HIPAA Notice of Privacy Practices

Our Commitment to Your Family's Privacy

Little Roots Pediatric Chiropractic is committed to maintaining the privacy of your family's protected health information (PHI). PHI is information that may identify you or your child and relates to past, present, or future physical health conditions, healthcare services, or payment for those services. We are required by law to maintain the privacy of PHI, provide you with this notice of our legal duties and privacy practices, and follow the terms of the notice currently in effect.

How We May Use and Disclose Your Family's Health Information

Treatment

We may use and disclose your child's PHI to provide, coordinate, or manage chiropractic care. This includes sharing information with other healthcare providers involved in your child's care, such as pediatricians, specialists, or therapists, when appropriate and with your authorization.

Payment

We may use and disclose your child's PHI to obtain payment for healthcare services. This may include providing information to your insurance company, submitting claims, or collecting payment for services rendered.

Healthcare Operations

We may use and disclose your child's PHI for our healthcare operations, including quality improvement activities, staff training, and business management functions necessary to support the care we provide.

Minors

As a pediatric practice, most of our patients are minors. A parent or legal guardian has the right to access their minor child's PHI, authorize disclosures, and make privacy-related decisions on behalf of the child, in accordance with state and federal law.

Other Permitted Uses and Disclosures

We may also use or disclose PHI without your authorization in the following situations:

• As required by federal, state, or local law
• For public health activities, including reporting child abuse or neglect
• To report suspected child abuse or neglect to appropriate authorities
• To comply with workers' compensation laws
• In response to a court order or legal proceeding
• To avert a serious threat to health or safety
• For specialized government functions, including military and veterans' activities

Uses and Disclosures Requiring Your Authorization

Other uses and disclosures of your family's PHI not described in this notice will be made only with your written authorization. You may revoke an authorization at any time by submitting a written request to our office. Revocation will not apply to disclosures already made based on the authorization.

Your Rights Regarding Your Family's Health Information

Right to Inspect and Copy

You have the right to inspect and obtain a copy of your child's PHI maintained by our office. Requests must be submitted in writing. We may charge a reasonable fee for copies.

Right to Request Amendment

You may request that we amend your child's PHI if you believe it is incorrect or incomplete. We may deny the request under certain circumstances and will provide a written explanation if we do.

Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures we have made of your child's PHI. This does not include disclosures for treatment, payment, or healthcare operations.

Right to Request Restrictions

You may request restrictions on how we use or disclose your child's PHI for treatment, payment, or healthcare operations. We are not required to agree to the restriction but will honor it if we do.

Right to Request Confidential Communications

You may request that we communicate with you about your child's healthcare in a specific way or at a specific location. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You have the right to obtain a paper copy of this notice at any time, even if you previously agreed to receive it electronically.

Our Duties

We are required by law to maintain the privacy of your family's PHI, provide this notice of our privacy practices, and notify affected individuals in the event of a breach of unsecured PHI.

Changes to This Notice

We reserve the right to change the terms of this notice and make the new provisions effective for all PHI we maintain. Revised notices will be available at our office and on our website.

Complaints

If you believe your family's privacy rights have been violated, you may file a complaint with our office or with the Secretary of the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
www.hhs.gov/ocr/complaints