Cayman Islands
Privacy notice
Rehoboth Physio & Paincare keeps a health record about you. This page explains, in plain English, what is in it, why we hold it, the very few people outside the clinic who ever see part of it, and what you can ask us to do about it.
In force from [TO CONFIRM: date this notice takes effect]. If we change how we use your information we will change this page and the date above.
The clinic
Who we are, and who is responsible
Rehoboth Physio & Paincare is a physiotherapy, chiropractic and wellness practice with clinics in Grand Cayman. Under the Cayman Islands Data Protection Act (2021 Revision) the clinic is the data controller for your patient record: it decides what is collected and what happens to it, and it is the clinic you hold responsible.
Most of what we hold about you is health information, which the Act calls sensitive personal data. It is treated as such throughout: it is not used for marketing, it is not sold, and it is not shared with anyone outside the clinic except in the narrow circumstances set out below.
The record
What we collect
This is the whole list. Where a category is only collected in some cases, that is said.
- Who you are, and how to reach you
- Your name, date of birth, address, phone numbers and email address. Your date of birth is also how we tell two patients with the same name apart, and how we check that a portal account belongs to the person claiming it.
- Your insurance
- Your insurance company, policy or member ID, and what the insurer tells us your plan pays. If you are paying for yourself, we hold none of this.
- Your emergency contact
- The name, relationship and phone number of the person you tell us to call if something happens to you at the clinic. Please tell that person you have given us their number.
- Your intake form
- Everything you write on the intake and consent form: the condition you have come in with, how the injury happened, where and how badly it hurts, what makes it better or worse, previous treatment, past and current health problems, surgeries, medication, and the consents and signature at the bottom.
- Clinical notes and assessments
- What your practitioner examines, measures, concludes and plans, written up at each visit, along with any letters, reports, images or documents that belong to your care.
- Your appointments
- Which clinic, which practitioner, which treatment, when it was booked, whether you attended, and cancellations and missed visits.
- Money
- Invoices, the treatment and diagnosis codes on them, the claims we submit to your insurer and what the insurer settles, payments you make, and the balance outstanding on your share.
- Your portal account
- Your email address and a scrambled form of your password, if you create an account. Creating one is optional: you never need an account to book or to be treated.
Sources
Where it comes from
Almost all of it comes from you: on the phone when you book, on the booking form on this site, on the intake form you fill in before your first visit, and in what you tell your practitioner in the room.
The rest is written by the clinic in the course of treating you - the assessment, the notes, the treatment plan, the invoice and the claim. Where your insurer tells us what your policy covers, or what it has settled, that answer is recorded too.
Purpose
Why we use it, and what allows us to
Each category above is used for the reasons below and not for anything else.
- To treat you
- Your intake form, history, assessments, notes and appointments exist so the practitioner in front of you knows what is wrong, what has already been tried, and what to do next. The Act permits a health professional to handle health information for the purpose of providing care, and you also sign a consent to assessment and treatment on the intake form before treatment begins.
- To claim from your insurer
- Your identity, policy details, treatment codes and invoice are used to submit and chase your claim. On the intake form you assign your insurance benefits to the clinic and authorise us to disclose the information the insurer needs to pay. That assignment is what allows the clinic to bill your insurer rather than asking you to pay the insurer's share and claim it back.
- To arrange your appointments
- Your phone number and email address are used to confirm a booking, send an appointment reminder, send you a receipt, and reach you if the clinic has to move a visit.
- To keep the records we are required to keep
- Part of your record is kept because a clinic is obliged to keep it and to be able to produce it, not because it is needed for your next appointment. Financial records are kept for the same reason.
Disclosure
Who we share it with
We never sell your information, and we do not use it for advertising. It leaves the clinic in three situations only.
- The insurer you named. When we submit a claim, the insurer you named on your intake form receives what it needs to assess and pay it: who you are, your policy or member ID, the dates of your visits, and the treatment and diagnosis codes for them. This is the disclosure you authorise in the Assignment and Release section of the intake form, and it goes to that insurer and its agents for the purpose of payment - no other insurer, and no other purpose. That consent ends when your treatment plan is complete or one year after you sign it, whichever comes first.
- The practitioners and staff treating you. Your record is open to the practitioner treating you and to the clinic staff who book you in, take payment and submit your claim. It is not open to anyone else at the clinic who has no reason to be in it.
- The service that sends our email. Confirmations, reminders, receipts, portal sign-up links and password resets are delivered through an outside email provider, [TO CONFIRM: name of the email provider the clinic sends patient email through], which necessarily handles your name, your email address and the contents of that message. A record a practitioner shares with you is never attached to the email: it says only that something is waiting for you and asks you to sign in to read it.
If we are ever required by law, by a court, or by a regulator to disclose part of a record, we will comply, and we will tell you unless we are prohibited from doing so.
What the patient portal shows you
The portal is not your chart. It shows you three things: the appointments you have coming up and the ones you have had, the balance outstanding on your own share of settled invoices, and any individual record a practitioner has deliberately chosen to share with you.
Nothing appears there automatically. A clinical note is only visible to you once somebody at the clinic actively shares it, which means the portal is not a way to read your full history and you should not treat what it shows as complete. If you want the whole record, ask us for a copy - that is a right you have, and it is described below.
Retention
How long we keep it
The Act does not allow us to keep your information for longer than we need it. A clinical record, though, is needed long after your last visit: an injury that returns is assessed against what was found the first time.
The clinic keeps your clinical record for [TO CONFIRM: clinical record retention period the clinic applies — typically several years after the last visit under Cayman practice; confirm with the clinic's regulator or lawyer], after which it is destroyed. Invoices, claims and payment records are kept for as long as the clinic is required to keep financial records. If you create a portal account and ask us to close it, the account and its password are removed without touching the clinical record behind them.
Security
How we protect it
- Everything you send us through this site, and everything it sends back, travels over an encrypted connection.
- Your portal password is never stored in a form anybody can read, here or anywhere else. It is put through a one-way scrambling function with a random salt before it is saved, so a stolen copy of our records does not hand over your password. Nobody at the clinic can look it up and tell you what it is.
- Patient records are reachable only by clinic staff who are signed in, and what a member of staff can open depends on their role: a practitioner or receptionist sees the patients of the clinic they work in, and access to the practice's whole record set is limited to its administrators.
- The patient portal shows you your own record and nothing else: which record it loads is decided by the signed-in account, never by anything in the address bar.
- A clinical note reaches the portal only when a practitioner deliberately shares it, so nothing becomes visible because a setting was left wrong.
No system is perfect. If personal data we hold is lost, stolen, or disclosed to somebody who should not have it, the Act requires us to report it to the Office of the Ombudsman and to tell the people affected, without undue delay, and we will.
Data Protection Act (2021 Revision)
Your rights, and how to use them
These are rights the Act gives you. Using one is free, and it does not affect your treatment.
- Ask for a copy of what we hold
- You can ask us to tell you what personal data we hold about you, why we hold it, who we have disclosed it to, and to give you a copy of it. We will ask you to confirm your identity first, because handing a health record to the wrong person is the harm this right exists to prevent, and we answer within the time the Act allows.
- Have something corrected
- If a detail is wrong or out of date - a misspelled name, an old address, the wrong policy number, a factual error in your history - tell us and we will correct it. A clinical opinion cannot simply be deleted, but your disagreement with it can be recorded alongside it.
- Ask us to stop, or to erase
- You can ask us to stop processing your information, or to erase it, and you can withdraw a consent you have given - including the authority to disclose to your insurer. Some of it we may have to keep: we cannot destroy a clinical or financial record we are required to hold. Where that applies we will tell you which part we are keeping and why.
- Complain
- If you are not satisfied with how the clinic has handled your information, or with our answer to any of the above, you can complain to the Office of the Ombudsman, which regulates data protection in the Cayman Islands. You can complain to the Ombudsman whether or not you have raised it with us first, although we would rather have the chance to put it right.
To use any of these, contact us as set out below. Please say what you are asking for - a copy, a correction, erasure - so we can deal with it properly.
Contact
How to contact us about your information
Questions about this notice, and requests about your own record, go to [TO CONFIRM: name/title of the clinic's data protection contact] at Rehoboth Physio & Paincare:
- Phone +1-345-329-8585 or 525-8686
- Email rehobothphysiopaincare@gmail.com
- Or ask at reception at any of our clinics in Grand Cayman
Please do not send clinical details or anything urgent by email. The clinic's inbox is not monitored continuously - call us instead.
The terms that apply to the patient portal and to booking online are set out in our terms of use.
Want to see what we hold?
Call +1-345-329-8585 or email rehobothphysiopaincare@gmail.com and ask for a copy of your record.