NOTICE OF
PRIVACY PRACTICES.

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.

How We May Use & Disclose Your Health Information

• Treatment: to provide, coordinate, and manage your chiropractic care
• Payment: to bill and collect payment for the services you receive
• Healthcare operations: to run our practice and improve the quality of care
• As required by law: when federal, state, or local law requires it

Your Rights Regarding Your Health Information

• The right to inspect and copy your records
• The right to request an amendment to your records
• The right to request restrictions on certain uses and disclosures
• The right to request confidential communications
• The right to an accounting of certain disclosures
• The right to a paper copy of this notice

Our Responsibilities

We are required by law to maintain the privacy of your health information, provide you this notice of our legal duties and privacy practices, and follow the terms of the notice currently in effect. We reserve the right to change this notice and to make the revised notice effective for information we already have, as well as for information we receive in the future.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.