Privacy Policy

Our Commitment to Your Privacy 

 

Your privacy is important to us. We understand that your health information is personal, and we are committed to protecting it. We create a record of the care and services you receive at our practice to provide quality care and to comply with legal requirements. This notice explains how your medical information may be used and disclosed, and how you can access this information. 

 

Our Legal Duties 

 

We are required by law to: 

1. Keep your medical information private. 

1. Provide you with this notice describing our legal duties, privacy practices, and your rights regarding your medical information. 

1. Follow the terms of this current notice. 

 

We also reserve the right to change our privacy practices as permitted by law and update this notice accordingly. Any updates will apply to all medical information we maintain. 

 

How We May Use and Disclose Your Medical Information 

 

For Treatment 

 

We may use and disclose your medical information to provide, coordinate, or manage your healthcare and related services. This may include sharing information with doctors, nurses, technicians, medical students, or other healthcare professionals involved in your care. 

 

For Payment 

 

We may use and disclose your medical information to obtain payment for services rendered. For example, we may send information to your insurance company so they can pay for your care. 

 

For Health Care Operations 

 

We may use and disclose information to run our practice and ensure the highest quality of care. This can include performance review, quality improvement, staff training, licensing, and accreditation processes. 

 

Additional Uses and Disclosures 

 

We may also use or share your information for: 

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• Facility Directory: Unless you object, your name, location, and general condition may be listed in our facility directory. 

• Notification Purposes: To notify or assist in notifying a family member or responsible person regarding your condition or care. 

• Disaster Relief: To assist authorities in responding to disaster situations. 

• Fundraising: To contact you for fundraising purposes (you may opt out of these communications). 

• Research: When an approved research project ensures your information is protected. 

• Funeral Directors, Coroners, Medical Examiners: To assist them in their duties. 

• Specialized Government Functions: For military, national security, or correctional purposes where permitted by law. 

• Court Orders or Legal Proceedings: When required by a court order, subpoena, or other lawful process. 

• Public Health and Safety: To public health authorities for disease prevention, injury reporting, or exposure control. 

• Victims of Abuse, Neglect, or Domestic Violence: To authorities if we believe you are a victim of abuse, neglect, or domestic violence. 

• Workers’ Compensation: To comply with laws related to workers’ compensation programs. 

• Law Enforcement: For law enforcement purposes when legally required. 

• Appointment Reminders: To remind you of upcoming appointments. 

• Alternative Treatments: To inform you about treatment alternatives or health-related services that may benefit you. 

 

Your Individual Rights 

 

You have the right to: 

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1. Access Your Records: Request to see or obtain copies of your medical information (fees may apply).

2. Request an Accounting of Disclosures: Receive a list of disclosures made for purposes other than treatment, payment, or operations. 

3. Request Restrictions: Ask us to limit how we use or share your information (we are not required to agree, but if we do, we will comply). 

4. Request Confidential Communications: Ask us to contact you in a specific way (for example, at your home or office).

5. Request Amendments: Request changes to your medical information if you believe it is incomplete or incorrect. 

6. Receive a Paper Copy: Request a paper copy of this notice even if you received it electronically. 

 

All requests must be made in writing and sent to the contact person listed below. 

 

Questions and Complaints 

 

If you believe your privacy rights have been violated, you may file a complaint with us at: 

Address: 

You may also file a complaint with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint. 

Contact Person for Privacy Matters:   

 

© [2026] [RAHBAR CHIROPRACTIC PAIN CENTER INC]. All Rights Reserved.