This Notice explains how Brainbot Inc. dba Precision OT Network (“we,” “our,” “us”) may use and disclose your protected health information (“PHI”), your rights, and our legal duties. We are required by law to maintain the privacy of PHI, provide this Notice, follow it, and notify you if a breach of your unsecured PHI occurs.
Contact for Privacy Questions or Complaints
Adam Shedletzky: adam@precisionotnetwork.com • 647-213-6591
We may use or disclose PHI for:
• Treatment, Payment, and Health Care Operations (TPO) – for example, to perform your evaluation, coordinate with involved providers at your request, bill for services, or run internal quality and compliance activities
• As required or permitted by law – for example, including public health/safety, health oversight, judicial/administrative proceedings, and law enforcement. Your PHI may be subject to electronic disclosure as permitted by law.
We will not disclose your PHI for purposes other than described in this Notice without your written authorization (you may revoke at any time). If you are in Texas, State law generally requires a separate authorization for each electronic disclosure outside of TPO.
We may use de-identified information (which neither identifies you nor can reasonably be used to identify you) for quality assurance and to operate and improve our services and platform.
Other uses and disclosures not described in this Notice require your written authorization.
To exercise any of these rights, contact the Privacy Contact listed above.
• Access your record. We will provide access to your record within 30 days of your written request. We furnish records timely and without delays for legal review, and we do not withhold records due to unpaid balances. If you are in Texas, and we maintain your record electronically and you request an electronic copy, we will provide it within 15 business days of your written request, unless an exception applies under law.
• Request an amendment to your record if you believe it is incorrect or incomplete. If we deny your request, you will receive a written explanation.
• Request confidential communications (e.g., an alternate address or phone). We will accommodate reasonable requests.
• Request restrictions on certain uses or disclosures. We may not be able to agree to all requests, except we will agree not to disclose to a health plan information about a service you paid for in full out-of-pocket when the disclosure is for payment/operations and not otherwise required by law.
• Receive an accounting of certain disclosures we made in the past six years (excluding TPO and other routine disclosures).
• Get a copy of this Notice at any time.
• Choose someone to act for you (for example, a person with medical power of attorney or a legal guardian). We will verify their authority and then follow their directions.
• File a complaint if you believe your privacy rights were violated. With us, the HHS Office for Civil Rights, the Texas Executive Council of Physical Therapy and Occupational Therapy Examiners, or the Florida Health Care Complaint Portal (we will not retaliate). HIPAA Complaint Instructions: https://hhs.gov/ocr/privacy/hipaa/complaints/. Texas Licensing Authority: https://ptot.texas.gov/file-a-complaint/. Florida Health Care Portal: https://complaint-portal.mqa.flhealthsource.gov/home
• Maintain the privacy and security of your PHI;
• Give you this Notice and follow it;
• If a breach compromises the privacy or security of your PHI, we will notify you without unreasonable delay and no later than 60 days after discovery, and provide other notices and take other actions as required by law; and
• Update this Notice as practices or laws change and make the current version available on request and posted at our site/website
We do not record telehealth functional evaluations. If recording were ever proposed in the future, it would occur only with your separate written consent.
We may change our privacy practices and this Notice at any time. Changes apply to PHI we already have and any new PHI. The effective date appears at the top. We will post the current Notice at our site and on our website and provide it upon request.
