HIPAA Privacy Statement

OUR LEGAL DUTY

LeGrand Wellness Chiropractic is required by law to:

• Maintain the privacy and security of your Protected Health Information (PHI)

• Provide you with this Notice of our legal duties and privacy practices

• Follow the terms of the Notice currently in effect

• Notify you if a breach occurs that may have compromised the privacy or security of your information

WHO IS COVERED BY THIS NOTICE

This Notice applies to LeGrand Wellness Chiropractic and any programs, services, or operations associated with LeGrand Wellness Chiropractic.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the right to:

1. Get a copy of your medical record

You may request to inspect or receive an electronic or paper copy of your medical record. We may charge a reasonable, cost-based fee.

2. Ask us to correct your medical record

You may request an amendment if you believe your information is incorrect or incomplete. We may deny your request under certain circumstances.

3. Request an accounting of disclosures

You may request a list of certain disclosures we have made of your health information.

4. Request confidential communications

You may ask us to contact you in a specific way or at a specific location (for example, only at work or by mail).

5. Ask us to restrict certain uses or disclosures

You may request a restriction, but we are not required to agree except where required by law.

6. Get a paper copy of this Notice

You may request a paper copy at any time, even if you agreed to receive it electronically.

7. Be notified in the event of a breach

You will be notified if a breach occurs involving your unsecured PHI..

YOUR CHOICES

You may tell us your preferences regarding:

• Sharing information with your family, close friends, or others involved in your care

• Sharing information in disaster relief situations

If you are not able to tell us your preference, we may share your information if we believe it is in your best interest.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

For Treatment

We may use and share your health information to provide, coordinate, or manage your care with other healthcare providers.

For Payment

We may use and share your information to bill and collect payment from health plans or other parties.

For Healthcare Operations

We may use your information to run our practice, improve quality, train staff, conduct audits, and manage business operations.

Business Associates

We may share information with trusted business associates who are required by law to protect your information.

Appointment Reminders and Care Coordination

We may contact you regarding appointments, follow-ups, and care-related services.

Treatment-Related Communications

We may contact you about treatment alternatives or health-related services related to your care. We do not use your information for paid marketing without your written authorization.

Legal and Regulatory Requirements

We may disclose information when required by federal, state, or local law.

Public Health and Safety

We may disclose information for public health reporting, disease prevention, abuse or neglect reporting, and health oversight activities.

Law Enforcement and Legal Proceedings

We may disclose information in response to court orders, subpoenas, or lawful processes.

Medical Examiners and Coroners

We may disclose information to identify a deceased person or determine cause of death.

National Security

We may disclose information to authorized federal officials for national security and intelligence activities.

MINIMUM NECESSARY STANDARD

We apply the “minimum necessary” standard when required by law to limit the information disclosed.

CALIFORNIA PRIVACY RIGHTS (CMIA)

California law provides additional protections for medical information under the Confidentiality of Medical Information Act (CMIA). We fully comply with both HIPAA and California law.

You may also file complaints with:

• California Department of Public Health

• California Attorney General’s Office

COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint:

With Us:

Privacy Officer
LeGrand Wellness Chiropractic
3535 Cahuenga Blvd W, Suite 206
Los Angeles, CA 90068
Email: [email protected]

Or with the U.S. Department of Health & Human Services:

Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: (877) 696-6775
Website: www.hhs.gov/ocr/privacy/hipaa/complaints

We will not retaliate against you for filing a complaint.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice. Changes will apply to all information we maintain. The current Notice will always be available in our office and on our website at:

www.legrandwellness.com