Notice of Privacy Practices

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.

Bantique Chiropractic is committed to protecting your health information. This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment, or healthcare operations, and for other purposes that are permitted or required by law.

How We May Use and Disclose Your Health Information

Your Rights Regarding Your Health Information

• Right to Inspect and Copy: You have the right to inspect and obtain a copy of your health information that may be used to make decisions about your care.
• Right to Amend: If you feel that health information we have about you is incorrect or incomplete, you may ask us to amend the information.
• Right to an Accounting of Disclosures: You have the right to request an "accounting of disclosures" of your health information.
• Right to Request Restrictions: You have the right to request a restriction or limitation on the health information we use or disclose about you.
• Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
• Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.

Complaints

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

Changes to This Notice

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. The current notice will be posted in our office and on our website.