HIPAA Notice

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

WE ARE REQUIRED BY LAW TO PROTECT MEDICAL INFORMATION ABOUT YOU

We are required by law to protect the privacy of medical information about you and that identifies you. This medical information may be information about health care we provide to you or payment for health care provided to you. It may also be information about your past, present, or future medical condition.

We are also required by law to provide you with this Notice of Privacy Practices explaining our legal duties and privacy practices with respect to medical information. We are required by law to notify you following a breach of unsecured protected health information. We are legally required to follow the terms of this Notice. In other words, we are only allowed to use and disclose medical information in the manner that we have described in this Notice.

We may change the terms of this Notice in the future. We reserve the right to make changes and to make the new Notice effective for all medical information that we maintain. If we make changes to the Notice, we will:

Post the new Notice in our waiting area.
Have copies of the new Notice available upon request (you may always contact our Privacy Officer at this Clinic’s main phone number to obtain a copy of the current Notice).

WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU IN SEVERAL CIRCUMSTANCES

We use and disclose medical information about patients every day. This section of our Notice explains in some detail how we may use and disclose medical information about you in order to provide health care, obtain payment for that health care, and operate our business efficiently. This section then briefly mentions several other circumstances in which we may use or disclose medical information about you.

Treatment

We may use and disclose medical information about you to provide health care treatment to you. In other words, we may use and disclose medical information about you to provide, coordinate or manage your health care and related services. This may include communicating with other health care providers regarding your treatment and coordinating and managing your health care with others. We may also use your information to contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.

Payment

We may use and disclose medical information about you to obtain payment for health care services that you received. This means that, within the chiropractic clinic, we may use medical information about you to arrange for payment (such as preparing bills and managing accounts). We also may disclose medical information about you to others (such as insurers, collection agencies, and consumer reporting agencies).

Healthcare Operations

We may use and disclose medical information about you in performing a variety of business activities that we call “health care operations.” These activities allow us to improve the quality of care we provide and reduce health care costs.

Persons Involved in Your Care

We may disclose medical information about you to a relative, close personal friend or any other person you identify if that person is involved in your care and the information is relevant to your care.

Required by Law

We will use and disclose medical information about you whenever we are required by law to do so. For example, state law requires us to report gunshot wounds and other injuries to the police and to report known or suspected child abuse or neglect.

YOU HAVE RIGHTS WITH RESPECT TO MEDICAL INFORMATION ABOUT YOU

Right to a Copy of This Notice: You have a right to have a paper copy of our Notice of Privacy Practices at any time.
Right of Access to Inspect and Copy: You have the right to inspect and receive a copy of medical information about you that we maintain in certain groups of records.
Right to Have Medical Information Amended: You have the right to have us amend medical information about you that we maintain.
Right to an Accounting of Disclosures: You have the right to receive a detailed listing of certain disclosures that we have made for the previous six (6) years.
Right to Request Restrictions: You have the right to request that we limit the use and disclosure of medical information about you for treatment, payment and health care operations.
Right to Request Confidential Communication: You have the right to request to be contacted at a different location or by a different method.

If you have questions about this Notice, please contact our Privacy Officer at our main phone number.