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

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Family Chiropractic is required to:

• Maintain the privacy and security of your health information

• Provide you with this Notice of Privacy Practices

• Follow the terms described in this notice

• Notify you if a breach occurs that may compromise your health information

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How We May Use or Disclose Your Information Treatment

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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.

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Example:

Submitting information to insurance providers for reimbursement.

 

Healthcare Operations

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We may use your information for activities necessary to operate our practice.

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Example:

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• Quality improvement

• Staff training

• Licensing compliance

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Other Permitted Uses and Disclosures

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We may disclose information when required by law including:

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• Public health reporting

• Workers’ compensation claims

• Law enforcement requests

• Health oversight activities

• Court orders or legal proceedings

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Uses That Require Your Written Authorization

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We will obtain your written authorization before:

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• Sharing information for marketing purposes

• Selling your health information

• Using information beyond standard treatment, payment, and operations

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You may revoke authorization at any time in writing.

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Your Rights

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You have the right to:

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Request Access

You may request a copy of your medical record.

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Request Corrections

If you believe information is incorrect, you may request an amendment.

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Request Restrictions

You may request limits on how we use or share your information.

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Request Confidential Communications

You may request communication through specific methods or locations.

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Receive an Accounting of Disclosures

You may request a list of certain disclosures we have made.

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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.

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Filing a Complaint

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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

(573) 348-6640

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.

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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.