Chiropractic Practice Privacy Policy

Introduction

At [Practice Name], we are committed to protecting your privacy and maintaining the confidentiality of your protected health information (PHI). This Privacy Policy outlines our practices for collecting, using, and safeguarding your personal and medical information in accordance with HIPAA regulations.

Information We Collect

• Personal identification information
• Medical history and records
• Insurance and payment information
• Treatment plans and progress notes
• Diagnostic imaging results
• Communication records

Use of Your Information

We use your information for:

1. Providing chiropractic treatment
2. Billing and payment processing
3. Insurance claim submission
4. Appointment scheduling and reminders
5. Required legal and regulatory compliance

Information Protection

We implement security measures including:

• Physical safeguards for paper records
• Electronic health record encryption
• Staff training on privacy procedures
• Access controls and authentication
• Regular security assessments

Your Rights

You have the right to:

• Access your health information
• Request amendments to your records
• Receive an accounting of disclosures
• Request restrictions on information sharing
• File a complaint regarding privacy violations

Information Sharing

We may share your information with:

• Other healthcare providers involved in your care
• Insurance companies for billing purposes
• Public health authorities as required by law
• Business associates with signed agreements

Contact Information

Privacy Officer: [Name] Phone: [Phone Number] Email: [Email Address]

Updates to Privacy Policy

This policy may be updated periodically. Changes will be posted in our office and on our website.

Effective Date

[Date]

By receiving treatment at our practice, you acknowledge receipt of this Privacy Policy.