HIPAA Notice of Privacy Practices
Effective Date: January 1, 2025
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.
Our Commitment to Your Privacy
Prime Health + Wellness is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of your protected health information (PHI) and to provide you with this notice of our legal duties and privacy practices.
How We May Use and Disclose Your Health Information
For Treatment
We may use your health information to provide you with chiropractic treatment and services. We may disclose your health information to other healthcare providers involved in your care.
Example: We may share your health information with a physical therapist or orthopedic specialist if we refer you for additional treatment.
For Payment
We may use and disclose your health information to bill and collect payment for services we provide to you.
Example: We may send your health information to your insurance company to obtain payment for your treatment.
For Healthcare Operations
We may use and disclose your health information for our healthcare operations, including quality assessment, training, and business management.
Example: We may use your health information to evaluate the quality of care you received or to train our staff.
Other Uses and Disclosures
We may also use or disclose your health information in the following situations:
- As Required by Law: When required by federal, state, or local law
- Public Health Activities: To prevent or control disease, injury, or disability
- Health Oversight Activities: To authorized health oversight agencies
- Legal Proceedings: In response to a court order or subpoena
- Law Enforcement: When required by law enforcement officials
- To Avert a Serious Threat: To prevent a serious threat to health or safety
- Workers' Compensation: For workers' compensation or similar programs
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. To request copies of your health records, please submit a written request to our office.
Right to Amend
If you believe that your health information is incorrect or incomplete, you may request that we amend it. We may deny your request in certain circumstances.
Right to an Accounting of Disclosures
You have the right to request an accounting of certain disclosures of your health information that we have made.
Right to Request Restrictions
You have the right to request restrictions on how we use or disclose your health information. We are not required to agree to your request, but if we do, we will comply with it except in emergency situations.
Right to Request Confidential Communications
You have the right to request that we communicate with you about your health information in a certain way or at a certain location.
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 have agreed to receive it electronically.
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 health information we already have about you as well as any information we receive in the future.
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.
Contact Information
For more information about our privacy practices or to exercise your rights, please contact:
Prime Health + Wellness - Privacy Officer
Downers Grove: 2585 Ogden Ave, Downers Grove, IL 60515 | (630) 729-7024
Carol Stream: 525 S Schmale Rd, Carol Stream, IL 60188 | (331) 871-2039
Email: privacy@phwchiro.com