Privacy Policy/Terms and Conditions

Privacy Policy/Terms and Conditions established by ALLISON SANDEL OT LLC:

ALLISON SANDEL OT LLC does not accept any form of insurance. ALLISON SANDEL OT LLC does not bill any form of insurance, Medicare, or Medicaid. The client has the right to choose a company that accepts their insurance; they are not required to complete private pay services with ALLISON SANDEL OT LLC.

By signing this agreement you are also recognizing that you and the client agree to these terms.

We are required by law to maintain the privacy of protected health information, this information may include: notes from your health care provider, your medical history, your test results, and treatment notes. Privacy Policy/Terms and Conditions established by ALLISON SANDEL OT LLC These terms and conditions/Privacy policy apply to any client or caregiver that utilizes ALLISON SANDEL OT LLC for private pay occupational therapy services.

 These terms and conditions/Privacy policy apply to any client or caregiver that utilizes ALLISON SANDEL OT LLC for private pay occupational therapy services.

Purpose of Agreement: The purpose of this Agreement is to set forth the terms and conditions under which both parties agree to collaborate using Jane App, Stripe, Phone calls, SMS and Venmo third party services for the occupational therapy care for clients and caregivers.

Terms and Conditions: 

1.Scope of Work: 

ALLISON SANDEL OT LLC will utilize Jane app,stripe and Venmo to streamline client care for occupational therapy health needs. 

2.Duration: 

This Agreement shall commence on January 1, 2025 and continue until termination of business. 

3.Payment Terms:

 Clients and families agree to pay for occupational therapy services using jane app, stripe, and  Venmo set forth by the business ALLISON SANDEL OT LLC. Clients and caregivers have the right to pay cash if they do not wish to use virtual payment options.

4.Confidentiality/Privacy policy: 

Both parties agree to maintain the confidentiality of any client information disclosed during the term of this Agreement and shall not disclose such information to any third party other than the above stated without prior written consent. ALLISON SANDEL OT LLC takes HIPPA compliance and privacy of clients and caregivers very seriously and will do their utmost to maintain client confidentiality. You acknowledge that Allison Sandel OT LLC will do everything possible to protect your health information according to HIPPA standards. You are consenting to your information being shared with your medical doctor regarding occupational therapy related care.

5.Termination:

 Either party may terminate this Agreement upon written notice to the other party at any time for any reason. Thus terminating any services with ALLISON SANDEL OT LLC.

6.Governing Law:

 This Agreement shall be governed by and construed in accordance with the laws of FL in the USA. 

7.Amendments:

 ALLISON SANDEL OT LLC can make amendments to this agreement at any time. 

 8. Call policy:

ALLISON SANDEL OT LLC will make an effort to begin communication via call. If given verbal or written permission ALLISON SANDEL OT LLC will text clients to alert when on the way, to schedule appointments, and share adaptive devices. Your mobile carrier may charge fees for sending or receiving text messages, especially if you do not have an unlimited texting or data plan. Messages are recurring, and message frequency varies.ALLISON SANDEL OT LLC is not responsible for any mobile carrier fees that may be accrued. Contact ALLISON SANDEL OT LLC at 850-238-3312, or asandelot@gmail.com for help or to stop receiving messages.Non-Sharing Clause: We do not share your data with third parties for marketing purposes. ALLISON SANDEL OT LLC will not sell, rent, or share the collected mobile numbers

9. Cancellation/No Show Policy: Your appointment time is reserved just for you. A late cancellation or missed visit leaves a hole in the therapists' day that could have been filled by another patient. As such, we require 24 hours notice for any cancellations or changes to your appointment. Patients who provide less than 24 hours notice, or miss their appointment, will be charged a $50 cancellation fee to the card on file. For groups a $50 cancellation fee will be charged if not cancelled within 24 hrs of service or no show within 24 hrs to the card on file. 

10.Violence Policy: Allison Sandel OT LLC has the right to cease services at any time for any reason when any physical, emotional, or verbal violence is portrayed during care that would affect safety. Allison Sandel OT LLC cares about the safety and protection of clients and therapists at all times.

 11.Scope of Work: ALLISON SANDEL OT LLC will utilize Jane App, Phone calls, Stripe, SMS and Venmo to streamline client care for occupational therapy health needs. 

12.Duration: This Agreement shall commence on Jan 1, 2025 and continue until termination of business. 

13.Payment Terms: Clients and families agree to pay for occupational therapy services using stripe or Venmo set forth by the business ALLISON SANDEL OT LLC. Clients and caregivers have the right to pay cash if they do not wish to use virtual payment options.

14. Group Sessions: When receiving group services from ALLISON SANDEL OT LLC you agree to have 2 volunteers and/or staff members present with your group at all times during the therapy session. 

15. I authorize ALLISON SANDEL OT LLC and its associated health professionals to collect my personal and medical information as documented above. In addition, I authorize ALLISON SANDEL OT LLC and its associated health professionals to communicate with my family doctor and/or referring doctor as deemed necessary for my beneficial treatment. I also understand that my personal and medical information is confidential and will only be disclosed to third parties with my permission.

We are also required to provide individuals with notice of our legal duties and privacy practices in regards to protected health information, and to notify affected individuals about breach of unsecured protected health information. This notice describes how we may use and disclose your medical information. It also describes your rights and our legal obligations with respect to your medical information. 

A. How This Practice May Use or Disclose Your Health Information without your permission.

1. Treatment. We use medical information about you to provide you with our services or treatment and we may share your medical information with other providers involved in your care. For example, we may share your treatment results with your doctor, etc.

 2. Health Care Operations. We may use and disclose medical information about you to operate this practice. For example, we may use and disclose this information to review and improve the quality of services we provide, or check on performance of our staff. Or we may use and disclose this information to get your health plan to authorize services or referrals. We may also use and disclose this information as necessary for medical reviews, legal services and audits, including fraud and abuse detection and compliance programs .We may also share your medical information with our "business associates," such as our billing service, that perform administrative services for us. We have a written contract with each of these business associates that contains terms requiring them and their subcontractors to protect the confidentiality and security of your protected health information. We may also share your information with other health care providers, health care clearinghouses or health plans that have a relationship with you

3. Appointment Reminders. We may use and disclose medical information to contact and remind you about appointments. Reminders may be sent in the mail, by email, or by phone call or voicemail message. If you do not wish to get reminders, please let us know. If you are not home, we may leave this information on your answering machine or in a message left with the person answering the phone.

 4. We may use and disclose medical information about you by having you sign in. We may also call out your name when we are ready to see you. 

5. Required by Law. As required by law, we will use and disclose your health information, but we will limit our use or disclosure to the relevant requirements of the law. When the law requires us to report abuse, neglect or domestic violence, or respond to judicial or administrative proceedings, or to law enforcement officials, we will further comply with the requirement set forth below concerning those activities.

6. Public Health. We may as required by law, to disclose your health information to public health authorities for purposes related to: preventing or controlling disease, injury or disability; reporting child, elder or dependent adult abuse or neglect; reporting domestic violence; reporting to the Food and Drug Administration problems with products and reactions to medications; and reporting disease or infection exposure.

7. Law Enforcement. We may, and are sometimes required by law, to disclose your health information to a law enforcement official for purposes such as identifying or locating a suspect, fugitive, material witness or missing person, complying with a court order, warrant, grand jury subpoena and other law enforcement purposes.

8. Change of Ownership. In the event that this medical practice is sold or merged with another organization, your health information/record will become the property of the new owner, although you will maintain the right to request that copies of your health information be transferred to practice or provider.

9. Breach Notification. In the case of a breach of unsecured protected health information, we will notify you as required by law. If you have provided us with a current e-mail address, we may use e-mail to communicate information related to the breach. In some circumstances our business associate may provide the notification. We may also provide notification by other methods as appropriate.

B. Your Rights: You have the right to:

1. You can request us not to use or share your information for treatment, payment, or health care operations. You can also ask us not to share information with individuals involved in your care, e.g. family members or friends. You must make these requests in writing. We must share information when required by law. We reserve the right to accept or reject any other request, and will notify you of our decision.

2. Right to a paper copy of this Notice of Privacy Practices.

C. Changes to this Notice of Privacy Practices

We reserve the right to change this Notice of Privacy Practices at any time in the future. After an amendment is made, the revised Notice of Privacy Protections will apply to all protected health information that we maintain, regardless of when it was created or received. 

D. Record retention

• We will hold your records securely for 7 years as required by law and will properly dispose of records.