HIPAA Policy for Roxbury West Seattle Burien Chiropractic Clinic
Your Privacy Rights
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.
Roxbury West Seattle Burien Chiropractic Clinic is required by federal law to keep your health information private and secure. This information may include:
- Notes from your doctor or other healthcare providers
- Medical history and treatment records
- Test results and diagnostic information
- Insurance details
- Billing and scheduling records
Under the Health Insurance Portability and Accountability Act (HIPAA), you have the right to receive this notice explaining how your medical information may be used or disclosed.
You may review this notice at any time to understand your rights and how your protected health information (PHI) is handled.
How Your Health Information May Be Used or Shared
We may use or share your health information with or without your written permission, depending on the situation.
When Your Permission Is Not Needed
We may use or disclose your information without additional authorization for the following purposes:
Treatment
To coordinate your care with other healthcare professionals.
Example: If your chiropractor refers you for imaging or physical therapy, we may share your records with those providers.
Payment
To process insurance claims or billing for services you receive.
This may include:
- Obtaining prior authorizations
- Verifying coverage
- Billing and payment processing
Healthcare Operations
To monitor and improve the quality of our care.
This may include:
- Staff training and evaluation
- Quality assurance reviews
- Patient satisfaction initiatives
Abuse and Neglect
To report suspected abuse, neglect, or domestic violence to the appropriate authorities when legally required.
Appointment Reminders
We may contact you by phone, voicemail, text message, or email to remind you of upcoming appointments.
If you prefer not to receive reminders, please notify our front desk staff.
As Required by Law
We may share information when required by federal, state, or local laws, including court orders or subpoenas.
Government Functions
We may disclose information for national security, military, or veterans’ affairs as required by law.
Deceased Individuals
Information may be shared with coroners, medical examiners, or funeral directors for official duties.
Marketing
We may inform you about services that could benefit your health. You may opt out of these communications at any time.
Public Health Risks
We may report certain information to public health agencies to prevent or control disease, injury, or disability, including reporting to the FDA regarding product safety.
Regulatory Oversight
We may disclose information during audits, inspections, and licensing activities by authorized oversight agencies.
Research
We may share de-identified health information for approved research studies that meet HIPAA privacy standards.
Health and Safety Threats
We may use or share information to prevent or reduce serious threats to your health or the safety of others.
Workers’ Compensation
We may disclose information to comply with workers’ compensation laws related to job-related injuries or illness claims.
When Your Permission Is Required
For any other use not listed above, we must obtain your written authorization.
You may revoke your authorization in writing at any time, but revocation cannot undo disclosures made with your prior consent.
Your Privacy Rights
You have the right to:
Request Restrictions
Ask us not to share specific information for treatment, payment, or healthcare operations.
We are not required to agree but will comply whenever possible.
Request Confidential Communication
Ask us to contact you in a specific way or at a specific location (e.g., at work only).
We will honor reasonable requests.
Access Your Medical Records
You have the right to review and request copies of your medical, billing, or treatment records, except in limited legal cases.
Request Amendments
If you believe information is inaccurate or incomplete, you may request corrections or additions.
All requests must be submitted in writing with a clear explanation.
Request an Accounting of Disclosures
You can ask for a list of instances where your information was shared, excluding routine internal uses.
Requests must be in writing and can cover disclosures from the past six years.
You may specify whether you want a paper or electronic copy.
Receive a Copy of This Notice
You may request a paper copy of this HIPAA Notice at any time, even if you received it electronically.
File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS).
Filing a complaint will not affect your care or your rights in any way.
Who Must Follow This Notice
This notice applies to:
- All employees, contractors, and associates of Roxbury West Seattle Burien Chiropractic Clinic
- Students, interns, or assistants with authorized access to patient information
- Volunteers who assist within the clinic and have access to medical records
Changes to This Notice
We may update this notice at any time.
Changes will apply to all health information we maintain — past, present, and future.
The latest version will always be available at our clinic and on our website, including the effective date on the first page.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with the U.S. Department of Health and Human Services:
Website: www.hhs.gov/ocr/privacy/hipaa/complaints
All complaints must be submitted in writing, and you will not be penalized for filing one.
Contact Us
If you have questions, concerns, or would like to exercise any of your privacy rights, please contact:
Roxbury West Seattle Burien Chiropractic Clinic,
2656 SW Roxbury St. Seattle, WA 98126
(206) 569-5151