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.
Who this notice covers
This notice applies to Inspine Chiropractic and Wellness and its chiropractors, staff and clinics:
- Dalton, GA: 1237 N. Glenwood Ave, Dalton, GA 30721, 706-459-9456
- Calhoun, GA: 468 Hwy 53, Suite 140, Calhoun, GA 30701, 706-262-7116
- Chattanooga, TN: 5618 Brainerd Rd, Chattanooga, TN 37411, 423-708-7207
Our duty to protect your information
We are required by law to keep your protected health information private, to give you this notice of our legal duties and privacy practices, to follow the terms of the notice currently in effect, and to notify you if a breach affects your unsecured health information.
How we may use and share your information
Treatment. We use your information to examine, diagnose and provide chiropractic care, including adjustments, therapies, digital X-rays and exercise plans. We may share it with other providers involved in your care, such as your primary care physician or a specialist you are referred to.
Payment. We may use and share your information to bill and collect payment from you, your health plan, or another responsible party, including verifying your insurance benefits.
Health care operations. We may use your information to run our practice, train staff, review the quality of care and contact you about appointments.
Appointment reminders and follow-up. We may contact you by phone, text, email or mail to remind you of appointments or follow up on your care. You may ask us to use a different phone number or address.
People involved in your care. Unless you object, we may share relevant information with a family member, friend or other person you identify as involved in your care or payment.
Business associates. We may share information with companies that perform services for us, such as billing or software providers. They must agree in writing to protect it.
Other uses allowed or required by law
- When required by federal, state or local law
- For public health activities and reporting
- To report suspected abuse, neglect or domestic violence
- For health oversight activities, such as audits and licensing
- In response to a court order, subpoena or other lawful process
- For law enforcement purposes as permitted by law
- To avert a serious threat to health or safety
- For workers’ compensation or similar programs, as the law allows
- For specialized government functions as the law allows
Uses that need your written permission
We will not use or share your information for marketing, sell your information, or use it for any purpose not described in this notice without your written authorization. You may revoke an authorization in writing at any time, except where we have already acted on it.
Your rights
- See and get a copy of your health and billing records, on paper or electronically. We may charge a reasonable, cost-based fee.
- Ask us to correct information you believe is incorrect or incomplete. We may say no, but will tell you why in writing.
- Ask for confidential communications, such as contact at a different address or phone number.
- Ask us to limit what we use or share. We are not required to agree, except that if you pay for a service in full out of pocket, you may ask us not to share it with your health plan.
- Get a list of certain disclosures we have made in the six years before your request.
- Get a paper copy of this notice at any time.
- Choose someone to act for you, such as a legal guardian or person with medical power of attorney.
Changes to this notice
We may change this notice, and changes will apply to all information we hold. The current notice will be available at each clinic and on this website.
Questions or complaints
If you have questions, or believe your privacy rights have been violated, contact the clinic where you receive care at the phone number above. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.