Patient Details:

Manual Fizio Corporation (MFC) is aware of the need to keep the personal data of its patients private and secured for purely legitimate purposes. 

We aim to comply with the Data Privacy Act of 2012 (DPA) and cooperate fully with the National Privacy Commission (NPC). We value your privacy. Our commitment to providing quality treatment and recovery experience to our patients is as important as our commitment in keeping your personal data safe.

In this Form, the terms, “personal data” and “information” are used interchangeably. When we talk about “personal data,” the term includes the concepts of personal information, sensitive personal information, and privileged information. The first two are typically used to distinctively identify you. For their exact definitions, you may refer to the DPA.

Processing of Personal Data

Collection of Information

We collect your personal data that includes those you provide us during your initial visit - information we acquire or generate upon completing the Patient Information Form and during the course of your treatment journey with us.

 1. Information you provide us during your initial visit
Upon inital visit , we collect information about personal circumstances and contact information such as but not limited to name, home/residence addresses, email addresses, telephone number/mobile numbers and other contact details, family medical history, medical record etc.

 2.  Information we get and generate during the course of your treatment journey with us
Upon initial visit and during the course of your treatment journey with us, we confirm/collect information which you have previously provided upon your initial visit in order that we get updated information such as but not limited to name, home/residence addresses, email addresses, telephone number/mobile numbers, etc. WE will also collect information for and in relation to the chief concern you have and other related medical history. 

Access to Information

Your personal information is accessed and used by MFC personnel who have legitimate interest in it for the purpose of carrying out their mandated duties in connection with providing you quality treatment, recovery journey, and patient experience.

We use and share your information as permitted or required by law and MFC’ medical-related mandate including a variety of administrative, historical and statistical purposes.

Below are specific situations when we will use your information to pursue our legitimate interest:
Recording, generating and maintaining patient records of medical progress

• Establishing and maintaining patient information systems
• Sharing of patient recovery status / progress between and among clinic personnel, and others with legitimate official need
• Maintaining patient records; compiling and generating reports for statistical and research purposes;
• Communicating official announcements; sharing promotional materials, functions, events, projects and activities;
• Soliciting your participation in research and non-commercial survey
• Analyzing results of written tests, examinations, assessments which reflect personal data in order to improve MFC's treatment and recovery programs

Sharing of Information

Below are specific situations when we may share or disclose your personal information to others:

• Sharing of information to persons, including other doctors, guardians or next of kin, as required by law or on a need-to-know basis as determined by the clinic to promote your best interests, protect your health, safety and security, or that of others;
• Reporting and/or disclosing information to the NPC and other government bodies or agencies (e.g. Department of Health, Philippine Physical Therapy Association, Inc, etc. );
• Responding to inquiries verifying that you are a patient of MFC when necessary;
• Conducting research or surveys for purposes of treatment and patient recovery development;
• In school’s application for competitions, seminars, and trainings where you may belong;
• Sharing your academic accomplishments or honors and co-curricular or extracurricular achievements with schools you graduated from or was previously enrolled in, upon their request;
• Marketing or advertising to promote the clinic and its services, including its activities and events, through photos, videos, brochures, website posting, newspaper advertisements, physical and electronic bulletin boards, and other media;
• Complying with court orders, subpoenas and/or other legal obligations;

Data Protection

We shall implement acceptable and appropriate organizational, physical, and technical security measures for the protection of personal data which we collected.

These steps of protection shall aim to maintain the availability, integrity and confidentiality of personal data against accidental or unlawful destruction, alteration, and disclosure as well as unlawful processing.

Your personal data will only be accessed by our authorized personnel/personal data processor who hold such information under strict confidentiality. We shall restrict access to information to anyone who wants to obtain such data without justifiable reason.

Any incident of security breach with regard to said personal data which comes to our knowledge will immediately be acted upon as the law mandated. MFC will take the necessary steps to address said breach and mitigate its negative effects. If there is a strong belief that an incident affects your personal, MFC will notify you of such incident in an appropriate manner.

Confidentiality

After completing the required period of treatment journey and recovery requirements in MFC and you have already completed the recommended treatment, your personal information will remain private and confidential. MFC personnel shall operate and hold personal data under strict confidentiality.

Right to Privacy

As provided by the Act, you may object to the processing of your personal data, request to access your personal information, and/or have it corrected, erased, or blocked on reasonable grounds. For the details of your rights as data subject, you can get in touch with our Data Privacy Officer at contact details below or at National Privacy Commission at https://privacy.gov.ph/. MFC will take note of your request and shall reserve the right to deal with the matter in accordance with the law.

Right to Damages

The data subject shall be indemnified for any damages sustained due to such inaccurate, incomplete, outdated, false, unlawfully obtained or unauthorized use of personal data, taking into account any violation of his or her rights and freedoms as data subject.

Cookies

We use "cookies" on this site. A cookie is a piece of data stored on a site visitor's hard drive to help us improve your access to our site and identify repeat visitors to our site. For instance, when we use a cookie to identify you, you would not have to log in a password more than once, thereby saving time while on our site. Cookies can also enable us to track and target the interests of our users to enhance the experience on our site. Usage of a cookie is in no way linked to any personally identifiable information on our site.

Contact Information

For your concerns regarding your privacy rights, this Consent Form or any matter regarding Data Privacy Act of 2012, you may contact our Data Management personnel through the following details:

Maricris Bravante
Mobile Number: 09171776682
Email Address: customercare@manualfizio.com

Consent

I have read this form, understood its contents and consent to the processing of my personal data. I understand that my consent does not preclude the existence of situations/scenarios for lawful processing of personal data and does not waive any of my rights under the Data Privacy Act of 2012.

I hereby give permission for employees and professional staff of MANUAL FIZIO | COLLABORATIVE PHYSICAL MEDICINE to evaluate me and, if appropriate, provide treatment in accordance with a plan of care authorized either by my physician (if applicable) or by my personal authorization. I understand that I will receive all relevant information regarding my treatment prior to its initiation. I will be given the opportunity to ask questions and receive satisfactory answers. I understand that I may decline treatment at any time.

I understand that as part of my healthcare, MANUAL FIZIO | COLLABORATIVE PHYSICAL MEDICINE will create and maintain records documenting my health history, symptoms, examination and test results, diagnoses, treatment, and any plans for future care. I acknowledge that this information is used to:

• Serve as a basis for planning my care and treatment;
• Facilitate communication among healthcare professionals involved in my care; and
• Support routine healthcare operations, such as quality assessment and professional competency reviews.

I acknowledge that I have been provided with a Notice of Information Practices, which offers a more complete description of how my information may be used and disclosed.

I understand that I have the following rights:

• The right to review the Notice of Information Practices prior to signing this consent;
• The right to request restrictions on how my health information may be used or disclosed for treatment purposes.

I understand that MANUAL FIZIO | COLLABORATIVE PHYSICAL MEDICINE is not required to agree to requested restrictions. I further understand that I may revoke this consent in writing at any time, except to the extent that actions have already been taken based on this consent. I am also aware that refusal to sign or revocation of this consent may result in the organization’s refusal to provide treatment.

Additionally, I understand that MANUAL FIZIO | COLLABORATIVE PHYSICAL MEDICINE is a modern Manual Physical Therapy clinic specializing in pain science education, repeated motion, and reinforcement techniques. Treatments are based on the clinical skills and specialized training in the Manual Therapy Approach that the staff have acquired.

I acknowledge that I have read, understand, and accept the terms of this consent. By submitting this form, I indicate my full acceptance and authorization.