HIPAA Notice of Privacy Practices
Protecting Your Health Information Privacy
Important Notice
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.
Table of Contents
Our Pledge Regarding Medical Information
We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive at Novo Chiropractic Sports & Wellness Center.
This notice applies to all of the records of your care generated by Novo Chiropractic Sports & Wellness Center, whether made by our staff or your personal doctor.
How We May Use and Disclose Medical Information About You
For Treatment
We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, technicians, or other personnel who are involved in taking care of you.
For Payment
We may use and disclose medical information about you so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company, or a third party.
For Health Care Operations
We may use and disclose medical information about you for our health care operations. These uses and disclosures are necessary to run our practice and make sure that all of our patients receive quality care.
Your Rights Regarding Medical Information About You
You have the following rights regarding medical information we maintain about you:
- Right to Inspect and Copy: You have the right to inspect and copy medical information that may be used to make decisions about your care.
- Right to Amend: If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information.
- Right to an Accounting of Disclosures: You have the right to request an "accounting of disclosures."
- Right to Request Restrictions: You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or health care operations.
Contact Information
If you have any questions about this notice or need to exercise your rights, please contact our Privacy Officer:
Privacy Officer: Novo Chiropractic Sports & Wellness Center
Email: hello@novochiropractic.com
Phone: (616) 259-9835
Address: 5570 Wilson Ave SW Ste M/N, Grandville, MI 49418
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services.
You will not be penalized for filing a complaint.
This notice is effective as of January 2025