Avanti Physical Therapy & Wellness

Effective Date: September 8, 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.

 

Your Information. Your Rights. Our Responsibilities.

This Notice describes how Avanti Physical Therapy & Wellness may use and disclose your protected health information, your rights regarding that information, and our responsibilities under applicable privacy laws.

 

Your Rights

You have certain rights regarding your health information.

 

Get a Copy of Your Medical Record

You may ask to see or receive an electronic or paper copy of your medical record and other health information we maintain about you.

 

We will provide a copy or summary within the timeframe required by law. We may charge a reasonable, cost-based fee when permitted by law.

 

Ask Us to Correct Your Medical Record

You may ask us to correct health information that you believe is incorrect or incomplete.

 

We may deny your request in certain circumstances. If we deny your request, we will explain the reason in writing as required by law.

 

Request Confidential Communications

You may ask us to contact you in a specific way, such as by phone, text, email, or mail, or to communicate with you at a different location.

 

We will accommodate reasonable requests.

 

Ask Us to Limit What We Use or Share

You may ask us not to use or disclose certain health information for treatment, payment, or healthcare operations.

 

We are generally not required to agree to every request.

 

If you pay for a healthcare service completely out of pocket, you may ask us not to disclose information about that service to your health plan for payment or healthcare operations. We will honor that request when required by law unless another law requires us to disclose the information.

 

Receive a List of Certain Disclosures

You may request an accounting of certain disclosures of your health information made during the six years before your request.

 

Certain disclosures are not included, such as many disclosures made for treatment, payment, healthcare operations, or disclosures you specifically authorized.

 

Get a Copy of This Notice

You may request a paper or electronic copy of this Notice at any time.

 

A current copy is also available at avantipt.com.

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Choose Someone to Act for You

If another person has legal authority to act on your behalf, such as a healthcare power of attorney or legal guardian, that person may exercise your health-information rights when appropriate.

 

We may verify that person's authority before taking action.

 

File a Complaint

You may file a complaint with Avanti Physical Therapy & Wellness if you believe your privacy rights have been violated.

 

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

 

Avanti Physical Therapy & Wellness will not retaliate against you for filing a complaint.

 

Your Choices

For certain health information, you may tell us your preferences regarding how your information is shared.

 

You may tell us whether and how we may share information with:

• Family members;

• Friends;

• Caregivers;

• Other individuals involved in your care or payment for your care; or

• Disaster-relief organizations when applicable.

If you are unable to tell us your preference, such as during an emergency, we may share information when we believe doing so is in your best interest and is permitted by law.

 

For certain uses and disclosures, such as marketing or the sale of protected health information, we will obtain your written authorization when required by law.

 

How We May Use and Disclose Your Health Information

We may use and disclose your health information without your written authorization when permitted or required by law.

 

Treatment

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

 

For example, we may share relevant information with your physician, specialist, hospital, home health agency, physical therapist assistant, or other healthcare provider involved in your care.

 

Payment

We may use and disclose your health information to bill for and obtain payment for services provided to you.

 

For example, we may provide information to Medicare or another insurance carrier to process a claim.

 

Healthcare Operations

We may use and disclose health information to operate our practice and improve the quality of services we provide.

 

This may include activities such as quality review, compliance, billing, administrative functions, training, and business management.

 

Public Health and Safety

We may disclose health information when permitted or required for certain public-health and safety purposes, including:

• Preventing or controlling disease;

• Reporting certain diseases or conditions;

• Reporting suspected abuse, neglect, or domestic violence when required or permitted by law;

• Preventing or reducing a serious threat to health or safety;

• Reporting certain adverse events or product-related concerns when required.

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Complying With the Law

We may disclose your health information when federal, state, or local law requires us to do so.

 

Workers' Compensation and Government Requests

We may use or disclose health information as permitted by law for:

• Workers' compensation claims;

• Health oversight activities;

• Certain law-enforcement purposes;

• Military or national-security purposes;

• Other government functions authorized by law.

 

Legal Proceedings

 

We may disclose health information in response to certain court orders, subpoenas, administrative proceedings, or other lawful legal processes.

 

Medical Examiners, Coroners, and Funeral Directors

We may disclose health information to medical examiners, coroners, or funeral directors when permitted by law.

 

Research

We may use or disclose health information for research only when permitted by applicable privacy laws and when required safeguards have been satisfied.

 

Substance Use Disorder Records

Certain substance use disorder records may receive additional protection under federal law, including 42 CFR Part 2.

 

To the extent Avanti Physical Therapy & Wellness receives or maintains information protected under these laws, that information will be used and disclosed only as permitted by applicable law.

 

Protected substance use disorder information generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against a patient unless specifically permitted by law, including when required patient consent or an appropriate court order has been obtained.

 

Our Responsibilities

Avanti Physical Therapy & Wellness is required by law to:

• Maintain the privacy and security of your protected health information;

• Provide you with this Notice describing our legal duties and privacy practices;

• Follow the duties and privacy practices described in the Notice currently in effect; and

• Notify affected individuals following a breach of unsecured protected health information when notification is required by law.

 

We will not use or disclose your health information in ways not described in this Notice unless you authorize us in writing or another law permits or requires the use or disclosure.

 

If you provide written authorization, you may revoke that authorization in writing at any time, except to the extent that we have already acted in reliance on it.

 

Changes to This Notice

Avanti Physical Therapy & Wellness reserves the right to change the terms of this Notice.

 

Any revised Notice may apply to all health information we maintain, including information created or received before the revision.

 

The current Notice will be available upon request and will be made available electronically at avantipt.com.

 

Questions or Complaints

If you have questions about this Notice, wish to exercise your privacy rights, or wish to file a privacy complaint with Avanti Physical Therapy & Wellness, please contact:

 

Privacy Officer: Chelsi Gernat

Avanti Physical Therapy & Wellness

Phone: 706-362-2302

Email: contact@avantipt.com

Website: avantipt.com

Mailing Address: 236 W. Franklin St, Hartwell Georgia 30643

 

You may also file a complaint with the:

U.S. Department of Health and Human Services

Office for Civil Rights

Avanti Physical Therapy & Wellness will not retaliate against you for filing a complaint.