Peak Therapy Services
Notice of Privacy Practices
Effective June 1, 2026
We are committed to protecting the privacy of your child's health information. This notice explains how we may use and share that information, and the rights you have as a parent or guardian.
This notice applies to the health information created and kept by Peak Therapy Services PC ("Peak Therapy Services," "we," "us," or "our") in the course of providing occupational therapy and related services. We are required by law to protect this information, to give you this notice of our duties and privacy practices, and to follow the terms of the notice currently in effect. In this notice, "your child's information" means protected health information about the child receiving services. Where a client is an adult, "your" refers to that client.
How we may use and share your child's information
We use and share your child's health information for the following everyday purposes without needing your separate written permission:
For treatment
We use your child's information to provide and coordinate care. For example, our therapists document evaluations and progress, and we may share information with other providers involved in your child's care, such as a pediatrician, school team, or speech-language pathologist, to support consistent treatment.
For payment
We may use and share information to bill and receive payment for services. For example, we may provide a superbill or documentation you can submit to your insurer for reimbursement, or share information with a funding source such as a Regional Center that authorizes your child's services.
For health care operations
We may use information to run our practice and improve care, such as reviewing the quality of services, training, scheduling, and administrative tasks.
Other uses we may make without your permission
The law permits or requires us to use or share information in certain situations, including:
- When required by law, including reporting suspected child abuse or neglect;
- To prevent a serious threat to the health or safety of your child or others;
- For public health activities, such as reporting required by health authorities;
- For health oversight, law enforcement, judicial proceedings, or as otherwise required by court order;
- To coroners, medical examiners, or for certain government functions.
Uses that require your written authorization
Most uses and disclosures not described above will be made only with your written authorization. This always includes:
- Marketing that involves payment from a third party;
- Any sale of your child's information;
- Most uses and sharing of psychotherapy notes, where applicable.
You may revoke an authorization in writing at any time. We will stop the use or sharing going forward, except where we have already acted in reliance on it.
Your rights
As the parent or guardian acting on behalf of your child, you have the right to:
- Access and copy your child's records. You may inspect and receive a copy, in paper or electronic form, usually within the timeframes set by law. A reasonable, cost-based fee may apply.
- Request a correction if you believe information is incorrect or incomplete. We may deny the request in limited cases and will explain why in writing.
- Request restrictions on certain uses or sharing. We'll consider your request, and we'll honor a request to not share information with a health plan for a service you paid for in full out of pocket.
- Request confidential communications, such as being contacted at a specific phone number or address.
- Receive an accounting of certain disclosures we've made.
- Receive a paper copy of this notice, even if you agreed to receive it electronically.
- Be notified if a breach affects the privacy of your child's information.
To exercise any of these rights, contact our Privacy Officer using the information below. Some requests must be made in writing.
California law and minors
California's Confidentiality of Medical Information Act (CMIA) and other state laws give your child's information protections that may be stronger than federal law. Where state and federal law differ, we follow the law that gives the greater protection. In limited situations, California law allows certain minors to consent to their own care and to control the related records. When that applies, we follow those rules. In most pediatric occupational therapy cases, a parent or guardian acts on the child's behalf.
Our responsibilities
We are required to maintain the privacy of your child's information, to notify you following a breach affecting unsecured information, and to follow the terms of the notice currently in effect. We reserve the right to change this notice and to make the new terms apply to all information we maintain. If we make a material change, we'll post the updated notice here with a new effective date and make it available on request.
How to raise a concern or file a complaint
If you believe your child's privacy rights have been violated, you may file a complaint with us. We will not retaliate against you for filing. To file with us, contact our Privacy Officer below.
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by mail, phone, or online at hhs.gov/ocr.
Contact
Privacy Officer — Anthony Wutzke
Peak Therapy Services PC
Email: support@peaktherapyclinic.com
Phone: (209) 625-9883