THIS NOTICE DISCLOSED DESCRIBES HOW CHIROPRACTIC HEALTH INFORMATION ABOUT YOU MAY BE USED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW CAREFULLY.
In the course of your care as a patient at Salmond Family Chiropractic, we may use or disclose personal and health related information about you in the following ways:
Under Federal law, we are also permitted or required to use or disclose your health information without your consent or authorization in the following circumstances:
We normally provide information about your health care to you in person at the time you receive chiropractic care from us.
We may also mail information at an address other than your home or if you would like the information in a different form, please advise us in writing as to your preferences.
You have the right to inspect and/or copy your health information for seven years from the date that the record was created or for as long as the information remains in our files.
In addition, you have the right to request an amendment to your health information. Request to inspect, copy, or amend your heath-related information should be provided to us in writing.
We are required by state and federal law to maintain the privacy of your patient file and the protected health information therein. We are also required to provide your with this notice of our privacy practices with respect to your health information.
We are further required by law to abide by the terms of this notice while it is in effect. We reserve the right to alter or amend the terms of this privacy notice. If changes are made to our privacy notice, we will notify you in writing as soon as possible following the changes. Any change in our privacy notice will apply for all your health information in our files.
Information that we use or disclose based on this privacy notice may be subject to re-disclosure by the person or persons to whom we provide the information and may no longer be protected by the federal privacy rules.
If you have a complaint regarding our privacy notice, our privacy practices, or any aspect of your privacy activities or would like further information about our privacy policies and practices, please contact: LINDA ONORATO at 973-927-8522
This notice is effective as of April 14, 2010. This notice, and any alterations or amendment made hereto will expire seven years after the date upon which the record was created.
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