Notice of Privacy Practices
Schramm Physical Therapy and Performance PLLC, DBA Dryland Performance
Effective Date: May 16, 2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Our Commitment to Your Privacy
Schramm Physical Therapy and Performance PLLC is committed to protecting the privacy and confidentiality of your protected health information (“PHI”). This Notice describes how we may use and disclose your health information, your rights regarding that information, and our legal responsibilities under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and applicable Washington State laws.
For purposes of this Notice, “Practice” refers to Schramm Physical Therapy and Performance PLLC, DBA Dryland Performance.
Uses and Disclosures of Health Information
We may use and disclose your protected health information for the following purposes:
Treatment
We may use and disclose your health information to provide, coordinate, or manage your physical therapy care and related services. This may include communication with physicians, healthcare providers, caregivers, or others involved in your treatment.
Payment
We may use and disclose your health information as necessary to obtain payment for services rendered. Although the Practice operates as a direct-pay practice and does not bill insurance directly, information may be disclosed when providing superbills or documentation requested by you for reimbursement purposes.
Healthcare Operations
We may use and disclose your health information for healthcare operations, including quality improvement, staff training, compliance activities, risk management, recordkeeping, and business administration.
Business Associates
We may disclose health information to third-party service providers who assist us in operating the Practice and who are required by law and contract to protect the privacy and security of your information.
Uses and Disclosures Required or Permitted by Law
We may disclose health information when required or permitted by law, including but not limited to:
- Public health activities
- Health oversight activities
- Reporting abuse, neglect, or domestic violence
- Judicial and administrative proceedings
- Law enforcement purposes
- Workers’ compensation claims
- Serious threats to health or safety
- Compliance with federal, state, or local laws and regulations
Other Uses and Disclosures
Any use or disclosure of your protected health information not otherwise described in this Notice will require your written authorization unless permitted or required by law.
You may revoke an authorization at any time in writing, except to the extent action has already been taken in reliance upon the authorization.
Your Rights Regarding Your Health Information
You have the right to:
Access Your Records
You may request access to or obtain copies of your health records, subject to limitations permitted by law.
Request Amendments
If you believe information contained in your record is incorrect or incomplete, you may request that it be amended.
Request Restrictions
You may request restrictions on certain uses or disclosures of your health information. While we will consider such requests, we are not required to agree to every restriction.
Request Confidential Communications
You may request that communications regarding your care be made through alternative methods or locations.
Receive an Accounting of Disclosures
You may request a list of certain disclosures of your health information made by the Practice.
Receive a Paper or Electronic Copy of this Notice
You may request a copy of this Notice at any time.
File a Complaint
You may file a complaint if you believe your privacy rights have been violated. Filing a complaint will not affect your care or result in retaliation.
Our Responsibilities
The Practice is required by law to:
- Maintain the privacy of protected health information
- Provide you with this Notice of Privacy Practices
- Abide by the terms of this Notice currently in effect
- Notify affected individuals following a breach of unsecured protected health information when required by law
- Comply with applicable federal and Washington State privacy laws
Changes to This Notice
We reserve the right to modify this Notice at any time. Any revised Notice will apply to all protected health information maintained by the Practice and will be posted on our website with an updated effective date.
Contact Information
If you have questions regarding this Notice or wish to exercise your privacy rights, please contact:
Schramm Physical Therapy and Performance PLLC
DBA Dryland Performance
Address:
12731 45th Avenue SE
Everett, WA 98208
Phone:
(734) 755-6485
Email:
mark@drylandperformance.com
Complaints
If you believe your privacy rights have been violated, you may submit a complaint to:
Privacy Officer
Schramm Physical Therapy and Performance PLLC
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
A complaint may be filed without fear of retaliation.
Acknowledgement
Patients are asked to acknowledge receipt of this Notice through the Practice’s Notice of Privacy Practices Acknowledgement Form.
Last Updated: June 8, 2026
