Notice of Privacy Practices

Effective Date: May 26, 2026

Elite Physical Therapy & Performance
33487 Harper Ave.
Clinton Township, MI 48035
Phone: (586) 388-0016

This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

This notice applies to protected health information maintained by Elite Physical Therapy & Performance in connection with treatment, payment, health care operations, and other purposes permitted or required by law.

Your Information. Your Rights. Our Responsibilities.

When you receive care from Elite Physical Therapy & Performance, we may create or receive health information about you. This may include information about your condition, treatment, evaluation, therapy plan, progress, insurance, billing, and related care.

We are required by law to maintain the privacy and security of your protected health information, provide you with this notice, follow the practices described in this notice, and notify you if a breach occurs that may have compromised the privacy or security of your information. HHS describes these duties as part of the HIPAA Privacy Rule for covered providers.

Your Rights

When it comes to your health information, you have certain rights. You may contact our office for help exercising these rights.

Get an Electronic or Paper Copy of Your Medical Record

You can 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 of your health information, usually within the time required by law. We may charge a reasonable, cost-based fee where permitted.

Ask Us to Correct Your Medical Record

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

We may deny your request in certain circumstances, but we will explain our decision in writing.

Request Confidential Communications

You can ask us to contact you in a specific way, such as by phone, email, mail, or at a different address.

We will make reasonable efforts to honor appropriate requests.

Ask Us to Limit What We Use or Share

You can ask us not to use or share certain health information for treatment, payment, or health care operations.

We are not required to agree to every request, but we will consider your request. If you pay for a service in full out of pocket, you may ask us not to share that information with your health insurer for payment or health care operations, unless a law requires us to do so.

Get a List of Those With Whom We’ve Shared Information

You can ask for an accounting of certain disclosures of your health information.

This list will not include all disclosures, such as disclosures made for treatment, payment, health care operations, or disclosures you authorized.

Get a Copy of This Notice

You can ask for a paper copy of this Notice of Privacy Practices at any time, even if you agreed to receive it electronically.

Choose Someone to Act for You

If you have given someone medical power of attorney, or if someone is your legal guardian or authorized personal representative, that person may be able to exercise your rights and make choices about your health information.

We may ask for documentation before taking action.

File a Complaint

You can file a complaint if you believe your privacy rights have been violated.

You may contact Elite Physical Therapy & Performance using the information on this page. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share.

You may tell us your preferences about sharing information with family members, close friends, caregivers, or others involved in your care or payment for your care.

If you are unable to tell us your preference, we may share information if we believe it is in your best interest or needed to lessen a serious and imminent threat to health or safety.

Uses That Usually Require Written Permission

We generally need your written authorization before we use or disclose your health information for purposes not otherwise permitted by law, including:

Most marketing uses
Sale of your health information
Certain uses of psychotherapy notes, if applicable

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

How We May Use and Share Your Health Information

We may use and share your health information in the following ways.

To Treat You

We may use your health information and share it with other professionals involved in your care.

Example: We may share information with your physician, surgeon, or other health care provider to coordinate your physical therapy care.

To Run Our Organization

We may use and share your health information to operate our practice, improve care, train staff, evaluate performance, and contact you when needed.

Example: We may use health information to review treatment quality, schedule appointments, or manage patient services.

To Bill for Services

We may use and share your health information to bill and obtain payment from health plans, insurance companies, or other responsible parties.

Example: We may send information to your health insurance plan so it can pay for your physical therapy services.

Other Ways We May Use or Share Information

We are allowed or required to share health information in other ways, usually in ways that contribute to public health, safety, legal compliance, or government oversight. We must meet applicable legal requirements before doing so.

We may use or share health information to:

Help with public health and safety issues
Report suspected abuse, neglect, or domestic violence where required or permitted by law
Prevent or reduce a serious threat to health or safety
Comply with state or federal law
Respond to health oversight activities
Address workers’ compensation claims
Respond to lawsuits, court orders, subpoenas, or legal actions
Work with law enforcement or government agencies when permitted or required by law
Work with a medical examiner or funeral director when necessary

Our Responsibilities

Elite Physical Therapy & Performance is required to:

Maintain the privacy and security of your protected health information
Follow the duties and privacy practices described in this notice
Provide you with a copy of this notice
Notify you if a breach occurs that may have compromised the privacy or security of your information
Not use or share your information other than as described in this notice unless you authorize us in writing

If you authorize us to use or share your information, you may change your mind at any time by notifying us in writing.

Changes to This Notice

We may change the terms of this Notice of Privacy Practices. Changes may apply to all health information we have about you.

The current notice will be available upon request, in our office, and on our website.

Questions or Complaints

For questions about this Notice of Privacy Practices, your privacy rights, or how your health information may be used or disclosed, please contact: