Notice of Privacy Practices
Effective Date: December 10 2024
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
At KOAH Chiropractic, we are committed to protecting your personal health information (PHI) in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This Notice of Privacy Practices (“Notice”) explains how we may use and disclose your PHI, your rights regarding this information, and our responsibilities to safeguard it.
Your Rights
You have several rights under HIPAA regarding your PHI:
- Access to Records:
- You have the right to view and request a copy of your health records. Requests must be made in writing, and we may charge a reasonable fee for copies.
- Request Amendments:
- If you believe your health records are incomplete or incorrect, you can request an amendment. We may deny your request under certain circumstances, but we will provide a written explanation if we do.
- Request Confidential Communications:
- You can ask us to contact you in a specific way (e.g., at a different address or via email) or to send communications to an alternate location.
- Restrict Uses and Disclosures:
- You have the right to request restrictions on how we use or disclose your PHI for treatment, payment, or healthcare operations. While we are not required to agree to all restrictions, we will comply if legally required.
- Accounting of Disclosures:
- You can request a list of disclosures we have made of your PHI, except those related to treatment, payment, or healthcare operations.
- Receive a Copy of This Notice:
- You are entitled to a paper copy of this Notice at any time, even if you agreed to receive it electronically.
- File a Complaint:
- If you believe your rights have been violated, you can file a complaint with our office or the U.S. Department of Health and Human Services (HHS). There will be no retaliation for filing a complaint.
How We Use and Disclose Your PHI
Your PHI may be used and disclosed in the following ways without your written permission:
- Treatment:
- To provide, coordinate, or manage your healthcare, including sharing information with other healthcare providers.
- Payment:
- To bill and collect payment from you, your insurance company, or other third parties.
- Healthcare Operations:
- For administrative purposes, such as quality improvement and staff training.
- Legal Requirements:
- When required by law, such as for public health reporting or in response to a court order.
- Public Health and Safety:
- To prevent or control disease, report adverse events, or address safety concerns.
- Business Associates:
- To third-party service providers who perform tasks on our behalf, provided they agree to safeguard your PHI.
Uses and Disclosures Requiring Your Authorization
We will obtain your written authorization before:
- Using your PHI for marketing purposes.
- Disclosing your PHI for the sale of information.
- Sharing psychotherapy notes, except as required by law.
You may revoke your authorization in writing at any time, except where we have already relied on it.
Our Responsibilities
- Safeguard Your Information: We implement appropriate administrative, technical, and physical safeguards to protect your PHI.
- Abide by This Notice: We are legally required to follow the terms of this Notice.
- Notify You of Breaches: If a breach of your unsecured PHI occurs, we will notify you promptly.
Contact Information
For questions, complaints, or requests related to your PHI, please contact:
KOAH Chiropractic
600 S Weber Rd
Suite #9A
Romeoville, IL 60466
Phone: (815) 293-3000
Email: admin@koahchiro.com
This Notice may be updated periodically. Any changes will apply to all PHI we maintain and will be made available on our website and at our office.
Thank you for trusting KOAH Chiropractic with your healthcare needs.