Protecting Your Health Information with the Highest Standards of Confidentiality
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.
Our chiropractic clinic is committed to protecting the privacy of your personal health information. We are required by law to maintain the privacy of your protected health information and to provide you with this notice of our legal duties and privacy practices.
We use and disclose health information about you for treatment, payment, and healthcare operations. For example:
You have the following rights regarding your health information:
We may use or disclose your health information without your authorization for several other reasons. Subject to certain requirements, we may use or disclose your health information without your authorization for public health purposes, auditing purposes, research studies, and emergencies. We may also disclose your health information without your authorization when required by law.
For any other purposes not described in this notice, we will ask for your written authorization before using or disclosing your health information. If you choose to sign an authorization to disclose your health information, you can later revoke that authorization to stop any future uses and disclosures.
We are required by law to maintain the privacy of your health information and to provide you with this notice of our legal duties and privacy practices. We are required to abide by the terms of this notice currently in effect. We reserve the right to change the terms of this notice and to make new notice provisions effective for all protected health information that we maintain. If we change our practices, we will update this notice and make it available to you.
If you are concerned that we have violated your privacy rights, or you disagree with a decision we made about access to your health information, you may contact the person listed below. You may also send a written complaint to the U.S. Department of Health and Human Services. The person listed below can provide you with the appropriate address upon request. Under no circumstances will you be retaliated against for filing a complaint.
