Your chiropractor or a staff member may have to disclose your health information including all of your clinical records to another health care provider or a hospital if it is necessary to refer you to them for diagnosis, assessment, or treatment of your health condition.Our insurance and billing staff may have to disclose your examination and treatment records and your billing records to another party, such as an insurance carrier, an HMO, a PPO or your employer, if they are potentially responsible for the payment of your services.Your chiropractor and members of the staff may need to use your health information, examination and treatment records and your billing records for quality control purposes or for other administrative purposes to run our practice efficiently and effectively.Your chiropractor and members of the practice staff may need to use your name, address, phone number, and your clinical records to contact you to provide appointment reminders, information about treatment alternatives, or other health related information that may be of interest to you. 164.520 (b)(1)(iii) (A). If you are not at home to receive an appointment reminder, a message will be left on your voice mail or answering machine.

You have the right to refuse to give us authorization to contact you to provide appointment reminders, information about treatment alternatives, or other health related information. If you do not give us authorization, it will not affect the treatment we provide to you or the methods we use to obtain reimbursement for your care.

You may inspect or copy the information that we use to contact you to provide appointment reminders, information about treatment alternatives, or other health related information at any time.
top

Our Privacy Pledge

We have always and always will respect your privacy.  Other than the uses and disclosures described within this notice, we will not sell or provide any of your health information to any outside marketing organization  
top

Permitted Uses and Disclosures Without Consent or Authorization

  Under federal law, we are also permitted or required to use or disclose your health information without your consent or authorization in these following circumstances:

 If we are providing health care services to you based on the orders of another health care provider.
If we provide health care services to you as an inmate.
If we provide health care services to you in an emergency.
If we are required by law to treat you and were unable to obtain your consent after attempting to do so.
If there are substantial barriers to communicating with you, but in our professional judgment we believe that you intend for us  to provide care.

  Other than the circumstances described in the examples above and in the Uses and Disclosures section of this notice, any other use or disclosure of your health information will only be made with your written authorization. 
top

Your Right to Revoke Your Authorization

You may revoke your authorization to us at any time; however, your revocation must be in writing.  There are two circumstances under which we will not be able to honor your revocation request:

If we have already released your health information before we receive your request to revoke your authorization.  164.508 (b)(5)(i)
It you were required to give your authorization as a condition of obtaining insurance, the insurance company may have a right to your health information if they decide to contest any of your claims.  If you wish to revoke your authorization please write to us at our office address
top