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Notice of Privacy Practices (HIPAA)

NOTICE OF PRIVACY PRACTICES (HIPAA)

Effective Date: April 1, 2026

This notice describes how your medical information may be used and disclosed and how you can access this information.

Your Rights

You have the right to:
• Get a copy of your medical records
• Request corrections to your records
• Request confidential communication
• Request restrictions on certain uses and disclosures
• Receive a list of disclosures
• Get a copy of this notice
• Choose someone to act for you
• File a complaint if you believe your rights are violated

Your Choices

You have choices regarding how we use and share your information in certain situations, including:
• Sharing information with family or others involved in your care
• Receiving marketing communications (where applicable)
• Other uses not described in this notice

Our Uses and Disclosures

Treatment
We may use and disclose your health information to provide and coordinate your care.

Payment

We may use and disclose your information to bill and receive payment for services.

Health Care Operations

We may use and disclose your information to operate our practice, improve care, and contact you when necessary.

Care Coordination and Provider Collaboration

We may use and disclose your health information to coordinate your care across providers.

• This includes communication between:
o Providers within our practice
o External providers such as imaging centers, specialists, therapists, or referring providers

• We may share only the minimum necessary information to:
o Facilitate diagnosis and treatment
o Ensure continuity and quality of care

We may also receive and incorporate information from other providers into your record.

Other Permitted Uses and Disclosures

We may disclose your information:
• As required by law
• For public health and safety purposes
• For health oversight activities
• For workers’ compensation claims
• To respond to legal requests (court orders, subpoenas)
• For law enforcement purposes (when permitted)

Special Protections for Substance Use Disorder Records (42 CFR Part 2)

We may receive or maintain information related to substance use disorder (SUD) diagnosis, treatment, or referral. This information is protected by federal law.

• We will not use or disclose SUD-related information without your written consent, except as permitted by law
• Any disclosure made with your consent may be used for:
o Treatment
o Payment
o Health care operations

Redisclosure Restriction

Recipients of this information are prohibited from redisclosing it unless:
• You provide additional written consent, or
• The disclosure is otherwise permitted by law

Legal Use Restriction

SUD records cannot be used in legal or administrative proceedings against you without:
• Your explicit consent, or
• A valid court order

Revocation

You may revoke your consent at any time in writing, except where action has already been taken.

Our Responsibilities

We are required to:
• Maintain the privacy and security of your health information
• Notify you of a breach if it occurs
• Follow the duties and practices described in this notice
• Not use or share your information other than as described unless you authorize it

Complaints

You may file a complaint if you believe your rights have been violated:
U.S. Department of Health and Human Services (HHS)
https://www.hhs.gov/hipaa/filing-a-complaint/index.html

We will not retaliate against you for filing a complaint.

Changes to This Notice

We may update this notice at any time. The updated version will be available in our office and on our website.

Contact Information
Intouch Chiropractic
2425 Camino Del Rio South #100
San Diego, CA 92108
619-756-7510

Gentle Adjustments. Powerful Results.

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