HIPAA Privacy Policy

Effective Date: September 16, 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.

Revolution Rehab is committed to protecting the privacy of your health information. We follow applicable federal privacy laws, including the Health Insurance Portability and Accountability Act of 1996, commonly known as HIPAA.

1. Our Responsibilities Revolution Rehab is required by law to:

- Maintain the privacy and security of your protected health information

- Provide you with this Notice of Privacy Practices

- Follow the terms of this Notice

- Notify you if a breach occurs that may have compromised the privacy or security of your health information

2. How We May Use and Share Your Health Information We may use or disclose your protected health information for the following purposes:

- Treatment: We may use your health information to provide physical therapy care, rehabilitation services, physical evaluations, customized exercise programs, and follow-up care. Example: We may review your health history, mobility assessments, or medical records to create a plan of care or communicate with a referring physician or orthopedic surgeon.

- Payment: We may use and share your health information to bill and collect payment for services provided. Example: We may share necessary treatment information with your health insurance company, payment processor, or billing service.

Healthcare Operations: We may use and share your health information for practice operations, quality assurance, staff training, scheduling, recordkeeping, and business management. Example: We may use your information to review the quality of care provided or manage patient appointment scheduling.

3. Other Uses and Disclosures Allowed by Law We may also use or disclose your health information when allowed or required by law, including:

To comply with federal, state, or local laws

For public health and safety purposes

To report suspected abuse, neglect, or domestic violence when required by law

To respond to court orders, subpoenas, or legal proceedings

For workers' compensation claims

To health oversight agencies for audits, investigations, inspections, or licensing

To law enforcement when required or permitted by law

To prevent or reduce a serious threat to health or safety

4. Uses That Require Your Written Authorization We will not use or disclose your protected health information for purposes not described in this Notice unless you give us written permission. Your written authorization is generally required for:

Marketing communications when required by law

Sale of protected health information

Sharing information with individuals or organizations not involved in your care, payment, or healthcare operations

You may revoke your authorization in writing at any time, except where we have already acted in reliance on it.

5. Appointment Reminders and Communications We may contact you by phone, text message, email, or mail for appointment reminders, scheduling, follow-up home exercise programs, treatment updates, or practice updates. Because standard email and text messaging may not always be fully secure, please let us know if you prefer a specific confidential communication method.

6. Your Rights Regarding Your Health Information You have certain rights regarding your protected health information:

Right to Access Your Records: You have the right to request access to or a copy of your physical therapy records. We may charge a reasonable, cost-based fee for copies when permitted by law.

Right to Request Corrections: You may request that we correct health information you believe is incorrect or incomplete. We may deny the request in certain legal cases, but we will provide an explanation in writing.

Right to Request Confidential Communications: You may ask us to contact you in a specific way, such as by phone only or at a different mailing address. We will accommodate reasonable requests when possible.

Right to Request Restrictions: You may ask us not to use or share certain health information for treatment, payment, or healthcare operations. If you pay for a service in full out of pocket, you may ask us not to share information about that service with your health insurance plan, unless required by law.

Right to an Accounting of Disclosures: You may request a list of certain disclosures we have made of your health information.

Right to Receive a Copy of This Notice: You have the right to receive a paper or electronic copy of this Notice at any time.

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 directly with Revolution Rehab or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

7. Family Members and Caregivers With your permission, or when appropriate under clinical judgment, we may share relevant health information with a family member, caregiver, or other designated person involved in your care or payment for care.

8. Business Associates We may work with third-party service providers, known as business associates, who assist in operating our practice (e.g., billing companies, scheduling software, electronic medical record vendors). Business associates are legally contractually obligated to protect your health information.

9. Changes to This Notice We may update this Notice from time to time. Any updated version will apply to all health information we maintain and will be posted on our website or made available upon request.

10. Contact Information If you have questions about this Notice of Privacy Practices, wish to exercise your privacy rights, or need to file a privacy complaint, please contact:

Revolution Rehab

Attn: Privacy Officer / Dr. Tyler Kinch, PT, DPT

4981 Plainfield Ave NE

Grand Rapids, MI 49525

Phone: (616) 344-4469