Patient information

This section contains all of the information you need to get the most out of your physical therapy. If you need to schedule an appointment, please call us at (713) 621-2486. If you need to cancel or reschedule an appointment, please call us at least 24 hours in advance.

Our approach to physical therapy

We believe that one-on-one treatment at each appointment is the most effective way to provide physical therapy. We use a team-based approach, and our PT staff includes only degreed, licensed, accredited physical therapy professionals.

Your physical therapy team will consist of a PT (Physical Therapist/Doctor of Physical Therapy) and a PTA (Physical Therapist Assistant). Your first visit will be with a PT, who will then coordinate with a PTA. Together, they will develop and deliver an effective plan of care to get you moving and feeling your best.

Preparing for your first appointment

Once you’ve scheduled your appointment, there are several things you can do to prepare that will help your first visit more efficient and effective, so you can make the most of your time.

Complete your paperwork

We want you to get the maximum benefit of your full physical therapy appointment, so making sure we have all the necessary forms and information in advance avoids having to spend valuable time on paperwork. In addition to completing your intake forms, physical and pain assessment questionnaires, and consent form, providing your insurance information in advance allows us to obtain pre-approval so you are aware of your benefits and responsibilities. Here’s a list of everything you’ll need to provide:

• • • • your insurance card, or a scan/picture (front and back) if emailing ahead of time
      • your photo ID/driver’s license, or a scan/picture if emailing ahead of time
      • a list of all current medications
      • your physician’s referral, if you have one (Your doctor can fax the order/referral for treatment to 713-621-2491)
      • completed information and consent forms, as well as self-assessment forms for your specific physical therapy needs

All of our PDF forms can be completed online. You can:

• complete them online, save them to your device, then email them along with your insurance card and ID to our secure, encrypted email address: patientportal@affiliatesinphysicaltherapy.com
• complete them online, print them, and bring them to your appointment
• print them, fill them out by hand, and bring them to your appointment

What to Bring to Your Appointment

• • • • Please be aware that masks are required at all times when in our facility. 
      • Wear comfortable clothing that allows freedom of movement.
      • Wear appropriate footwear (no open-toed shoes or sandals).
      • You may want to bring a water bottle.

forms

All of our PDF forms can be completed online, and saved to your device or printed. If you plan to email your forms prior to your appointment, please be sure to use only our encrypted, HIPAA-compliant, secure email address to ensure your health information is protected: patientportal@affiliatesinphysicaltherapy.com. 

Other forms

Authorization for Release of Information
Complete this form if we need to request x-rays, MRIs, or other test results or medical history from another health care provider.

How to find us

We are centrally located at 3100 Timmons Lane in Houston, where the River Oaks, Greenway, and Upper Kirby neighborhoods intersect. 

There is ample visitor parking on the North and West sides of the building, and our clinic is on the first floor of the building. It’s the first door on the left when you enter through the West entrance.

If you enter through the main building entrance, we are at the end of the left hallway.

All doors are are equipped with buttons to allow for hands-free access.

Privacy Policies & Practices

This section describes how information about you may be used and disclosed and how you can get access to this information. Click here to download a PDF version.

Introduction

We are committed to using your protected health information responsibly. This notice describes the personal information we collect, as well as how and when we use or disclose that information. It also describes your rights as they relate to your protected health information as defined by federal regulations.

Understanding Your Medical Record/Health Information

A record is generated for each visit to our clinic, including information about your examination, evaluation, diagnoses, and treatment, as well as other pertinent healthcare data. This information, often referred to as your health or medical record, serves as:

• • • a basis for planning your healthcare and treatment
    • a means of communication with other healthcare professionals involved in your care
    • a legal document outlining and describing the care you received
    • a tool that you or another payer (your insurance company) will use to verify that services billed were provided.
    • an education tool for medical health providers
    • a resource for medical research
    • a basis for public health officials who might use this information to assess an/or improve state as well as national healthcare standards
    • a source of data for planning and/or marketing
    • a tool that we can reference to ensure the highest satisfaction

Understanding what is in your record and how your health information is used helps you to ensure its accuracy, determine what entities have access to your health information, and make an informed decision when authorizing the disclosure of this information to other individuals.

Your rights

You have certain rights under the federal privacy standards. These include:

• • • the right to request restrictions on the use and disclosure of your protected health information
    • the right to receive confidential communications concerning your medical condition and treatment
    • The right to inspect and copy your protected health information
    • The right to receive a list of how and to whom your protected health information has been disclosed
    • The right to receive a copy of this notice.

Our Responsibilities

We are required to:

• • • Maintain the privacy of your health information
    • Provide you with this notice as to our legal duties.
    • and privacy practices with respect to information we collect and maintain about you.
    • Abide by the terms of this notice.
    • Notify you if we are unable to agree to a requested restriction.
    • Accommodate reasonable requests you have regarding communication of health information via alternative means and location.

As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These changes in our policies and practices may be required by changes in federal and state laws and regulations. Whatever the reason for these revisions, we will provide you with a revised notice on your next office visit. The revised policies and practices will be applied to all protected health information that we maintain.

We will not use or disclose your health information without your authorization, except as described in this notice. We will also discontinue to use or disclose your health information after we have received a written revocation of the authorization according to procedures included in the authorization.

How We May Use And/Or Disclose Your Health Information

Treatment Purposes – Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your medical record to all health professionals who may provide treatment or who may be consulted by staff members.

Payment/Insurance Communications – Your health plan may request and receive information on dates of service, the services provided, and the medical condition being treated in order to pay for the service rendered to you.

Clinic Operations – Your health information may be used as a resource to support the day-to-day activities and management. For example, information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality.

Business Associate Communications – In some instances, we have contracted separate entities to provide services for us. These associates require your health information in order to accomplish the tasks that we ask them to provide. Some examples of these business associates might be a billing service, collection agency, answering services and computer software/hardware provider.

Communication with Family – Due to the nature of our field, we will use our best judgment when disclosing health information to a family member, other relatives, or any other person that is involved in your care or that you have authorized to receive this information.

Research/Teaching/Training – We may use your information for the purpose of research, teaching and training.

Healthcare Oversight – Federal law requires us to  release your information to an appropriate health oversight agency, public health authority or attorney, or other federal/state appointee if there are circumstances that require us to do so.

Patient Portal – We may implement a secure, online patient portal to provide access to your health information via the internet.

Public Health Reporting – Your health information may be disclosed to public health agencies as required by law.

Law Enforcement – Your health information may be disclosed to law enforcement agencies without your permission to support government audits and inspections, to facilitate law enforcement investigations, and to comply with government mandated reporting.

Appointment Reminders – The practice may use your information to remind you about upcoming appointments. Typically, appointment reminders are sent by mail in a closed envelope or through a brief, non-specific message that may be left on your voicemail, sent by text message to your cellular phone or through e-mail. if you don’t approve of these methods, or if you prefer alternative methods, please inform the practice.

Other Uses and Disclosures – Disclosure of your health information or its use for any purpose other than those listed above, requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision.

For More Information or to report a problem

If you have complaints, questions, or would like additional information regarding this notice or our privacy practices, please contact us:

Privacy Officer
Oakbend Physical Therapy – Upper Kirby
Managed by Affiliates in Physical Therapy
3100 Timmons Lane Suite 120
Houston TX 77027

If you believe that your privacy rights have been violated, please contact our Privacy Officer, or you may file a complaint with the Office for Civil Rights, U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint with either the Privacy Officer or with the Office of Civil Rights.

U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room S09F, HHH Building
Washington, D.C. 20201