Mobility Rx Physical Therapy
Effective Date: October 1, 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.
If you have questions about this Notice or your privacy rights, please contact:
Mobility Rx Physical Therapy
Privacy Contact
906 Glenneyre St.
Laguna Beach, CA 92651
Phone: (949) 494-2046
Email: info@mobility-rx.com
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you exercise them.
You may ask to see or obtain an electronic or paper copy of your medical record and other health information we maintain about you.
We will provide a copy or summary of your health information within the timeframe required by applicable law. We may charge a reasonable, cost-based fee as permitted by law.
You may ask us to correct health information about you that you believe is incorrect or incomplete.
We may deny your request in certain circumstances, but if we do, we will explain the reason in writing as required by law.
You may ask us to contact you in a specific way, such as only at a particular telephone number, or to send mail to a different address.
We will accommodate reasonable requests as required by law.
You may ask us not to use or disclose certain health information for treatment, payment, or healthcare operations. We generally are not required to agree to these requests unless otherwise required by law.
If you pay for a healthcare service or item out-of-pocket in full, you may ask us not to disclose information about that service or item to your health plan for purposes of payment or healthcare operations. We will honor that request unless applicable law requires us to disclose the information.
You may request an accounting of certain disclosures of your health information made during the period permitted by law.
The accounting generally will not include disclosures for treatment, payment, or healthcare operations or certain other disclosures excluded by law.
We will provide one accounting within a 12-month period without charge. We may charge a reasonable, cost-based fee for additional requests during the same period as permitted by law.
You may request a paper copy of this Notice at any time, even if you agreed to receive the Notice electronically. We will provide a paper copy promptly.
If you have given someone medical power of attorney, have a legal guardian, or have another person legally authorized to act as your personal representative, that person may exercise your rights and make choices about your health information as permitted by law.
We will verify that the person has appropriate authority before taking action.
You may file a complaint directly with Mobility Rx Physical Therapy using the contact information listed above.
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
Mobility Rx Physical Therapy will not retaliate against you for filing a complaint.
For certain health information, you may tell us your preferences regarding what we share.
You may tell us your preferences regarding:
Sharing information with family members, close friends, caregivers, or others involved in your care or payment for your care.
Sharing information in a disaster relief situation.
If you are unable to communicate your preference, such as during an emergency, we may share information if we determine that doing so is in your best interest and is permitted by law. We may also disclose information when necessary to lessen a serious and imminent threat to health or safety.
Unless otherwise permitted by law, we will obtain your written authorization before using or disclosing your health information for:
Marketing purposes that require authorization.
The sale of your health information.
Most uses and disclosures of psychotherapy notes, if applicable.
If you authorize us to use or disclose your information, you may revoke that authorization in writing at any time, except to the extent that action has already been taken in reliance upon it.
We may use and disclose your health information to provide, coordinate, and manage your healthcare.
For example, we may share relevant information with a physician or other healthcare professional involved in your care.
We may use and disclose your health information to operate our practice, improve the quality of our services, conduct quality review and compliance activities, train staff, manage our operations, and contact you when necessary.
We may use and disclose your health information to bill for services and obtain payment from health plans, insurers, and other responsible parties.
We may use Business Associates, including billing, technology, administrative, scheduling, and other service providers, to perform services on our behalf. When Business Associates receive protected health information from us, they are required to appropriately safeguard that information as required by applicable law and their agreements with Mobility Rx Physical Therapy.
We may also use or disclose your health information when permitted or required by law for purposes including:
We may disclose health information for certain public health and safety activities, such as:
Preventing or controlling disease.
Reporting adverse events or product problems.
Reporting suspected abuse, neglect, or domestic violence when permitted or required by law.
Preventing or reducing a serious threat to health or safety.
We may disclose information to health oversight agencies for activities authorized by law, including audits, investigations, inspections, licensing, and disciplinary activities.
We may use or disclose health information for research when permitted by applicable law and when applicable legal requirements have been satisfied.
We may disclose information when state or federal law requires us to do so, including disclosures to the U.S. Department of Health and Human Services to demonstrate our compliance with federal privacy laws.
We may use or disclose health information as authorized or required for workers’ compensation claims and similar programs established by law.
We may disclose health information for certain law enforcement purposes, government functions, national security activities, or other purposes when authorized or required by law.
We may disclose health information to a coroner, medical examiner, or funeral director as permitted by law.
We may disclose health information to organ procurement organizations or similar entities as permitted by law.
We may disclose health information in response to a valid court or administrative order, subpoena, discovery request, or other lawful process when the requirements of applicable law have been satisfied.
To the extent Mobility Rx Physical Therapy creates, receives, or maintains substance use disorder patient records protected by 42 CFR Part 2, additional federal confidentiality protections may apply.
When those protections apply, we will use and disclose those records in accordance with applicable federal law.
Part 2-protected records generally may not be used or disclosed in civil, criminal, administrative, or legislative investigations or proceedings against a patient unless permitted by applicable law, including where appropriate patient consent or the required court order and subpoena have been obtained.
If Part 2-protected information is used for fundraising communications, we will provide any notice and choice required by applicable law.
We are required by law to maintain the privacy and security of your protected health information.
We must follow the duties and privacy practices described in the Notice currently in effect.
We will notify you as required by law if a breach occurs that may have compromised the privacy or security of your protected health information.
We will not use or disclose your information other than as described in this Notice unless you authorize us to do so in writing or another use or disclosure is permitted or required by law.
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 upon it.
Mobility Rx Physical Therapy may change the terms of this Notice and its privacy practices.
Changes may apply to health information we already maintain as well as information we receive in the future.
When we materially revise this Notice, the updated Notice will be available upon request, at our office, and on our website.
If you have questions about this Notice, wish to exercise your privacy rights, or wish to make a privacy complaint, contact:
Mobility Rx Physical Therapy
Privacy Contact
906 Glenneyre St.
Laguna Beach, CA 92651
Phone: (949) 494-2046
Email: info@mobility-rx.com
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
Mobility Rx Physical Therapy will not retaliate against you for exercising your privacy rights or filing a complaint.
This Notice describes how your medical information may be used and disclosed and how you can access this information. Please review it carefully.
We are required by law (HIPAA) to maintain the privacy of your protected health information (PHI) and provide this notice of our legal duties and practices.
Treatment: To provide, coordinate, or manage your healthcare.
Payment: To obtain reimbursement from insurance or other payers.
Healthcare Operations: For management, quality review, staff training, and compliance.
As Required by Law: Certain disclosures may be mandated (public health, legal proceedings, law enforcement).
Access: You may request copies of your health records.
Amendment: You may request corrections to your records.
Restrictions: You may request limitations on how your PHI is used or shared.
Confidential Communications: You may request communications by alternative means (e.g., only by mail).
Accounting of Disclosures: You may request a list of certain disclosures we have made.
Complaints: You may file a complaint with us or with the U.S. Department of Health and Human Services if you believe your rights have been violated.