Important: 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. You have the right to receive a paper copy of this Notice upon request.
Overview
Kryssa Cable Family Chiropractic ("Practice," "we," "us," or "our") is 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. We are committed to protecting your health information and will abide by the terms of this Notice.
This Notice applies to all records of your care generated by this Practice. We reserve the right to change our privacy practices and the terms of this Notice at any time. Changes will apply to health information we already have about you as well as information we receive in the future.
What is Protected Health Information (PHI)?
Protected Health Information (PHI) is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health or condition, the provision of health care services to you, or payment for those services.
PHI includes information such as your name, address, date of birth, Social Security number, diagnosis, treatment records, and billing information when combined with your health information.
Website Note: The opt-in form on our website (drkryssa.com) collects only your name and email address for our general wellness newsletter. It does not collect PHI and is not subject to HIPAA. For all medical communications, please use our secure patient portal through SimplePractice.
How We Use Your Health Information
We use and disclose your PHI for the following primary purposes without requiring your authorization:
Treatment
We may use your PHI to provide, coordinate, or manage your health care and related services. For example, we may share your health information with other health care providers involved in your care, such as specialists or laboratories.
Payment
We may use and disclose your PHI to obtain payment for services provided to you. This includes billing, claims submission, and collection activities.
Health Care Operations
We may use and disclose your PHI for our health care operations, including quality assessment, employee training, licensing activities, and business management functions necessary to run our practice.
Appointment Reminders
We may contact you to remind you of appointments or inform you about treatment alternatives or other health-related benefits and services that may be of interest to you.
Permitted Disclosures Without Authorization
In addition to the uses described above, we may disclose your PHI without your authorization in the following circumstances:
- As required by law — including court orders, subpoenas, or other legal processes
- Public health activities — to prevent or control disease, injury, or disability
- Health oversight activities — to government agencies for audits, inspections, or licensing
- Serious threats to health or safety — to prevent or lessen a serious and imminent threat
- Workers' compensation — to comply with workers' compensation laws
- Law enforcement — under specific circumstances required by law
- Coroners and medical examiners — to identify a deceased person or determine cause of death
All other uses and disclosures of your PHI not described in this Notice will be made only with your written authorization. You may revoke that authorization at any time in writing.
Your Rights Regarding Your Health Information
Right to Access
You have the right to inspect and obtain a copy of your PHI that we maintain. We may charge a reasonable fee for copies. Requests must be submitted in writing.
Right to Amend
You have the right to request that we amend your PHI if you believe it is incorrect or incomplete. We may deny your request under certain circumstances and will notify you in writing.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures we have made of your PHI for up to six years prior to your request.
Right to Request Restrictions
You have the right to request restrictions on how we use or disclose your PHI. We must agree to a restriction you request on disclosures to a health plan if you paid for the service out-of-pocket in full.
Right to Confidential Communications
You have the right to request that we communicate with you about health matters in a certain way or at a certain location. We will accommodate reasonable requests.
Right to a Copy of This Notice
You have the right to a paper copy of this Notice at any time. Please contact our office to request a copy.
Our Duties
We are required by law to:
- Maintain the privacy and security of your PHI
- Provide you with this Notice of our duties and privacy practices
- Notify you following a breach of your unsecured PHI
- Abide by the terms of this Notice currently in effect
We will not use or share your information other than as described here unless you tell us we can in writing. For more information, visit www.hhs.gov/ocr/privacy.
How to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with our Practice or with the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
To file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights, visit hhs.gov/ocr/privacy/hipaa/complaints or call 1-800-368-1019.
To file a complaint with our Practice, please contact us in writing at the address below. We will respond within 30 days.
Contact Us
If you have questions about this Notice or wish to exercise any of your rights, please contact us:
This Notice is effective as of January 1, 2025. The current version will always be available on our website.