One Love Therapy, LLC
Notice of Privacy Practices
Effective Date: August 14, 2025
Introduction
This Notice describes how your health information may be used and disclosed, and how you can access this information. Please review it carefully.
Each time you receive occupational therapy services from One Love Therapy, LLC (“One Love Therapy”), a record of your care is created. This record includes demographic information, details about your evaluations, treatments, progress, and your plan of care. This record contains protected health information (PHI), which is safeguarded by federal and state laws, including the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
You will be asked to sign an Acknowledgement of Receipt of this Notice.
Your Rights
Get a copy of your medical record
You may request to view or obtain an electronic or paper copy of your record.
We will provide a copy or summary within 30 days, and a reasonable fee may be charged for copies.
Request a correction
You may ask us to amend your record if you believe information is incorrect or incomplete.
We may deny your request, but we will respond in writing within 60 days with the reason.
Request confidential communications
You can request that we contact you in a certain way (e.g., at home, by email, or to a different address).
We will accommodate all reasonable requests.
Request restrictions
You may ask us not to use or share certain information for treatment, payment, or operations.
While we are not required to agree, we will comply if possible without affecting your care.
If you pay out-of-pocket in full, you may request that information not be shared with your insurance.
Get a list of disclosures
You may request a list of disclosures of your health information for up to six years.
This excludes disclosures made for treatment, payment, and healthcare operations.
One free list per year is provided; additional requests may result in a fee.
Receive a copy of this Notice
You may request a paper copy at any time, even if you agreed to electronic delivery.
Choose someone to act for you
If you have a healthcare power of attorney or legal guardian, they may exercise your rights regarding your information, once verified.
File a complaint
If you feel your rights have been violated, you may file a complaint:
With One Love Therapy, LLC (see contact information below).
With the U.S. Department of Health and Human Services, Office for Civil Rights at 1-877-696-6775 or online at www.hhs.gov/ocr/privacy/hipaa/complaints/.
We will not retaliate against you for filing a complaint.
Your Choices
For certain health information, you may tell us your preferences about what we share:
Share information with family, friends, or others involved in your care.
Share information in disaster relief situations.
If you are unable to express your preference, we may share information if it is in your best interest or necessary to prevent a serious threat to health or safety.
We will never share your information without written authorization for:
Marketing purposes
Sale of your information
Most sharing of psychotherapy notes
We may contact you for fundraising purposes, but you can opt out of future contacts.
How We Use and Disclose Health Information
Typical uses include:
Treatment
We use your health information to provide and coordinate therapy and may share it with other professionals involved in your care.
Example: Sharing treatment progress with your referring physician.
Operations
We use your information to manage our practice, improve services, and communicate with you.
Example: Reviewing outcomes to improve therapy approaches.
Payment
We share necessary information with your insurance or payer to obtain payment for services.
Example: Sending treatment notes to your insurance company for reimbursement.
Business Associates
We may share information with contractors who provide services on our behalf (e.g., billing services). These associates must protect your PHI under HIPAA agreements.
Other Permitted Uses and Disclosures
We may also use or share your information when required or permitted by law, including:
Public health reporting (disease prevention, recalls, adverse events, suspected abuse/neglect).
Health oversight agencies for audits, investigations, or inspections.
Legal requirements (subpoenas, law enforcement, national security, etc.).
Organ/tissue donation requests.
Workers’ compensation claims.
Coroners, medical examiners, and funeral directors.
Military, veterans, or government programs.
To prevent a serious threat to health or safety.
Research (when permitted by law and privacy protections are in place).
Special Protections
Some information—such as mental health, substance abuse, or HIV-related information—may have additional protections under state or federal law and will only be disclosed as permitted.
Our Responsibilities
We are legally required to protect your PHI and notify you if a breach occurs.
We must follow the terms in this Notice.
We will not use or share your PHI other than as described here unless you authorize it in writing. You may revoke such authorization at any time in writing.
Changes to This Notice
We may change this Notice at any time. Changes will apply to all health information we maintain. The updated Notice will be available in our office and on our website.
Contact Information
One Love Therapy, LLC
Nashville, TN
Phone: (615) 492-3780
Fax: (615) 205-6870
Email: info@1lovetherapy.com
⚠️ Emergency Disclaimer
One Love Therapy, LLC provides outpatient occupational therapy services. We do not provide emergency medical services.
If you are experiencing a medical emergency, please call 911 or go to your nearest emergency department.