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Notice of Privacy Practices

A Better Way for Health

Notice of Privacy Practices

As required by the Health Insurance Portability and Accountability Act (HIPPA)

How your health information may be used in our office.

To Provide Treatment

We will use your HEALTH INFORMATION within our office to provide you with the best health care possible. This may include administrative and clinical office procedures designed to optimize scheduling and coordination of care between the chiropractor, chiropractic assistant, and office staff. In addition, we may share your health information with referring doctors or other health care professionals providing you different types of care.

To Obtain Payment

We may include you health information with an invoice used to collect payment for care you receive in our office. We may do this with insurance forms filed for you in the mail or sent electronically. We will be sure to only work with companies with a similar commitment to the security of your health information

To Conduct Health

Care Operations

Your health information may be used during performance evaluations of our staff. Some of our best teaching opportunities use clinical situations experienced by patients receiving care at our office. As a result, health information may be included in the training programs for students, interns, associates, and business and clinical employees. It is also possible that health information will be disclosed during audits by insurance companies or government appointed agencies as part of their quality assurance and compliance reviews. Your health information may be reviewed during the routine processes of certification, licensing or credentialing activities.

Patient Reminders and Educational Material

Because we believe regular care is very important to your general health, we will remind you of a scheduled appointment or that it is time for you to contact us and make an appointment. Additionally, we may contact you to follow up on your care, inform you of care options or services that may be of interest to you or your family. Communications are an important part of our philosophy of partnering with our patients to be sure they receive the best chiropractic care we can provide. They may include newsletters, postcards, folding postcards, letters, telephone reminders or electronic reminders such as email (unless you tell us that you do not want to receive these reminders). Our office may send out patient newsletters and other educational materials which HIPPA defines as being marketing tools. While this practice may be classified as marketing, we would never use your personal information for any kind of advertising without your express written permission. Occasionally in our newsletters we may list a patient’s name to thank them for a referral, wish them a happy birthday, welcome them to the office or congratulate them for a positive life achievement.

Abuse or Neglect

We will notify government authorities if we believe a patient is the victim of abuse, neglect, or domestic violence. We will make this disclosure only when we are compelled by our ethical judgment, when we believe we are specifically required or authorized by law or with the patient’s agreement.

Public Health and National Security

We may be required to disclose to Federal officials or military authorities health information necessary to complete and investigation related to public health or national security. Health information could be important when the government believes that the public could benefit when the information could lead to the control or prevention of an epidemic or the understanding of new side effects of a drug treatment or medical device.

Family, Friends and Caregivers

We may share your health information with those you tell us will be helping you with your home hygiene, treatment or payment. We will be sure to ask your permission first. In the case of an emergency, where you are unable to tell us what you want, we will use our very best judgment when sharing your health information to those participating in providing your care.

Coroners, Funeral Directors and Medical Examiners

We may be required by law to provide information to coroners, funeral directors and medical examiners for the purpose to determining a cause of death and preparing for a funeral.

For Law Enforcement

As permitted or required by State or Federal law, we may disclose your health information to a law enforcement official for certain law enforcement purposes, including, under certain circumstances, if you are the victim of a crime or in order to report a crime.

Chiropractic Research

Advancing scientific knowledge often involves learning from the careful study of the health histories of prior patients. Formal review and study of health histories as a part of a research study will happen only under the ethical guidance, requirements and approval of an Institutional Review Board.

Authorization to Use or Disclose Health Information

Other than what is stated above or where Federal, State or Local law requires us, we will not disclose your health information other than with your authorization. You may revoke that authorization in writing at any time.

Patient Rights

The Health Insurance Portability and Accountability Act is careful to describe that you have the following rights related to your health information.  The patient has the right to request or receive a copy of the practice’s Notice of Privacy Practices.


You have the right to request restrictions on certain uses and disclosures of your health information. Our office will make every effort to honor reasonable restriction requests from our patients.

Confidential Communications

You have the right to request that we communicate with you in a certain way. You may request that we only communicate your health information privately with no other family members present or through mailed communications that are sealed. We will make every effort to honor your reasonable requests for confidential communications.

Amend Your Health Information

You have the right to ask us to update or modify your records if you believe your health information records are incorrect or incomplete. We will be happy to accommodate you as long as our office maintains this information. In order to standardize our process, please provide us with your request in writing and describe your reason for the change. Your request may be denied if the health information record in question was not created by our office, is not part of our records or if the records containing your health information are determined to be accurate and complete.

Inspect and Copy Your Health Information

You have the right to read, review, and copy your health information, including your complete chart,

x-rays and billing records. If you would like a copy of your health information, please let us know. We may charge you a reasonable fee to duplicate and assemble your copy.

Documentation of Health Information

You have to right to ask us for a description of how and where your health information was used by our office for any reason other than for treatment, payment or health care operations. Our documentation procedures will enable us to provide information on health information usage from April 14, 2003 forward. Please let us know in writing the time period for which you are interested. Thank you for limiting your request to no more than six years at a time. We may need to charge you a reasonable fee for your request.


Complaints regarding the handling of your health information or this Notice of Privacy Practices must be directed to our Privacy Officer in writing

Brittany Cohen, 916 W Poinsett St.Greer, SC 29650

If this office does not handle your complaint in a satisfactory manner contact your local DHHS office of Civil Rights.

Timothy Noonan, Regional Manager, Office for Civil Rights

U.S. Department of Health and Human Services, Sam Nunn Atlanta Federal Center, Suite 16T70

61 Forsyth Street, S.W. Atlanta, GA 30303-8909

Voice Phone (800) 368-1019      Fax (404) 562-7881     TDD (800) 537-7697

The complaint form may be found at  You will not be penalized in any way for filing a complaint.

Revised 01-2014

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