Our Commitment to Your Privacy

The Roots Health Centers is committed to maintaining the privacy of your protected health information (PHI). PHI is information that may identify you and relates to past, present, or future physical health conditions, healthcare services, or payment for those services. We are required by law to maintain the privacy of PHI, provide you with this notice of our legal duties and privacy practices, and follow the terms of the notice currently in effect.

How We May Use and Disclose Your Health Information

Treatment

We may use and disclose your PHI to provide, coordinate, or manage chiropractic care. This includes sharing information with other healthcare providers involved in your care, such as physicians, specialists, or therapists, when appropriate and with your authorization.

Payment

We may use and disclose your PHI to obtain payment for healthcare services. This may include providing information to your insurance company, submitting claims, or collecting payment for services rendered.

Healthcare Operations

We may use and disclose your PHI for our healthcare operations, including quality improvement activities, staff training, and business management functions necessary to support the care we provide.

Minors

A parent or legal guardian has the right to access their minor child's PHI, authorize disclosures, and make privacy-related decisions on behalf of the child, in accordance with state and federal law.

Other Permitted Uses and Disclosures

We may also use or disclose PHI without your authorization in the following situations:

As required by federal, state, or local law
For public health activities, including reporting child abuse or neglect
To report suspected child abuse or neglect to appropriate authorities
To comply with workers' compensation laws
In response to a court order or legal proceeding
To avert a serious threat to health or safety
For specialized government functions, including military and veterans' activities

Uses and Disclosures Requiring Your Authorization

Other uses and disclosures of your PHI not described in this notice will be made only with your written authorization. You may revoke an authorization at any time by submitting a written request to our office. Revocation will not apply to disclosures already made based on the authorization.

Your Rights Regarding Your Health Information

Right to Inspect and Copy

You have the right to inspect and obtain a copy of your PHI maintained by our office. Requests must be submitted in writing. We may charge a reasonable fee for copies.

Right to Request Amendment

You may request that we amend your PHI if you believe it is incorrect or incomplete. We may deny the request under certain circumstances and will provide a written explanation if we do.

Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures we have made of your PHI. This does not include disclosures for treatment, payment, or healthcare operations.

Right to Request Restrictions

You may request restrictions on how we use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree to the restriction but will honor it if we do.

Right to Request Confidential Communications

You may request that we communicate with you about your healthcare in a specific way or at a specific location. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You have the right to obtain a paper copy of this notice at any time, even if you previously agreed to receive it electronically.

Our Duties

We are required by law to maintain the privacy of your PHI, provide this notice of our privacy practices, and notify affected individuals in the event of a breach of unsecured PHI.

Changes to This Notice

We reserve the right to change the terms of this notice and make the new provisions effective for all PHI we maintain. Revised notices will be available at our office and on our website.

Complaints

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

You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
www.hhs.gov/ocr/complaints

HIPAA Notice of Privacy Practices