Privacy Policy

Notice of Privacy Practices ver 2.0.pdf

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. 


Your Rights 

                                                                                                                                           

               Ask us to limit what we use or share

          

               • You  can ask us not  to  use or share certain health information for treatment, payment, or  our operations.                 

               

               • We  are not required to agree to your request, and we may say “no”  if it would affect your care.

               

               • If  you pay for a service or health care item out-of-pocket in full,  you can ask us not to share that information for the purpose of payment or our operations with your health insurer.

               

               • We  will say “yes” unless a law requires us to share that                information.

          

               Get a list of those with whom we’ve shared information

          

               • You  can ask for a list (accounting) of the times we’ve shared your  health information for six years prior to the date you ask, who we      shared it with, and why.

               

               • We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures  (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if    you ask for another one within 12 months.                

          

               Choose  someone to act for you

          

               • If  you have given someone medical power of attorney or if someone is  your legal guardian, that person can exercise your rights and make choices about your health information.

               

               • We will make sure the person has this authority and can act for you before we take any action.

          

               File a complaint if you feel your rights are violated

          

               • You  can complain if you feel we have violated your rights by     contacting us.

               

               • You  can file a complaint with the U.S. Department of Health and Human  Services Office for Civil Rights by sending a letter to 200         Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting    www.hhs.gov/ocr/privacy/hipaa/complaints/.

               

               • We will not retaliate against you for filing a complaint.

               

                 Texas  Residents can also complain to the Texas Board of Chiropractic  Examiners, 1801 Congress Avenue Suite 10.500, Austin, Texas 78701,   512-305-6700 or 1-800-821-3205

          



Your Choices

                                                                                                                                 

               For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.                 

          

               In  these cases, you have both the right and choice to tell us to:

          

               •  Share information with your family, close friends, or others involved in your care

               

•  Share  information in a disaster relief situation

               

•  Include your information in a hospital directory

               

               •  Contact  you for fundraising efforts

               

If  you are not able to tell us your preference, for example if you                are unconscious, we may go ahead and share your information if we                believe it is in your best interest. We may also share your                information when needed to lessen a serious and imminent threat to                health or safety.

          

               In  these cases we never  share  your information unless you give us written permission:

          

               •                Marketing purposes

               

•                Sale  of your information

          

               In  the case of fundraising:

          

•                We may contact you for fundraising efforts, but you can tell us not  to contact you again.

          


Our Uses and Disclosures

                                                                                                                                                                    

               How do we typically use or share your health information? We  typically use or share your health information in the following ways.

          

               Treat    you

          

•                We can use your health information and share it with other       professionals who are treating you.                

          

Example:  A doctor treating you for an injury asks another doctor about your overall health condition.

          

               Run  our organization

          

•                We  can use and share your health information to run our practice,  improve your care, and contact you when necessary.

          

Example:  We  use health information about you to manage your treatment and  services.                 

          

               Bill  for your services

          

•                We  can use and share your health information to bill and get payment  from health plans or other entities.                

          

Example:  We give information about you to your health insurance plan so it will pay for your services.                 

          



Our Uses and Disclosures

                                                                                                                                                                                                                                                                 

               How else can we use or share your health information? We are allowed or required to share your information in other ways –  usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law  before we can share your information for these purposes. For more information see:                www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

          

               Help with public health and safety issues

          

               •                We can share health information about you for certain situations such as:                

               

•                Preventing  disease

               

•                Helping  with product recalls

               

•                Reporting  adverse reactions to medications

               

•                Reporting  suspected abuse, neglect, or domestic violence

               

•                Preventing or reducing a serious threat to anyone’s health or safety

          

Do  research

          

•                We  can use or share your information for health research.                

          

               Comply with the law

          

•                We will share information about you if state or federal laws require  it, including with the Department of Health and Human Services if  it wants to see that we’re complying with federal privacy law.

          

               Respond  to organ and tissue donation requests

          

•                We  can share health information about you with organ procurement  organizations.                

          

               Work  with a medical examiner or funeral director

          

•                We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

          

               Address  workers’ compensation, law enforcement, and other government requests

          

               • We can use or share health information about you:

               

               • For  workers’ compensation claims

               

               • For law enforcement purposes or with a law enforcement official

               

               • With  health oversight agencies for activities authorized by law

               

               • For  special government functions such as military, national security, and presidential protective services

          

               Respond  to lawsuits and legal actions

          

•                We can share health information about you in response to a court or  administrative order, or in response to a subpoena.                

          


Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information. 

• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

• We must follow the duties and privacy practices described in this notice and give you a copy of it. 

• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind. 

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, on our web site.

Effective date: 11/10/2023