HIPAA Notice of Privacy Practices
Effective Date: 3/12/2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION.
Please review it carefully.
Family Chiropractic is required by the Health Insurance Portability and Accountability Act (HIPAA) and applicable Missouri law to maintain the privacy of your Protected Health Information (PHI).
Protected Health Information includes any information about your health condition, treatment, or payment for healthcare services that can identify you.
Our Responsibilities
Family Chiropractic is required to:
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Maintain the privacy and security of your health information
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Provide you with this Notice of Privacy Practices
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Follow the terms described in this notice
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Notify you if a breach occurs that may compromise your health information
How We May Use or Disclose Your Information Treatment
We may use or share your health information with healthcare professionals involved in your treatment.
Example:
Consulting with another healthcare provider regarding your care.
Payment
We may use your information to bill and receive payment for services.
Example:
Submitting information to insurance providers for reimbursement.
Healthcare Operations
We may use your information for activities necessary to operate our practice.
Example:
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Quality improvement
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Staff training
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Licensing compliance
Other Permitted Uses and Disclosures
We may disclose information when required by law including:
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Public health reporting
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Workers’ compensation claims
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Law enforcement requests
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Health oversight activities
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Court orders or legal proceedings
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Uses That Require Your Written Authorization
We will obtain your written authorization before:
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Sharing information for marketing purposes
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Selling your health information
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Using information beyond standard treatment, payment, and operations
You may revoke authorization at any time in writing.
Your Rights
You have the right to:
Request Access
You may request a copy of your medical record.
Request Corrections
If you believe information is incorrect, you may request an amendment.
Request Restrictions
You may request limits on how we use or share your information.
Request Confidential Communications
You may request communication through specific methods or locations.
Receive an Accounting of Disclosures
You may request a list of certain disclosures we have made.
Missouri Patient Rights
Family Chiropractic complies with applicable Missouri healthcare privacy regulations and rules governing chiropractic practice as administered by the Missouri Board of Chiropractic Examiners.
Filing a Complaint
If you believe your privacy rights have been violated, you may file a complaint with:
Family Chiropractic
5886 Osage Beach Pkwy suite b, Osage Beach, MO 65065
You may also file a complaint with:
U.S. Department of Health & Human Services
Office for Civil Rights
No retaliation will occur for filing a complaint.
Changes to This Notice
We reserve the right to update this Notice of Privacy Practices.
The updated version will be posted in our office and on our website.