NOTICE OF PRIVACY PRACTICES

Foundation Physical Therapy, PLLC

Effective Date: July 19, 2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY.

Foundation Physical Therapy, PLLC is committed to protecting the privacy and confidentiality of your medical information. Federal law requires us to maintain the privacy of your Protected Health Information (PHI), provide you with this Notice of Privacy Practices, and follow the terms of the notice currently in effect.

This notice explains how we may use and disclose your health information, your rights regarding that information, and our legal responsibilities.

Our Commitment to Your Privacy

Your health information belongs to you. We understand the sensitive nature of your medical information and are committed to protecting its confidentiality.

We maintain physical, electronic, and administrative safeguards designed to protect your information from unauthorized access, use, or disclosure.

What Is Protected Health Information (PHI)?

Protected Health Information (PHI) includes information that identifies you and relates to:

  • Your past, present, or future physical or mental health

  • Healthcare services you receive

  • Payment for healthcare services

Examples include:

  • Evaluation findings

  • Treatment notes

  • Medical history

  • Diagnostic information

  • Insurance information

  • Billing records

  • Appointment history

  • Communications regarding your care

How We May Use and Disclose Your Information

Federal privacy laws allow us to use and disclose your health information without obtaining your written authorization in certain situations.

Treatment

We may use and share your health information to provide, coordinate, and manage your healthcare.

Examples include:

  • Performing physical therapy evaluations

  • Developing treatment plans

  • Documenting progress

  • Coordinating care with physicians or other healthcare providers

  • Referring you to specialists when appropriate

Payment

We may use or disclose your information to obtain payment for services provided.

Examples include:

  • Billing Medicare or other insurance plans

  • Verifying eligibility

  • Processing payments

  • Collecting outstanding balances

  • Providing superbills when requested

Healthcare Operations

We may use your information to operate and improve our practice.

Examples include:

  • Quality improvement

  • Clinical training

  • Compliance activities

  • Risk management

  • Audits

  • Business planning

  • Licensing and accreditation

Business Associates

We work with trusted companies that help us operate our practice.

These may include:

  • Electronic Medical Record (EMR) providers

  • Billing companies

  • IT support services

  • Cloud storage providers

  • Secure communication vendors

These organizations are legally required to safeguard your health information under HIPAA Business Associate Agreements.

Appointment Reminders

We may contact you regarding:

  • Appointment reminders

  • Missed appointments

  • Follow-up care

  • Scheduling changes

Communication may occur by:

  • Telephone

  • Voicemail

  • Text message

  • Email

  • Secure patient portal messaging

Treatment Alternatives and Health-Related Services

We may contact you about:

  • Recommended follow-up care

  • New services offered by our practice

  • Health education

  • Wellness information related to your treatment

You may opt out of non-essential communications at any time.

Individuals Involved in Your Care

Unless you object, we may share relevant information with:

  • Family members

  • Caregivers

  • Individuals involved in your healthcare

Only information directly relevant to their involvement will be shared.

Uses Required or Permitted by Law

We may disclose your information when required by federal or state law, including:

  • Public health reporting

  • Abuse or neglect reporting

  • Court orders

  • Law enforcement requests

  • Health oversight agencies

  • Workers' compensation

  • Coroners or medical examiners

  • Organ donation organizations

  • National security activities

  • Military authorities when applicable

Uses Requiring Your Written Authorization

Certain uses of your information require your written authorization.

These generally include:

  • Marketing communications (except where otherwise permitted by law)

  • Most disclosures not described in this Notice

  • Sale of Protected Health Information (which we do not engage in)

You may revoke your authorization at any time in writing, except to the extent action has already been taken.

Your Rights

You have the right to:

Inspect and Obtain Copies

You may request copies of your medical records and billing information.

Reasonable fees may apply where permitted by law.

Request Corrections

If you believe your medical information is inaccurate or incomplete, you may request an amendment.

We may deny certain requests as permitted by law, but you will receive a written explanation.

Request Restrictions

You may request restrictions on certain uses or disclosures of your information.

While we will consider every request, we are not always required to agree.

Confidential Communications

You may request that we communicate with you using alternative methods or at alternative locations.

For example:

  • Cell phone only

  • Work phone only

  • Email

  • Secure portal messaging

We will accommodate reasonable requests whenever possible.

Receive an Accounting of Disclosures

You may request a list of certain disclosures we have made of your Protected Health Information.

Certain disclosures are excluded by law.

Obtain a Paper Copy

You have the right to receive a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

Receive Electronic Copies

When available and appropriate, you may request an electronic copy of your records.

Our Responsibilities

Foundation Physical Therapy, PLLC is required by law to:

  • Maintain the privacy of your Protected Health Information

  • Provide this Notice

  • Notify affected individuals following a breach of unsecured Protected Health Information when required by law

  • Follow the terms of this Notice

Patient Portal

Our secure patient portal provides convenient access to:

  • Appointment scheduling

  • Home exercise programs

  • Secure messaging

  • Billing information

  • Other patient services

The patient portal is protected using industry-standard security measures. Patients are encouraged to protect their usernames and passwords.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Foundation Physical Therapy, PLLC

Dr. Bradley Ala - Owner/CEO

165 Academy St, Presque Isle, ME 04769

Phone: [Business Phone]

You may also file a complaint with:

U.S. Department of Health and Human Services

Office for Civil Rights

You will not be retaliated against for filing a complaint.

Changes to This Notice

Foundation Physical Therapy, PLLC reserves the right to revise this Notice at any time.

Any revised Notice will apply to all Protected Health Information maintained by our practice and will be made available upon request and on our website, if applicable.

Contact Information

Foundation Physical Therapy, PLLC

Presque Isle, Maine

Phone: [Business Phone]

Website: foundationptmaine.com