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.
R. Scott Farley Chiropractic is dedicated to maintaining the privacy of your protected health information (PHI). We operate multidisciplinary functional health centers where chiropractors, therapists, and nutritionists take a patient centered approach to address the root cause of health
issues and to restore patient wellbeing. In conducting our business, we will create records regarding you and the treatment and services we provide to you. We are required by law (the Health Insurance Portability and Accountability Act of 1996 or HIPAA) to maintain the confidentiality of health information that identifies you. We also are required by law to provide you with this notice of our legal duties and the privacy practices that we maintain in our health center concerning your PHI. By federal and state law, we must follow the terms of the notice of privacy practices that we have in effect at the time.
We realize that these laws are complicated, but we must provide you with the following important information:
The terms of this notice apply to all records containing your PHI that are created or retained by R. Scott Farley Chiropractic. We reserve the right to revise or amend this Notice of Privacy Practices. Any revision or amendment to this notice will be effective for all of your records that our health center has created or maintained in the past, and for any of your records that we may create or maintain in the future. R. Scott Farley Chiropractic will post a copy of our current notice in our offices in a visible location at all times, and you may request a copy of our most current Notice at any time.
For Treatment: We may use your PHI to provide you with treatment or services. We may disclose your PHI to doctors, nurses, technicians, chiropractic students, or other personnel who are involved in taking care of you now or in the future. We also may disclose your PHI to people
outside of the health center who may be involved in your medical care.
We may also use your PHI to call you, or send you a letter to remind you about an appointment, to follow up with diagnostic tests results, or to provide you with information about other treatment and care that could benefit your health
For payment: We may use and disclose your PHI so that the treatment and services you receive at the health center may be billed and payment may be collected from you, an insurance company, or a third party.
For healthcare operations: Our health centers may use and disclose your PHI to operate our business. As examples of the ways in which we may use and disclose your PHI for our operations, our health center may use your PHI to evaluate the quality of care you received from us, or to conduct cost-management and business planning activities for our health centers.
Business Associates: We will share your PHI with our business associates that perform functions on our behalf or provide us with services if the PHI is necessary for such functions or services. Whenever any arrangement between our health center and a business associate involves the use of disclosure of your PHI, we will have a written contract with the business associate that contains terms that will protect the privacy of your PHI.
Communication with others involved with your care: Our health professionals may, in the event you are incapacitated or in an emergency circumstance, using their judgment, disclose to a family member, or other relative, close personal friend, or any other person you identify, your
PHI directly relevant to that person’s involvement in your care or payment related to your care.
Research: Under certain circumstances, we may use and disclose your PHI for research purposes. All research projects, however, are subject to a special approval process designed to protect the privacy of your PHI.
Required by law: We may use or disclose your PHI to the extent that the use or disclosure is required by law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, if required by law, of any such disclosures.
Public Health Risks: Our health center may disclose your PHI to public health authorities that are authorized by law to collect information for the purpose of:
Health Oversight Activities: Our health center may disclose your PHI to a health oversight agency for activities authorized by law. Oversight activities can include, for example, investigations, inspections, audits, surveys, licensure, and disciplinary actions; civil, administrative, and criminal procedures or actions; or other activities necessary for the government to monitor government programs, compliance with civil rights laws and the health care system in general.
Legal Proceedings: We may disclose your PHI in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal, in certain conditions in response to a subpoena, discovery request or another lawful purpose.
Law Enforcement: We may release PHI if asked to do so by a law enforcement official:
Deceased Patients: Our health center may release PHI to a medical examiner or coroner to identify a deceased individual or to identify the cause of death. If necessary, we also may release information in order for coroners, medical examiners or funeral directors to perform their jobs.
Organ and Tissue Donation: If you are an organ or tissue donor, our health center may release your PHI to organizations that handle organ, eye or tissue procurement or transplantation, including organ donation banks, as necessary to facilitate organ or tissue donation and transplantation.
Serious Threats to Health or Safety: Our health center may use and disclose your PHI when necessary to reduce or prevent a serious threat to your health and safety or the health and safety of another individual or the public. Under these circumstances, we will only make disclosures to a person or organization who may be able to help prevent or lessen the threat.
Military: Our health center may disclose your PHI if you are a member of the U.S. Armed Forces, a veteran, or a member of foreign military forces for activities deemed necessary by appropriate military command authorities, including the Department of Veteran’s Affairs for the purpose of your eligibility for or entitlement to certain benefits provided by law.
National Security: Our health center may disclose your PHI to authorized federal officials for intelligence, counter-intelligence and national security activities authorized by law. We also may disclose your PHI to authorized federal officials in order to protect the President, other officials or foreign heads of state, or to conduct investigations.
Inmates: Our health center may disclose your PHI to correctional institutions or law enforcement officials if you are an inmate or under the custody of a law enforcement official. Disclosure for these purposes would be necessary: (a) for the institution to provide health care services to you; (b) for the health, safety and security of the institution, and its officers and employees and/or (c) to protect your health and safety or the health and safety of other individuals.
Workers Compensation: Our health center may release your PHI for workers compensation and similar programs.
Required Uses and Disclosures: Under the law, we must make disclosures to you and, when required by the Secretary of the Department of Health and Human Services, to investigate or determine our compliance with the requirement of Section 164.500 et. seq.
We will not use your PHI for marketing purposes. Other uses and disclosures from your medical record will be made only with your written authorization or approval. This includes most uses and disclosures of psychotherapy notes, unless the disclosure is required by law and for other limited purposes. It also includes disclosure of your PHI that would constitute a “sale” of the PHI.
You have the following rights regarding the PHI that we maintain about you:
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