Notice of Privacy Practices
Pillar Core & Pelvic Floor Physical Therapy, PLLC
11416 Slater Ave NE, Suite 100A Kirkland, WA 98033
Privacy Officer: Dr. Sarah Eichenbaum
Contact: 815.343.7501
info@pillarcoreandpelvicfloorpt.com
Effective Date: March 1, 2026
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.
1. My Pledge Regarding Health Information
I understand that information about you and your health is personal. As a solo practitioner, I am committed to protecting your health information (Protected Health Information, or "PHI"). I create a record of the care and services you receive to provide quality care and to comply with legal requirements. I am required by law to maintain the privacy and security of your PHI and to let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
2. New Protections for Reproductive Health (2026 Update)
In accordance with federal and Washington State law, I will not use or disclose your PHI to investigate, prosecute, or impose liability on any person for the purpose of seeking, obtaining, providing, or facilitating lawful reproductive health care. Any request for records involving reproductive health data must be accompanied by a signed Attestation from the requester stating the information will not be used for prohibited purposes.
3. How I May Use and Disclose PHI
I may use and disclose your PHI for the following purposes:
For Treatment: To provide you with pelvic floor physical therapy and coordinate your care with other healthcare providers.
For Payment: As a cash-pay practice, I use PHI to process payments via CloverConnect and to provide you with "Superbills" for insurance reimbursement if requested.
For Healthcare Operations: To review my treatment of you and to evaluate the performance of my practice.
As Required by Law: I will disclose PHI when required to do so by federal, state, or local law.
Note: Most uses and disclosures of PHI for marketing purposes or the sale of your PHI require your written authorization.
4. Special Protections for Sensitive Data (Washington Law)
Under the Washington My Health My Data Act, I provide heightened protections for "Consumer Health Data." I do not sell your health data or share it with third parties for marketing without your explicit, separate "Authorization to Share Sensitive Data."
5. Your Rights Regarding Your PHI
Right to Inspect and Copy: You have the right to inspect and receive a copy of your medical and billing records.
Right to Amend: If you feel the information I have is incorrect, you may ask me to amend it.
Right to an Accounting of Disclosures: You may request a list of certain disclosures I made of your PHI for purposes other than treatment, payment, or operations.
Right to Request Restrictions: You may request a limit on how I use or disclose your PHI. If you pay for a service out-of-pocket in full, you have the right to restrict the disclosure of that information to your health insurer, and I will honor that request unless law requires otherwise.
Right to Deletion: Under Washington law, you may request the deletion of your sensitive health data. Please note that I must retain certain records to comply with state medical record retention laws.
Personal Representatives: If you have a legal guardian or medical power of attorney, they may exercise your rights once their authority is verified.
6. Electronic Communication & Redisclosure
I use HIPAA-compliant platforms (PtEverywhere and Google Workspace); however, once PHI is sent to your personal email or mobile device via SMS, it may no longer be protected by federal privacy laws. By consenting to electronic communication, you acknowledge the risk of redisclosure by your service provider or unauthorized third parties.
7. Changes to this Notice
I reserve the right to change this notice. I will post the current notice in my office and on my website.
8. Complaints
If you believe your privacy rights have been violated, you may file a complaint with me or with the Secretary of the Department of Health and Human Services at: www.hhs.gov/ocr/privacy/hipaa/complaints/. There will be no retaliation for filing a complaint.