(732) 591-2580

HIPAA Notice of Privacy Practices

Effective Date: April 21, 2026  |  Last Revised: April 21, 2026

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 Legal Duty

Boas Family Chiropractic ("we," "us," "our practice") is required by law to maintain the privacy of your Protected Health Information (PHI) and to provide you with notice of our legal duties and privacy practices with respect to your PHI. We are required to abide by the terms of the Notice currently in effect.

We reserve the right to change the terms of this Notice at any time. If we change our Notice, we will post the new Notice in our office and on our website. The new Notice will apply to all PHI we maintain, even if created or received before the change.

How We May Use and Disclose Your PHI

The following categories describe the ways we may use and disclose your PHI without your written authorization:

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services. For example, we may share your PHI with other healthcare providers involved in your care, such as specialists, physical therapists, or hospitals.

Payment

We may use and disclose your PHI to obtain payment for services we provide to you. For example, we may contact your insurance company to verify coverage or submit a claim for services rendered.

Healthcare Operations

We may use and disclose your PHI in connection with healthcare operations necessary to run our practice and ensure quality care. Examples include quality assessment, staff training, audits, and business planning.

Appointment Reminders

We may use your PHI to contact you about upcoming appointments, recall notices, or healthcare reminders by phone, mail, or email.

Health-Related Services and Benefits

We may use your PHI to recommend treatment options, wellness programs, or health-related services that may be of interest to you.

Required by Law

We will disclose your PHI when required to do so by federal, state, or local law, including reporting requirements for public health and safety.

Public Health Activities

We may disclose your PHI to public health authorities for activities such as disease surveillance, reporting abuse or neglect, FDA oversight, or to prevent serious health threats.

Law Enforcement

We may disclose your PHI to law enforcement officials as required by law or in response to a valid court order, warrant, or subpoena.

Workers' Compensation

We may disclose your PHI to workers' compensation carriers and employers as authorized by and to the extent necessary to comply with workers' compensation laws.

Business Associates

We may share your PHI with business associates (such as billing companies, IT vendors, or transcription services) who perform services on our behalf, provided they agree to safeguard your PHI under a Business Associate Agreement.

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, including:

  • Most uses and disclosures of psychotherapy notes
  • Uses and disclosures for marketing purposes
  • Sale of your PHI
  • Other uses and disclosures not covered by this Notice

You may revoke any authorization you have given us at any time, in writing, except to the extent that we have already taken action in reliance on your authorization.

Your Rights Regarding Your PHI

Right to Access Your PHI

You have the right to inspect and obtain a copy of your PHI in our records. Requests must be submitted in writing. We may charge a reasonable, cost-based fee for copies. We will respond within 30 days.

Right to Amend Your PHI

If you believe your PHI is incorrect or incomplete, you may request an amendment in writing. We may deny your request under certain circumstances, and if we do, we will explain the reason in writing.

Right to an Accounting of Disclosures

You may request a list of certain disclosures of your PHI made within the prior six years. The first accounting in any 12-month period is free; we may charge a reasonable fee for additional requests.

Right to Request Restrictions

You may request restrictions on how we use or disclose your PHI for treatment, payment, or healthcare operations, or to family members involved in your care. We are not required to agree to a requested restriction, except where you have paid out-of-pocket in full and ask us not to share information with your health plan for that service.

Right to Request Confidential Communications

You may request that we communicate with you about your health matters in a certain way or at a certain location (e.g., only at home, not at work). We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You have the right to a paper copy of this Notice at any time, even if you agreed to receive it electronically. Contact our office to request a copy.

Right to be Notified of a Breach

You have the right to be notified if a breach of your unsecured PHI has occurred that may have compromised the privacy or security of your information.

How to Exercise Your Rights

To exercise any of the rights described above, please submit a written request to our Privacy Officer. We will respond within 30 days for most requests (60 days if an extension is needed, with written notice to you).

How to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.

Contact Our Privacy Officer

Boas Family Chiropractic — Privacy Officer