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Notice of Privacy Practices
Welcome to Elevate Chiropractic, the chiropractic office of Dr. Jimmy Sayegh, DC. As a valued patient, your privacy and the security of your personal health information are of utmost importance to us. This Notice of Privacy Practices explains how your medical information may be used and disclosed, as well as how you can access this information. Please take the time to read this document carefully.
Our Obligations:
We are dedicated to maintaining the privacy of your medical information and abiding by all applicable laws and regulations concerning the protection of health information. We are also committed to providing you with this Notice of Privacy Practices and informing you about our legal duties and privacy practices regarding your protected health information (PHI).
Protected Health Information (PHI):
PHI includes all information about your health condition, the healthcare services provided to you, and payment for healthcare services. This information may include but is not limited to:
Personal identifying information (name, address, phone number, date of birth, etc.). Medical history and records related to your treatment at Elevate Chiropractic. Billing and insurance information. Uses and Disclosures of PHI:
We may use and disclose your PHI for various purposes, including but not limited to:
Treatment: We may use and disclose your PHI to provide you with chiropractic care and related treatment services. This includes consultations and referrals to other healthcare providers.
Payment: We may use and disclose your PHI to obtain payment for the services provided to you. This includes billing your insurance company or other third-party payers.
Healthcare Operations: We may use and disclose your PHI for the general operations of our chiropractic practice. This includes quality improvement activities, administrative functions, and staff training.
Appointment Reminders: We may use and disclose your PHI to remind you of upcoming appointments or to inform you about treatment alternatives or other health-related services.
Required by Law: We may use and disclose your PHI when required to do so by federal, state, or local law.
Patient Rights:
As a patient at Elevate Chiropractic, you have the following rights concerning your PHI:
Right to Access: You have the right to access and inspect your PHI contained in your medical record, with limited exceptions. If you wish to access your records, please submit a written request to our office.
Right to Request Amendments: If you believe that your PHI is inaccurate or incomplete, you have the right to request an amendment to your record. Please submit a written request detailing the amendment you wish to make.
Right to Request Restrictions: You have the right to request restrictions on certain uses and disclosures of your PHI. However, we are not required to agree to these requests except under limited circumstances.
Right to Request Confidential Communications: You have the right to request that we communicate with you about your health information in a specific way.
Right to Obtain a Copy of this Notice: You have the right to request and receive a paper copy of this Notice of Privacy Practices at any time.
Our Obligations:
We are dedicated to maintaining the privacy of your medical information and abiding by all applicable laws and regulations concerning the protection of health information. We are also committed to providing you with this Notice of Privacy Practices and informing you about our legal duties and privacy practices regarding your protected health information (PHI).
Protected Health Information (PHI):
PHI includes all information about your health condition, the healthcare services provided to you, and payment for healthcare services. This information may include but is not limited to:
Personal identifying information (name, address, phone number, date of birth, etc.). Medical history and records related to your treatment at Elevate Chiropractic. Billing and insurance information. Uses and Disclosures of PHI:
We may use and disclose your PHI for various purposes, including but not limited to:
Treatment: We may use and disclose your PHI to provide you with chiropractic care and related treatment services. This includes consultations and referrals to other healthcare providers.
Payment: We may use and disclose your PHI to obtain payment for the services provided to you. This includes billing your insurance company or other third-party payers.
Healthcare Operations: We may use and disclose your PHI for the general operations of our chiropractic practice. This includes quality improvement activities, administrative functions, and staff training.
Appointment Reminders: We may use and disclose your PHI to remind you of upcoming appointments or to inform you about treatment alternatives or other health-related services.
Required by Law: We may use and disclose your PHI when required to do so by federal, state, or local law.
Patient Rights:
As a patient at Elevate Chiropractic, you have the following rights concerning your PHI:
Right to Access: You have the right to access and inspect your PHI contained in your medical record, with limited exceptions. If you wish to access your records, please submit a written request to our office.
Right to Request Amendments: If you believe that your PHI is inaccurate or incomplete, you have the right to request an amendment to your record. Please submit a written request detailing the amendment you wish to make.
Right to Request Restrictions: You have the right to request restrictions on certain uses and disclosures of your PHI. However, we are not required to agree to these requests except under limited circumstances.
Right to Request Confidential Communications: You have the right to request that we communicate with you about your health information in a specific way.
Right to Obtain a Copy of this Notice: You have the right to request and receive a paper copy of this Notice of Privacy Practices at any time.
SMS Privacy Policy
At Elevate Chiropractic, we are committed to protecting the privacy of our patients. This SMS privacy policy explains how we use and protect your personal information collected through our Electronic Health Record (EHR) service.
Information Collection and Use:
We may collect personal information such as your name, phone number, email and appointment details solely for the purpose of communicating with you regarding your chiropractic care, special discounts and related services.
Your information is used internally by Elevate Chiropractic and partnering communication services and will not be disclosed to third parties without your consent, except as required by law.
SMS Communication:
By providing your mobile number to Elevate Chiropractic, you consent to receive SMS messages from us for appointment reminders, confirmations, special discounts and other relevant communications.
Standard message and data rates may apply. Please contact your mobile carrier for details.
Data Security:
We take appropriate security measures to protect your personal information from unauthorized access, alteration, disclosure, or destruction.
Access to your information is restricted to authorized personnel only.
Your Rights:
You have the right to request correction, or deletion of your personal information held by Elevate Chiropractic.
If you wish to opt-out of receiving SMS messages from us, please contact us directly.
Complaints:
If you believe your privacy rights have been violated, you may file a complaint with Elevate Chiropractic or with the Secretary of the Department of Health and Human Services. To file a complaint with Elevate Chiropractic, please contact us at:
[email protected]
All complaints must be submitted in writing. You will not be penalized or retaliated against for filing a complaint.
Contact Information:
If you have any questions or concerns about this Notice of Privacy Practices or how your PHI is handled at
Elevate Chiropractic, please contact:
[email protected]
Changes to the Notice:
Elevate Chiropractic reserves the right to change the terms of this Notice of Privacy Practices at any time. Any changes made will be effective for all PHI that we maintain. A revised copy of the Notice will be posted in our office and on our website, if applicable.
Information Collection and Use:
We may collect personal information such as your name, phone number, email and appointment details solely for the purpose of communicating with you regarding your chiropractic care, special discounts and related services.
Your information is used internally by Elevate Chiropractic and partnering communication services and will not be disclosed to third parties without your consent, except as required by law.
SMS Communication:
By providing your mobile number to Elevate Chiropractic, you consent to receive SMS messages from us for appointment reminders, confirmations, special discounts and other relevant communications.
Standard message and data rates may apply. Please contact your mobile carrier for details.
Data Security:
We take appropriate security measures to protect your personal information from unauthorized access, alteration, disclosure, or destruction.
Access to your information is restricted to authorized personnel only.
Your Rights:
You have the right to request correction, or deletion of your personal information held by Elevate Chiropractic.
If you wish to opt-out of receiving SMS messages from us, please contact us directly.
Complaints:
If you believe your privacy rights have been violated, you may file a complaint with Elevate Chiropractic or with the Secretary of the Department of Health and Human Services. To file a complaint with Elevate Chiropractic, please contact us at:
[email protected]
All complaints must be submitted in writing. You will not be penalized or retaliated against for filing a complaint.
Contact Information:
If you have any questions or concerns about this Notice of Privacy Practices or how your PHI is handled at
Elevate Chiropractic, please contact:
[email protected]
Changes to the Notice:
Elevate Chiropractic reserves the right to change the terms of this Notice of Privacy Practices at any time. Any changes made will be effective for all PHI that we maintain. A revised copy of the Notice will be posted in our office and on our website, if applicable.
