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HIPAA Notice of Privacy Practices

KnowBull Chiropractic
1718 Memorial Drive, Clarksville, TN 37043-4542

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review carefully.

Our Obligations

We are required by law to:

  • Maintain the privacy of protected health information
  • Give you notice of your legal duties and privacy practices regarding health information about you
  • Follow the terms of our notice that is currently in effect

How We May Use and Disclose Health Information

Except for the following purposes, we will use and disclose health information only with your written permission.

  • Treatment – Sharing with professionals involved in your medical care.
  • Payment – For billing and payment purposes.
  • Health Care Operations – For office management and quality assurance.
  • Reminders and Services – To contact you about appointments or services.
  • Individuals Involved in Your Care – When appropriate, to family or others involved.
  • Research – Only under approved circumstances.

Special Situations

  • As required by law
  • To prevent a serious threat to health or safety
  • To business associates
  • Organ and tissue donation
  • Military and veterans
  • Worker’s compensation
  • Public health and oversight activities
  • Lawsuits and disputes
  • Law enforcement
  • Coroners, funeral directors, and medical examiners
  • National security and intelligence activities
  • Inmates or individuals in custody

Your Rights

  • Inspect and Copy – You may request access to your records.
  • Amend – Request corrections to your records.
  • Accounting of Disclosures – Request a list of disclosures.
  • Request Restrictions – Limit what we use or share.
  • Confidential Communications – Choose how we contact you.
  • Paper Copy – Request a printed version of this notice at any time.

Changes to This Notice

We reserve the right to change this notice and make it apply to all health information we already have. You will receive a new notice at your next visit if any changes are made.

Complaints

If you believe your privacy rights have been violated, you may file a written complaint with our Privacy Officer or the Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.