Effective Date: March 20, 2025
This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
1. Our Responsibilities
We are required by law to maintain the privacy of your protected health information (PHI), to provide you with this notice of our legal duties and privacy practices, and to abide by the terms of this notice.
2. How We May Use and Disclose Health Information
We may use and share your PHI for:
- Treatment: To provide, coordinate, or manage your health care and related services.
- Payment: To obtain payment for your healthcare services.
- Healthcare Operations: For administrative activities such as quality assessment and staff training.
3. Other Permitted and Required Uses and Disclosures
We may also use or disclose your PHI in certain situations without your authorization:
- To comply with laws and regulations
- For public health activities
- For health oversight activities
- In response to legal proceedings
- To law enforcement when required
- To avoid a serious threat to health or safety
4. Your Rights Regarding Health Information
You have the right to:
- Request restrictions on certain uses and disclosures
- Request confidential communications
- Inspect and obtain a copy of your medical record
- Request an amendment to your medical record
- Receive an accounting of disclosures
- Obtain a paper copy of this notice upon request
5. Changes to This Notice
We reserve the right to change this notice and make the new notice apply to PHI we already have as well as any information we receive in the future. The revised notice will be available upon request and posted in our office and on our website.
6. Complaints
If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. You will not be retaliated against for filing a complaint.
7. Contact Information
If you have any questions about this notice or need to contact us for any reason involving your privacy rights, please contact:
N8 Family Chiropractic
340 West Fair Ave. Lancaster OH 43130
Phone: 740-689-0199
Email: [email protected]
Website: www.n8familychiropractic.com
