HIPAA Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
 

Our practice is dedicated, and we are required by applicable federal and state laws, to maintain the privacy of your health information. These laws also require us to provide you with this Notice of our privacy practices, and to inform you of your right, and our obligation, concerning your health information. We are required to follow the privacy practices described below while this Notice is in effect. This Notice is effective as of April 14th, 2003, and will remain in effect until we replace it.
 

CHANGES TO NOTICE:
 

We reserve the right to change this Notice and the privacy practices, we will alter this Notice to reflect the changes, and make the revised Notice available to you on request. Any changes we make to our privacy practices and/or this Notice may be applicable to health information created or received by us prior to the date of changes.
 

You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of this Notice, please contact us using the information listed at the end of the Notice.
 

PERMITTED USES AND DISCLOSURES OF HEALTH INFORMATION:
 

A. CONSENT: You should be aware that during the course of our relationship with you we will likely use and disclose health information about you for treatment, payment, and healthcare operation. Examples of these activities are as follows:
 

Treatment: We may use or disclose your health information to a physician or other healthcare provider providing treatment you.
 

Payment: We may use and disclose your health information to obtain payment for services we provide to you.
 

Healthcare Operation: We may use and disclose your health information in connection with our healthcare operation. Healthcare operation includes quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluation practitioner and provider performance, and other business operations.
 

Our chiropractic practice will seek to obtain Consent from you permitting us to use or disclose your health information for these activities. You should be aware that our