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OUR TEAM

Our Highly Experienced Therapists Are Dedicated And Compassionate. Let Us Work With You To Achieve Your Goals. We Keep You Moving!

  • CLINICAL MANAGER – Mark Van Doninck
  • Ryan Abarno
  • Cam Pearson
  • David Flanagan
  • Karen Van Pelt
  • Lori Klees
  • Lou Ann Isenhour
  • Ariana Legatie
  • Rhianna Green
  • Sebastian Schueler
  • Stephanie Woodworth
  • Beenal Rachh
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Ryan specializes in the treatment of Orthopedic and Sports related conditions, but is also well trained in treating vestibular disorders as well as TMJ dysfunction. As a member of the National Strength and Conditioning Association and USA Powerlifting, Ryan seeks to blend the worlds of physical therapy and strength and conditioning together, combining a science based approach with individualized treatments catered to each patient. Ryan joined the Compleat Team in 2017.

Training: Doctorate of Physical Therapy from the University at Buffalo, Buffalo, NY

Certifications: Dry-needling. Red Cross Emergency Medical Responder

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Cam is skilled in a number of massage techniques and has a firm grasp on how manual soft-tissue intervention assists the healing process in a rehab setting. Her areas of expertise are in deep-tissue massage, trigger-point release, and sports massage. Cam has been with the Compleat Team since 2011.

Training: Licensed Massage and Bodywork Therapist from Spartanburg Community College, 2011

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David specializes in the treatment of orthopedic conditions, including a sub-specialization of sports injury rehabilitation and prevention. His treatment approach incorporates a number of manual therapy techniques, movement and functional skill training, and education. David focuses on correcting abnormal movement patterns, muscular imbalances, and weakness, to treat pain disorders and functional loss throughout the musculoskeletal system. David has been with the Compleat Team since 2013.

Training: Bachelor of Science degree in Physical Therapy from the University of Dublin, Trinity College, Ireland in 2010

Certifications: Dry Needling, STOTT Pilates Instructor

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Karen is a skilled massage therapist with a clinical focus in Lymphedema management, and is certified in Lymphedema Therapy. As well, she is a certified Personal Trainer, bringing this knowledge into her approach with soft-tissue management. Karen has been with the Compleat Team since 2007.

Training: Licensed Massage and Bodywork Therapist from Southeast Institute, 2014

Certifications: Lymphedema Therapy

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Dr. Lori Klees earned her Bachelor of Science in Occupational Therapy from Towson University in 1998 before going on to complete a Masters of Physical Therapy and Doctorate of Physical Therapy from the University of St. Augustine for Health Sciences. She brings the uniques perspective of both a physical therapist and occupational therapist. She takes pride in helping her patients reach optimal outcomes and achieving their goals. She has been with the Compleat team since 2016.

Training: BS in Occupational Therapy from Towson University, Doctorate of Physical Therapy from University of St. Augustine for Health Sciences

Certifications: Dry Needling

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Lou Ann is skilled in the treatment of a wide range of neurologic and orthopedic conditions. She is proficient and highly effective in the treatment of lymphedema. Lou Ann has been with the Compleat Team since 2008.

Training: Associates Degree in Physical Therapy from Central Piedmont Community College, Charlotte, NC in 1974

Certifications: Lymphedema Therapy

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Ariana Legatie graduated from Virginia Tech in 2009 with a BS in Human Nutrition, Foods, and Exercise and later received her Doctorate of Physical Therapy from Marymount University in Arlington, VA in 2013.  Since then, Ariana has worked in two different outpatient orthopedics clinics in Washington, DC treating a variety of musculoskeletal dysfunctions.  She has specialized in and developed a program for Women’s Health/Pelvic Floor Physical Therapy and has experience with hypermobile patients, including Ehlers Danlos Syndrome.  Her treatment approach consists of various manual techniques as well as emphasis on core stabilization in order to improve her patients’ mobility, function, and quality of life.  Ariana recently moved to the Charlotte area and started working with Compleat Rehab and Sports Therapy in Mint Hill, NC. She has been with the Compleat Team since 2017.

Training: Doctorate of Physical Therapy from Marymount University, Arlington, VA

Certifications: Women’s Health/ Pelvic Floor Physical Therapy

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Dr. Rhianna Green is a CA native who relocated to Charlotte in 2016. She received her Bachelor’s in Health Science from Florida A&M University in 2009 and her Doctorate of Physical Therapy in 2013 from New York University.

Rhianna uses an evidence-based rehabilitation approach with emphasis on manual techniques. In addition to being a licensed physical therapist, she is also a Certified Strength & Conditioning Specialist (CSCS) and credentialed clinical instructor (CCI). She is a member of the American Physical Therapy Association (APTA) and the National Strength & Conditioning Association (NSCA). She values taking time to answer her patient’s questions, explain techniques and pathologies, and treat them with empathy and compassion. She prides herself on never forgetting a patient’s name – everyone who comes to her clinic is treated like family. She has been with the Compleat team since 2016.

Training: Doctorate of Physical Therapy from New York University

Certifications: CSCS, CCI, NSCA

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Sebastian specializes in the treatment of orthopedic conditions, including a sub-specialization of sports injury rehabilitation and prevention. His treatment approach incorporates a number of manual therapy techniques, such as myofascial release of trigger points and Richelli’s pain relief techniques. He focuses on correcting muscle imbalances through manual techniques, stretching exercises and strengthening.

Sebastian’s experience as a hobby athlete and his experience as a Physical Therapist of the La Janda Triathlon Club gives him a good foundation to treat sports related injuries. Sebastian has been with the Compleat team since 2015.

Training: Bachelor of Science degree in Physical Therapy from the Faculty of Nursing and Physical Therapy of the University of Cadiz, Spain in 2010

Certifications: Dry Needling

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Dr. Stephanie Woodworth was born and raised in the sunshine state, in Clearwater, Florida. She received her Bachelor of Psychology from the University of Florida, and earned her Doctorate of Physical Therapy from the University of St. Augustine for Health Sciences. Her physical therapy career has included work in multiple fields, including outpatient rehabilitation, acute hospital based therapy, skilled rehabilitation facilities, and assisted living facilities. Her ultimate goal with any patient is returning them to what is important to them, whether that means getting an athlete back in the game, returning a worker to their job, or facilitating a patient’s ability to simply walk around the grocery store. She hopes to inspire her patients to make healthy changes and continue moving towards their goals even after their treatment ends. She has been with the Compleat team since 2016.

Training: Doctorate of Physical Therapy from University of St. Augustine for Health Sciences

Certifications: CSCS, CCI, NSCA

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Beenal has extensive experience in treating a wide range of orthopedic conditions, including sports related injuries. She uses evidence-based treatment approach with special emphasis on manual therapy and functional exercise approach.

Outside of work, she enjoys hiking, cooking and spending time with family. Beenal has been with the Compleat Team since January 2017.

Training: Post-professional Doctor of Physical Therapy from Evidence in Motion Institute, Masters in Physical Therapy from University of Indianapolis

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Originally from Upstate New York, Matthew has spent the past 17 years treating a variety of orthopedic and neurological conditions in South Florida. While in Florida, Matthew treated many high school, college, and professional athletes from a wide variety of sports. At the request of two World Golf Hall of Fame members, Matthew was invited to work for Team USA during three international Solheim Cup Tournaments. His knowledge of biomechanics has allowed him to treat professional runners, throwers, golfers, tennis players, and martial artists. Matthew uses a comprehensive approach to restore patient’s function. Through manual therapy, therapeutic exercise, and patient education, Matthew can get his patients back to doing the things they love. Matthew has been with Compleat Rehab since 2017.

Training: Masters of Science in Physical Therapy from Florida International University, Miami FL 2005.

Certifications: Dry Needling, Graston Technique

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Lauren Horan graduated from Washington University in St. Louis in 2011 with a Doctorate in Physical Therapy. Since graduation, she treated in an outpatient orthopedic clinic in Washington, D.C. where she specialized in the treatment of orthopedic conditions, including a sub-specialization of sports injury rehabilitation and prevention. Her treatment approach incorporates a number of manual therapy techniques, movement and functional skill training, and education in order to restore functional mobility. During this time she was also the clinic director for the clinic and managed a team of 6 physical therapists and front office staff. She recently relocated to the Charlotte area to further pursue her career in outpatient orthopedics with Compleat Rehab and Sports Therapy. She has been with the Compleat Team since 2016.

Training: Masters of Science in Physical Therapy from Florida International University, Miami FL 2005.

Certifications: Dry Needling, Graston Technique

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Lauren is a skilled manual therapist who is Maitland trained and dry needling certified. Her treatment approaches are focused on returning patients to an improved quality of life. Lauren enjoys working with a variety of orthopedic diagnoses but has a focused interest in the treatment of headaches, the spine, and running related injuries. She has been with the Compleat Team since 2017.
Training: Doctorate of Physical Therapy from University of Kentucky
Certifications: Dry Needling, The Graston Technique

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Rebecca is a skilled physical therapist with interest in treating various orthopedic and neurological conditions. She especially enjoys sports injury prevention and rehabilitation. When not treating patient’s she enjoys staying active with running and spending time with her family. Rebecca has been with the Compleat team since 2017.

Training: Doctorate of Physical Therapy from Elon University, 2016

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Dr. Shadia Natour earned her Doctorate in Physical Therapy from Florida International University in 2013. After graduating, she worked as a clinic lead for Saylor PT in an outpatient sports clinic for four years before coming to Compleat as the clinic lead at our Harrisburg clinic.

Shadia’s number one goal is to get every patient back to 100% or maximum possible function. Her strategy first addresses her patient’s pain or dysfunction using dry needling, manual therapy and cupping to help relieve pain / stiffness and improve ROM / tissue flexibility. Then,  she will begin to incorporate strength and stabilization drills to achieve long-term results.

She loves watching her patients achieve getting back to a pain free, happy and active life! Seeing her patients succeed in physical therapy and gain their confidence back empowers her to make a difference. From professional athletes to the average person, everyone deserves to feel good, move well and be strong – and she wants to provide that for her patients.

In her free time, Shadia enjoys weight lifting, Crossfit, paddle boarding, hiking, and being outdoors and traveling the world as much as possible. Whether in PT practice or personal life, she is committed to expanding her knowledge base and never stop learning.

Training: BS Health and Fitness from East Carolina University, 2008. Doctorate in Physical Therapy from Florida International University, 2013.

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Tianna is a Nebraska native who moved to the Charlotte area after earning her Doctorate in Physical Therapy from Mary Baldwin University in 2017. She specializes in treating a variety of Orthopedic conditions as well as vestibular disorders and work-specific conditioning. She is also trained in performing Functional Capacity Evaluations. Her treatment approach is both evidence-based and individualized with an emphasis on manual therapy and functional training to promote maximal quality of life and return to work/recreation.

Outside of work, Tianna enjoys hiking, fishing, painting, and cheering on the Huskers. She joined the Compleat team in July 2017.

Training: BS Biology from University of Nebraska Lincoln, Lincoln, NE 2014. Doctorate in Physical Therapy from Mary Baldwin University, Staunton, VA 2017

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Grant received his Doctorate of Physical Therapy from Winston-Salem University in 2017. He specializes in the treatment of orthopedic and neurological conditions with a strong foundation in sports injury rehab and prevention. He is well-versed in functional mobility assessments which allows him to tailor the treatment to the specific needs of each patient.

Grant is also a Certified Athletic Trainer (CAT). Before joining Compleat Rehab, he traveled with many local collegiate and high school sports teams, including UNC-Charlotte, Davidson College, and Johnson C. Smith University, treating a wide variety of conditions.

Grant’s number one goal for every patient is to help them return to what they love while maintaining a fun training environment. Outside of work, he enjoys weightlifting, traveling, and golfing.

Training: Bachelors in Athletic Training, University of North Carolina at Charlotte, 2014; Doctorate of Physical Therapy, Winston-Salem State University, 2017

Certifications: Certified Athletic Trainer (ATC)

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Emily Roush earned her Doctorate of Physical Therapy from Pacific University in 2014. As an outpatient PT, she treats a wide range of orthopedic and neurological conditions, creating treatment approaches that are personalized to each patient’s individual goals.

Before coming to Compleat, she worked as the lead Vestibular Therapist in outpatient PT clinics in Ohio. In addition to her vestibular (balance) specialty, she is excited to start treating women’s health/ pelvic floor patients in our Mint Hill and South Charlotte clinics.

For Emily, the most rewarding part of being a physical therapist is helping people live life with less pain and difficulty. In her free time, she enjoys golf, pickleball, short jogs, and spending time with family.

Training: BS in Psychobiology from University of Cincinnati, 2010; Doctorate of Physical Therapy from Pacific University, 2014

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Britt Tinch graduated from University of Maryland, College Park in 2009 with a BS in Kinesiology and a Minor in Public Health and then went on to receive for Doctorate of Physical Therapy from Columbia University in New York, NY in 2012. Since then, Britt has worked in two different hospitals in New York, NY, treating a variety of patients with neurological, orthopedic and cardiopulmonary diagnoses. She has gained experience in the development of treatment for a variety of post-op orthopedic spine and joint surgeries and neurological diagnoses such as Multiple Sclerosis, Stroke, Spinal Cord and balance disorders. Her treatment approach consists of various manual techniques, neurodevelopmental techniques, tailored strengthening exercises and core stabilization to improve her patients’ mobility, function and quality of life. She has been with the Compleat team since February 2018.

Training: BS in Kinesiology from University of Maryland, College Park, 2009; Doctorate of Physical Therapy from Columbia University in NY, 2012.

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Michelle graduated from Florida State University with a BS in Exercise Science, and went on to receive her Doctorate of Physical Therapy from Florida International University in 2016. Prior to joining Compleat Rehab, she gained experience in out patient and acute care settings, specializing in post op orthopedic, cardiovascular, and neurological diagnoses. She specifically enjoys the treatment of patients with musculoskeletal disorders and utilizes various manual therapy techniques in the treatment of this patient population. Her approach often utilizes joint mobilization techniques combined with therapeutic exercise, core stabilization, and proprioceptive techniques to restore function and quality of life. She enjoys hiking, yoga, and spending time with her Labradoodle. She has been with Compleat since November 2017.

Training: BS in Exercise Science from Florida State University; Doctorate of Physical Therapy from Florida International University, 2016.

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Mark can be contacted at mark.vandoninck@compleatrehab.com.

Mark leads our clinical team with a strong clinical skill set and a firm grasp of how to develop a robust clinical practice. He is skilled in the treatment of a wide variety of conditions, but has a focused interest in the treatment of headaches, the spine, and shoulder conditions. Mark has been with the Compleat Team since 2012.

Training: Masters degree in Rehabilitation Science from Medical University of South Carolina, Charleston, SC in 2003.

Certifications: Orthopedic Manual Therapy, Dry Needling, Titleist Performance Institute, Graston Technique.

testimonials

faqs

services

  • What services do you provide?

    We have physical and occupational therapists who treat via therapeutic exercise, joint mobilization/manipulation, pain-relieving modalities, and soft-tissue massage/mobilization. We also offer a number of specialized treatments, including but not limited to: dry needling, balance/ coordination/ gait training, aquatic-based therapy, techniques to reduce lymphatic swelling, functional skill training, injury treatment and prevention training, and treatment with adaptive or assistive equipment. For work injury cases, we offer Functioning Work Capacity (FCE) assessments, progressive work tolerance conditioning, work injury prevention training, as well as after-therapy wellness.

  • Do all of your clinics offer the same services?

    All of our clinics have highly trained, licensed PTs who practice the core tenets of physical therapy. However, our therapists have a wide range of experiences in different specialties, so some of our clinics offer treatments that others don’t, such as aquatic therapy and treatment for lymphedema. Go to our Locations section and select a clinic to see which services are offered at that location.

  • Do I need a doctor’s referral?

    In the United States, you do not need a physician’s referral to see a physical therapist for an initial consultation. However, some provisions apply based on the state in which the physical therapist operates:

    · <strong>North Carolina</strong>: Manipulation of the spine must be prescribed by a physician. Physical therapists cannot give medical diagnoses, and physical therapists are lawfully required to refer a patient to a licensed physician if the patient’s condition is outside their scope of practice.

    · <strong>South Carolina</strong>: Physical therapists may evaluate and treat patients without a referral up to 30 days after initial consultation, after which they must refer patients to a licensed physician. Physical therapists are lawfully required to refer a patient to a licensed physician if the patient’s condition is outside their scope of practice.

  • Is treatment covered by my insurance?

    Physical therapy is covered by most health insurance plans. Many plans do require a physician’s referral before offering coverage, and we can help work with your insurance company and physician to get a referral for our services. Compleat Rehab &amp; Sports Therapy accepts most major insurances. For a complete list, see the Accepted Providers in the Insurance/Payment section

  • How much does physical therapy cost?

    Because of the variety of services / treatment plans available, it’s difficult to estimate physical therapy costs for an individual before evaluation.  We will work with you to find treatment plans and payment options that fit your needs. See our Insurance/Payment tab for more information about insurance and payment options.

  • Why should I choose Compleat Rehab and Sports Therapy?

    <strong>We are committed to you and your well being!</strong> At Compleat Rehab, you’ll get quality, hands-on treatment from therapists who care about you. Ours isn’t a one-size-fits-all approach; we individualize treatment plans based on you and your goals.
    <strong>We have expert therapists!</strong> During your time here, you’ll work with one experienced therapist who knows your case and closely monitors your progress. Our therapists have a range of knowledge and skills in different fields, so you’ll also have the resources of all our dedicated staff at your disposal.
    <strong>We are educators!</strong> We are constantly learning new ways to help patients live better. Our goal is to empower you to not only get better but to live well after therapy.
    <strong>We are close to you!</strong> With multiple locations around the Charlotte area, you don’t have to drive miles and miles to get quality therapy at one of our clinics.

appointments

  • What will the first appointment entail?

    We recommend you come 30 minutes early to the first appointment to allow time to fill out the necessary forms like medical history, insurance, and consent to treatment. Your therapist will conduct a full evaluation and work with you to develop a treatment plan. This session could last 1.5-2 hours, but future sessions will average 1 hour.

  • What should I wear?

    Wear clothes that are comfortable to you, preferably loose-fitting. Remember to bring footwear appropriate for exercise and activity.

  • What should I bring with me?

    Bring your photo ID, insurance card, and cash, check, or credit card to make appropriate insurance co-payments. If you were given a physician’s referral for therapy but were not referred to us directly, bring your prescription / referral slip

  • What is your Cancellation / Missed Visit policy?

    if you are not able to attend a scheduled visit, please call the clinic 24 hours in advance, or as soon as possible. Failure to cancel an appointment will result in a $25.00 no-show fee.

  • Do you ever close for severe weather?

    Severe weather conditions may cause our clinics to operate on delayed opening / early closing schedules or to fully close for the day. Delayed openings or closure due to weather will be posted on our website no later than 7:30 am each business day. If the clinic closes early, our Scheduling Desk team will contact patients whose same-day appointments are impacted by the clinic closure.

services

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appointments

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insurance/ payment

Payment By Insurance

Compleat Rehab accepts most major insurances. Check the box to the right to see if your insurance provider is accepted by Compleat Rehab.

Co-Payments

Come prepared to meet your insurance deductible and co-payment each appointment. Co-pays and deductibles will be collected prior to services being rendered. The amount of your co-pay is set by your insurance company. By law, we may not waive collection of co-payment, but are allowed to defer payment for a “reasonable” duration. If you are not able to make your co-payment at the time of service, ask our Front Desk Patient Advocates about deferred payment options through one of our financial programs.

Payment Plans / Financial Assistance

We understand that the cost of health care can put a strain on our patient’s finances. We are willing to work with you to set up a payment plan that works within your budget. Compleat Rehab offers healthcare financing plans through Care Credit and United Medical Credit.

Medicaid

By law, Compleat Rehab & Sports Therapy may only see patients covered by Medicaid as their primary insurance that are under 21 years of age in North Carolina, or under 18 years of age in South Carolina. Patients that have a different primary insurance, but have Medicaid as their secondary insurance are not restricted by this law and may receive services at any of our locations.

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hipaa privacy

Compleat Rehab

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.

If you have any questions about this Notice of Privacy Practices, please contact our Privacy Officer, by telephone at (704) 824-7800 or in writing at 2675 Court Drive, Gastonia, NC 28054.
This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. Protected health information is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.

A. WE MUST PROTECT YOUR PROTECTED HEALTH INFORMATION

We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of our Notice of Privacy Practices at any time. The new Notice of Privacy Practices will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices. You may request a revised version by calling or writing our Privacy Officer and requesting that a revised copy be sent to you in the mail or asking for one at the time of your next appointment.

B. USE AND DISCLOSURES OF PROTECTED HEALTH INFORMATION

Your protected health information may be used and disclosed by our office staff others outside of our office who are involved in your care and treatment for the purpose of providing health care services to you.
Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of our practice.
Following are examples of the types of uses and disclosures of your protected health information that we are permitted to make. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that may be made by our office.

1. Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with another provider.
For example, we would disclose your protected health information, as necessary, to a home health agency that provides care to you. We will also disclose protected health information to other healthcare providers who may be treating you.
For example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you. In addition, we may disclose your protected health information from time-to-time to other health care providers (e.g., a specialist or laboratory) who become involved in your care by providing assistance with your health care diagnosis or treatment to us.
2. Payment: We may use and disclose protected health information about you so that the treatment and services you receive at Compleat Rehab may be billed to and payment may be collected from you, an insurance company, or a third party. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you such as: making a determination of eligibility or coverage for insurance benefits, and reviewing services provided to you for medical necessity. For example, if you have a back injury, we may need to give your health plan information about your condition, supplies used, and services you received.
3. Healthcare Operations: We may use or disclose, as needed, your protected health information for healthcare operations. These uses and disclosures are necessary to run Compleat Rehab and make sure that all of our patients receive quality care. For example, we ma)'use protected health information to review our treatment and services and to evaluate the performance of our staff in caring for you. We may also combine protected health information about many patients to decide what additional services Compleat Rehab should offer, what services are not needed, and whether certain new treatments are effective. We may also disclose information to doctors, nurses, technicians, medical students, and other personnel for review and learning purposes, we may remove information that identifies you from this set of protected health information so others may use it to study health care and health care delivery without learning the identities of specific patients.
We may share your protected health information with third party "business associates" that perform various activities (for example, billing or transcription services) for our practice. Whenever an arrangement between our practice and a business associate involves the use or disclosure of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information.
We may use and / or disclose protected health information to contact you to, remind you about an appointment you have for treatment or medical care.
We may use or disclose your protected health information, as necessary, to provide you with information about treatment alternatives or other health--related benefits and services that may be of interest to you. You may contact our Privacy Officer to request that these materials not be sent to you.
4. Other Permitted and Required Uses and Disclosures That May Be Made Without Your Authorization or Opportunity to Agree and Object:
We may use or disclose your protected health information in the following situations without your authorization or providing you the opportunity to agree or object. These situations include:
(i) Required by Law: We may use or disclose your protected health information to the extent that the use or disclosure is required by law. The use or disclosure will be made in compliance with the law and will be limited d to the relevant requirements of the law. You will be notified, if required by law, of any such uses or disclosures.

(ii) Public Health: We may disclose your protected health information for public health activities and purposes to a public health authority that is permitted by law to collect or receive the information. For example, a disclosure may be made for the purpose of preventing or controlling disease, injury or disability.

(iii) Communicable Diseases: We may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.

(iv) Health Oversight: We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies t-rat oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws.

(v) Abuse or Neglect: We may disclose your protected health information to a public health authority that is authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your protected health information if we believe that you have been a victim of abuse, neglect or domestic violence to the governmental entity or agency authorized to receive such information. In this case, the disclosure will be made consistent with the requirements of applicable federal and state laws.

(vi) Legal Proceedings: We may disclose protected health information in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal (to the extent such disclosure is expressly authorized), or in certain conditions in response to a subpoena, discovery request or other lawful process.

(vii) Law Enforcement: We may also disclose protected health information, so long as applicable legal requirements are met, for law enforcement purposes, these law enforcement purposes include (1) legal processes and otherwise required by law, (2) limited information requests for identification and location purposes, (3) pertaining to victims of a crime, (4) suspicion that death has occurred as a result of criminal conduct, (5) in the event that a crime occurs on the premises of our practice, and (6) medical emergency (not on our premises) and it is likely that a crime has occurred.

(viii) Research: We may disclose your protected health information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your protected health information.

(ix) Criminal Activity: Consistent with applicable federal and state laws, we may disclose your protected health information, if we believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. We may also disclose protected health information if it is necessary for law enforcement authorities to identify or apprehend an individual.

(x) Military Activity and National Security: When the appropriate conditions apply, we may use or disclose protected health information of individuals who are Armed Forces personnel (1) for activities deemed necessary by appropriate military command authorities; (2) for the purpose of a determination by the Department of Veterans Affairs of your eligibility for benefits, or (3) to foreign military authority if you are a member of that foreign military services. We may also disclose your protected health information to authorized federal officials for conducting national security and intelligence activities, including for the provision of protective services to the President or others legally authorized.

(xi) Workers' Compensation: We may disclose your protected health information as authorized to comply with workers' compensation laws and other similar legally established programs.
5. Other Permitted and Required Uses of Disclosures That Require Providing You the Opportunity to Agree or Object
We may use and disclose your protected health information in the following instances. You have the opportunity to agree or object to the use or disclosure of all or part of your protected health information. If you are not present or able to agree or object to the use or disclosure of the protected health information, then we may, using professional judgment, determine whether the disclosure is in your best interest.

Others Involved in Your Health Care or Payment for our Care:

Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person's involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death. Finally, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your health care.
6. Uses and Disclosures of Protected Health Information Based upon Your Written Authorization Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law as described below. You may revoke this authorization in writing at any time. If you revoke your authorization, we will no longer use or disclose your protected health information for the reasons covered by your written authorization. Please understand that we are unable to take back any disclosures already made with your authorization.
C. YOUR RIGHTS
Following is a statement of your rights with respect to your protected health information and a brief description of how you may exercise these rights
1. You have the right to inspect and copy your protected health information
This means you may inspect and obtain a copy of protected health information about you for so long as we maintain the protected health information. You may obtain your medical record that contains medical and billing records and any other records that we use for making decisions about you. As permitted by federal or state law, we may charge you a reasonable copy fee for a copy of your records.
2. You have the right to request a restriction of your protected health information
This means you may ask us not to use or disclose any part of your protected health information for the purposes of treatment, payment or health care operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested and to whom you want the restriction to apply.

We are not required to agree to a restriction that you may request. If we agree to the requested restriction, we may not use or disclose your protected health information in violation of that restriction unless it is needed to provide emergency treatment. With this in mind, please discuss any restriction you wish to request with your health provider.

You may request a restriction by making your request in writing to our Privacy Officer. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure, or both; and (3) to whom you want the limits to apply, for example, disclosures to your spouse.
3. You have the right to request to receive confidential communications from us by alternative means or at an alternative location
We will accommodate reasonable requests. We may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. We will not request an explanation from you as to the basis for the request. Please make this request in writing to our Privacy Officer.
4. Your may have right to amend your protected health information
This means you may request an amendment of protected health information about you in a designated record set for so long as we maintain this information. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. Please contact our Privacy Officer if you have questions about amending your medical record.
5. You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information This right applies to disclosures for purposes other than treatment, payment or health care operations as described in this Notice of Privacy Practices. It excludes disclosures we may have made to you if you authorized us to make the disclosure, to family members or friends involved in your care, or for notification purposes, for national security or intelligence, to law enforcement (as provided in the privacy rule) or correctional facilities, as part of a limited data set disclosure. The right to receive this information is subject to certain exceptions, restrictions and limitations.
6. You have the right to obtain a paper copy of this notice from us
upon request, even if you have agreed to accept this notice electronically.
D. COMPLAINTS
You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our Privacy Officer of your complaint. We will not retaliate against you for filing a complaint

You may contact our Privacy Officer at (704) 824-7800 for further information about the complaint process.

This notice was published and becomes effective on August l, 2011.