Notice of Privacy Practices

1. Our commitment

We are required by law to protect the privacy of your health information, to give you this notice explaining our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

"Protected health information" means information that identifies you and relates to your health, your care, or payment for that care.

2. How we use and disclose your health information without your authorization

Treatment. We use your health information to provide and coordinate your care. For example, your doctor reviews your history, examination findings and imaging to build your care plan, and may share relevant findings with another provider you are being referred to.

Payment. We use your health information to bill and receive payment. For example, we may share information with your health plan to confirm coverage or to obtain payment for a visit. In a personal injury matter this may include sharing records with an auto insurer or, with your written authorization, your attorney.

Health care operations. We use your health information to run the practice. For example, reviewing the quality of care, training, scheduling, and internal administration.

Appointment reminders and follow-up. We may contact you about appointments, care instructions, and follow-up, by phone, text or email, using the contact details you provide.

Others involved in your care. We may share relevant information with a family member, friend or caregiver you have identified as involved in your care, unless you tell us not to.

As required by law. We may use or disclose your information when required by federal, state or local law, including for public health activities, reporting abuse or neglect, health oversight, judicial and administrative proceedings, law enforcement in specified circumstances, coroners and medical examiners, serious threats to health or safety, workers' compensation, and specialized government functions.

3. Uses that always require your written authorization

We will not use or disclose your health information for any of the following without your written authorization:

• Marketing communications, other than the appointment and care communications described above
• Any sale of your health information
• Psychotherapy notes, where these exist
• Any other purpose not described in this notice

If you give authorization, you may revoke it in writing at any time. Revoking it stops future uses and disclosures, but cannot undo ones already made in reliance on it.

4. Website visitors, marketing and advertising technology

This section describes information collected through our website and marketing, which is generally separate from the health information in your patient record.

What we collect on the website. When you visit lakenonachiropractic.com, cookies and related technologies may be used by us and by our data and advertising partners to understand how the site is used and to deliver marketing messages. This can include pages viewed, referring source, approximate location, device type, and in some cases an email address matched by an advertising partner.

Our forms are deliberately built to avoid collecting health information. Every question on our website forms and booking pages is a fixed set of choices rather than an open text box, specifically so that visitors are not invited to describe symptoms, conditions or treatment through a marketing channel. Please do not enter medical details into any website form. If you need to tell us something clinical, call the office at (407) 658-7700.

What happens when you become a patient. Once you are a patient, the information in your patient record is protected health information and is handled under sections 2 and 3 of this notice. We do not use your patient record to target advertising to you.

Text messages. If you opt in to text messages, we use them for appointment and care communication. You can stop them at any time by replying STOP. Message and data rates may apply.

How to opt out of marketing. To stop marketing email or text from us, use the unsubscribe link in any email, reply STOP to any text, or contact the office at office@lakenonachiropractic.com or (407) 658-7700.

5. Your rights

You have the right to:

• Inspect and copy your health information. You may ask to see and get a copy of your record, including an electronic copy where we hold it electronically. We may charge a reasonable, cost-based fee.
• Request an amendment. If you believe information in your record is incorrect or incomplete, you may ask us to amend it. We may deny the request in certain cases, and if we do we will tell you why in writing and explain how to respond.
• Receive an accounting of disclosures. You may request a list of certain disclosures we have made of your health information.
• Request restrictions. You may ask us to limit how we use or disclose your information. We are not required to agree to every request, but we must agree to a request to withhold information from your health plan where you have paid for that service in full out of pocket.
• Request confidential communications. You may ask us to contact you a particular way or at a particular address, for example only by mail or only at a work number. We will accommodate reasonable requests.
• Receive a paper copy of this notice. You may request one at any time, even if you agreed to receive it electronically.
• Be notified of a breach. We will notify you if a breach occurs that compromises the privacy or security of your health information.

To exercise any of these rights, contact our privacy officer using the details in section 8.

6. Our duties

We are required to maintain the privacy of your health information, to give you notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

We reserve the right to change this notice and to make the revised notice effective for information we already hold as well as information we receive in the future. A current copy will be posted in our office and on this page, with the effective date shown at the top.

7. Complaints

If you believe your privacy rights have been violated, you may file a complaint with our privacy officer, or with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights.

Office for Civil Rights complaints can be filed at hhs.gov/ocr/privacy/hipaa/complaints or by mail to 200 Independence Avenue SW, Washington, D.C. 20201.

You will not be retaliated against for filing a complaint.

8. Contact

9. Acknowledgment

New patients are asked to acknowledge receipt of this notice. Declining to sign an acknowledgment does not affect your care.