NOTICE OF PRIVACY PRACTICES

 

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

 

THE PRIVACY OF YOUR HEALTH INFORMATION IS IMPORTANT TO US

 

USES AND DISCLOSURES OF HEALTH INFORMATION

 

We use and disclose health information about you for treatment, payment, and healthcare operations.

 

For example:

 

Treatment:  We may use or disclose your health information to a physician or other healthcare provider providing treatment to you, or to family and friends you approve.

 

Payment: We may use and disclose your health information to obtain payment for services we provide to you.

 

Healthcare Operations: We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities.

 

Your Authorization: In addition to our use of your health information for treatment, payment or healthcare operations, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. You also have the right to request restrictions on disclosure of PHI (Personal Health Information),or alternative means of communication to ensure privacy.

 

Marketing Health-Related Services: We will not use your health information for marketing communications without your written authorization.

 

Required by Law: We may use or disclose your health information when we are required to do so by law or national security activities.

 

Abuse or Neglect: We may disclose your health information to appropriate authorities when we suspect abuse or neglect.

 

Appointment Reminders: We may use or disclose your health information to provide you with appointment reminders

(Such as voicemail messages, postcards, or letters).

 

PATIENT RIGHTS

 

Access: You have the right to look at or get copies of your health information with limited exceptions. If you request copies, we will charge you a reasonable fee to locate and copy your information, and postage if you want the copies mailed to you.

 

Amendment: You have the right to request that we amend your health information.

 

QUESTIONS AND COMPLAINTS

If you want more information about our privacy practices or have questions or concerns, please contact us.

 

If you are concerned that we may have violated your privacy rights, or you disagree with a decision we made about access to your health information or in response to a request you made to amend or restrict the use or disclosure of your health information or to have us communicate with you by alternative means or at alternative locations, you may complain to us using the contact information listed at the end of this Notice. You also may submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.

 

We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us with the U.S. Department of Health and Human Services. A Privacy/Contact Officer has been designated for this office. The Privacy Officer can be contacted via email at cory@peakperformanceformen.org, or by calling our call center at 757-721-8181 and asking to speak with Cory Mariano.      

locations

Virginia Beach,

Virginia

​287 Independence Blvd., Ste. 340 
PMBK 2, Virginia Beach, VA 23462

(757) 721.8181 (Scheduling Center) 

Office Hours:  
Monday - Friday            9am - 5pm    

Scheduling Hours:
Monday - Friday            7am - 10pm
Saturday                         9am - 5pm

Cleveland,

Ohio

​29001 Cedar Rd, Ste. 303
Lyndhurst, OH 44124

(440) 462.8181 (Scheduling Center) 

Office Hours:
Monday - Friday            9am - 5pm

 

Scheduling Hours:
Monday - Friday            7am - 10pm
Saturday                         9am - 5pm

Richmond,

Virginia

7489 Right Flank Rd, Ste. 300
Mechanicsville, VA 23116

(804) 781.8181 (Scheduling Center)

​Office Hours:  
Monday - Friday            9am - 5pm    

Scheduling Hours:
Monday - Friday            7am - 10pm
Saturday                         9am - 5pm

Indianapolis,

Indiana

​14540 Prairie Lakes Blvd N, #101
Noblesville, IN  46060

(317) 967.8181 (Scheduling Center)

Office Hours:
Monday - Friday            9am - 5pm  

 

Scheduling Hours:
Monday - Friday            7am - 10pm
Saturday                         9am - 5pm

Pittsburgh,

Pennsylvania

Building 3 Penn Center Blvd. WEST
Suite 229, Pittsburgh, PA 15276

(412) 748.8181 (Scheduling Center)

​Office Hours:
Monday - Friday            9am - 5pm

   

Scheduling Hours:
Monday - Friday            7am - 10pm
Saturday                         9am - 5pm

Philadelphia,

Pennsylvania

​357 South Gulph Road, Ste. 230
King of Prussia, PA  19406

​(610) 679.8181 (Scheduling Center)

Office Hours:   
Monday - Friday           9am - 5pm  

 

Scheduling Hours: 
Monday - Friday            7am - 10pm
Saturday                         9am - 5pm

Columbus,

Ohio

5003 Horizons Drive, Unit 210
Columbus, OH 43220

(614) 739.8181 (Scheduling Center)

Office Hours:  
Monday - Friday            9am - 5pm    

Scheduling Hours:
Monday - Friday            7am - 10pm
Saturday                         9am - 5pm

Austin,

Texas

4112 Links Lane, Ste. 103
 Round Rock, TX 78664

​(512) 894.8181 (Scheduling Center)

Office Hours:   
Monday - Friday           9am - 5pm  

 

Scheduling Hours:
Monday - Friday            7am - 10pm
Saturday                         9am - 5pm

AS SEEN ON:

Call us now to schedule a consultation
757-721-8181

 

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757-721-8181