right to an Accounting of Disclosures
You have the right to request an accounting of certain disclosures of your PHI made by Amity Point, subject to applicable law.
Right to Receive a Copy of This Notice
You have the right to receive a paper copy of this Notice upon request. An electronic copy is also available at www.amitypoint.org.
Right to Choose Someone to Act for You
If you have given someone medical power of attorney or someone is legally authorized to act as your personal representative, that person may exercise your rights and make decisions regarding your PHI to the extent permitted by law.
For pediatric patients, parents and legal guardians may exercise these rights when legally authorized.
Right to File a Complaint
You have the right to file a complaint if you believe your privacy rights have been violated.
You may file a complaint with Amity Point or with the U.S. Department of Health and Human Services, Office for Civil Rights.
Amity Point will not retaliate against you for filing a complaint.
TEXT MESSAGES AND ELECTRONIC COMMUNICATIONS
Amity Point may communicate with patients, parents, guardians, caregivers, and other individuals using telephone calls, voicemail, email, text messages, or other electronic communications.
If you voluntarily provide your mobile telephone number and separately opt in to receive text messages from Amity Point, messages may include:
Appointment reminders;
Appointment confirmations;
Scheduling communications;
Rescheduling or cancellation communications;
Waitlist or appointment availability notifications;
Responses to inquiries;
Customer-care communications;
Administrative communications; and
Other service-related communications you have requested or authorized.
No mobile opt-in information or consent will be shared with third parties or affiliates for their own marketing purposes.
We may use service providers to facilitate communications and other business operations. Such providers may receive information necessary to provide those services and may not use mobile opt-in information for their own independent marketing purposes.
Please do not send highly sensitive medical information through ordinary text messages unless Amity Point specifically instructs you to use that method.
You may opt out of SMS communications at any time by replying STOP.
For assistance, reply HELP or contact 563-223-8404 or amitypointts@gmail.com.
Message and data rates may apply. Messaging frequency may vary.
OUR RESPONSIBILITIES
Amity Point, LLC is required by law to:
Maintain the privacy and security of your PHI;
Provide you with this Notice;
Follow the terms of the Notice currently in effect;
Notify you of certain breaches of unsecured PHI when notification is required by law;
Comply with applicable federal and state privacy laws; and
Not use or disclose your PHI other than as described in this Notice or as otherwise permitted or required by law.
CHANGES TO THIS NOTICE
We reserve the right to change the terms of this Notice.
Any revised Notice will apply to all PHI maintained by Amity Point, subject to applicable law.
The current Notice will be available on our Website and at our office. You may request a paper copy at any time.
QUESTIONS OR PRIVACY CONCERNS
Amity Point, LLC
3906 Lillie Ave, Ste 6
Davenport, IA 52806
Phone: 563-223-8404
Email: amitypointts@gmail.com
Privacy Contact: Amity Point, LLC
HOW TO FILE A COMPLAINT
You may file a complaint with Amity Point by contacting us at:
Amity Point, LLC
3906 Lillie Ave, Ste 6
Davenport, IA 52806
563-223-8404
amitypointts@gmail.com
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
Phone: 1-877-696-6775
Website: https://www.hhs.gov/hipaa/filing-a-complaint/index.html
Amity Point will not retaliate against you for filing a complaint.