Notice of Privacy Practices

Effective Date:  8/9/25
Last Updated: 8/9/25

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

Who We Are

Carolyn Brown OTD Mobile Therapy, LLC (“we,” “our,” “us”) is committed to protecting your privacy and safeguarding your Protected Health Information (PHI) in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Our Responsibilities

• We are required by law to maintain the privacy and security of your PHI.
  
  

• We must notify you promptly if a breach occurs that may have compromised the privacy or security of your PHI.
  
  

• We will only use or share your PHI as described in this Notice, unless you tell us in writing that we can do so.
  
  

How We May Use and Disclose Your PHI

We may use or share your PHI in the following ways:

For Treatment

To provide, coordinate, or manage your care and related services.
Example: Sharing your PHI with another healthcare provider involved in your treatment.

For Payment

To bill and collect payment for the services we provide.
Example: Sending necessary information to your insurance company to get payment.

For Healthcare Operations

For business activities needed to operate and improve our practice.
Example: Reviewing care quality to ensure high standards.

When Required by Law

We may share PHI when required by federal, state, or local law.

Other Uses and Disclosures with Your Authorization

We will obtain your written permission before using or disclosing your PHI for purposes not described in this Notice.
You may revoke your authorization at any time in writing.

Your Rights

You have the right to:

• Get a copy of your medical record in paper or electronic format.
  
  

• Request corrections to your medical record if you believe it is incorrect or incomplete.
  
  

• Request confidential communications (e.g., contact you at a specific phone number or address).
  
  

• Request restrictions on how we use or share your PHI.
  
  

• Get a list of disclosures we have made of your PHI for up to six years before your request.
  
  

• Receive a paper copy of this Notice at any time.
  
  

To exercise any of these rights, contact us at:
Carolyn Brown OTD Mobile Therapy, LLC
467 Cherry Brook Rd. Canton, CT 06019
Phone: 203-209-1898
Email: Carolyn@CarolynBrownMobileTherapy.com

Changes to This Notice

We may change the terms of this Notice at any time, and the changes will apply to all PHI we have about you.
The revised Notice will be posted on our website with an updated effective date.

Questions or Complaints

If you have questions about this Notice or believe your privacy rights have been violated, you may contact us at:
Carolyn Brown OTD Mobile Therapy, LLC
467 Cherry Brook Rd. Canton, CT 06019
Phone: 203-209-1898
Email: Carolyn@CarolynBrownMobileTherapy.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at:
https://www.hhs.gov/hipaa/filing-a-complaint/
We will not retaliate against you for filing a complaint.