HIPAA Notice of Privacy Practices
Play & Beyond Functional Therapy LLC
Felicia De Lima, PT, DPT
Houston, TX 77022
713-346-0654
info@pandbfunctionaltherapy.com
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THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
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In the course of your care as a patient or client with Play & Beyond Functional Therapy LLC, we may use or disclose personal and health-related information about you in the following ways:
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Your personal health information, including your clinical records, may be disclosed to another health care provider or hospital if it is necessary to refer you for further diagnosis, assessment, or treatment.
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Your health care records, as well as your billing records, may be disclosed to another party, such as an insurance carrier, HMO, PPO, or responsible party for payment of services.
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Your name, address, phone number, and health care records may be used to contact you regarding appointment reminders, care alternatives, or other health-related information that may be of interest to you.
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We may provide services in environments where other clients may be present (e.g., group wellness, educational, or therapy sessions). This may involve discussion of general health topics or care in proximity to others. You may request private sessions at any time.
You have the right to confidential communications and to request restrictions related to such contacts. You also have the right to request alternative means or locations for communication. These requests must be made in writing and are not automatic—they require agreement from this office.
If you are unavailable, appointment reminders may be left via voicemail or with a household member.
You have the right to inspect or obtain a copy of your health information used for these purposes. You also have the right to refuse authorization for certain communications; this will not affect your care.
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Permitted Uses Without Authorization
Under federal law, we may use or disclose your health information without your consent in the following circumstances:
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When providing care based on another provider’s orders
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In emergency situations
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When required by law
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When communication barriers exist but care is deemed necessary
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When ordered by a court or appropriate authority
You have the right to receive an accounting of such disclosures.
Any other use or disclosure will require your written authorization.
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Communication & Records
We may communicate with you via phone, email, or text regarding your care or account. While we use HIPAA-compliant systems, electronic communication carries inherent risks. If you prefer not to communicate electronically, notify us in writing.
Sending an email to info@pandbfunctionaltherapy.com implies consent to communicate electronically unless otherwise stated.
You have the right to:
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Inspect or copy your health records (retained per applicable laws)
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Request amendments to your records
Requests must be made in writing.
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Our Responsibility
We make every effort to follow state and federal laws to protect your health information and maintain confidentiality.
We are required to provide you with this notice and abide by its terms while in effect.
Changes to This Notice
We reserve the right to update this notice at any time. Changes will apply to all information we maintain and will be communicated to you as appropriate.
Complaints
If you have a complaint regarding our privacy practices, you may contact:
Felicia De Lima, PT, DPT
Play & Beyond Functional Therapy LLC
felicia@pandbfunctionaltherapy.com
713-346-0654
You also have the right to file a complaint with:
U.S. Department of Health and Human Services – Office for Civil Rights (Texas Region)
(You can submit complaints online, by mail, or email through the OCR regional office serving Texas.)
Your care will not be affected in any way if you file a complaint.
Effective Date
This notice is effective as of January 1, 2026.