Notice of Privacy Practices
Effective Date: May 14, 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.
Who We Are
This Notice of Privacy Practices applies to Canton Center Chiropractic, including all doctors, staff, and other workforce members who provide or support your care at our practice. We are required by law to maintain the privacy of your protected health information (PHI), to provide you with this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
How We May Use and Disclose Your Health Information
The following describes the ways we may use and disclose your protected health information. Not every use or disclosure in a category will be listed, but all of the ways we are permitted to use and disclose information will fall within one of the categories below.
For Treatment: We may use and disclose your health information to provide, coordinate, and manage your healthcare and related services. For example, we may share information about your chiropractic treatment with another provider to whom we refer you, or with a laboratory that performs testing ordered by your doctor.
For Payment: We may use and disclose your health information so that we may bill and receive payment for the services we provide to you. For example, we may contact your insurance company to verify coverage or submit a claim for services rendered.
For Healthcare Operations: We may use and disclose your health information for general office operations. This includes activities such as quality assessment, staff training, scheduling, and administrative functions necessary to run our practice.
Appointment Reminders: We may contact you to remind you of an appointment or to follow up on your care. This may be done by phone, text, or email using the contact information you have provided.
Health-Related Communications: We may use your information to tell you about health-related services, products, or treatment alternatives that may be of interest to you.
As Required by Law: We will disclose your health information when required to do so by federal, state, or local law, including disclosures to public health authorities, law enforcement, or in response to a valid court order or subpoena.
Business Associates: We may share your information with third-party vendors and partners who perform services on our behalf, such as billing companies or IT providers. These business associates are required by contract and by law to protect the privacy of your information.
Other Uses and Disclosures
We will not use or disclose your health information for purposes other than those described in this Notice without your written authorization. If you provide us with authorization to use or disclose your information and later change your mind, you may revoke that authorization in writing at any time. The revocation will not apply to uses or disclosures we have already made in reliance on your authorization.
Your Rights Regarding Your Health Information
You have the following rights with respect to your protected health information. To exercise any of these rights, please submit a written request to our office using the contact information listed at the bottom of this notice.
Right to Inspect and Copy: You have the right to inspect and obtain a copy of your health information that we maintain in your designated record set, including your medical records and billing records. We may charge a reasonable fee for copies.
Right to Request an Amendment: If you believe that information we have about you is incorrect or incomplete, you may request that we amend the information. We may deny your request under certain circumstances, but we will explain our reasons in writing.
Right to an Accounting of Disclosures: You have the right to request a list of the disclosures we have made of your health information, except for disclosures made for treatment, payment, or healthcare operations, or disclosures you authorized in writing.
Right to Request Restrictions: You have the right to request that we restrict how we use or disclose your health information for treatment, payment, or healthcare operations. We are not required to agree to your request, but if we do, we will honor it except in emergency situations. You also have the right to restrict disclosure to your health plan if you pay for a service in full out of pocket.
Right to Request Confidential Communications: You have the right to request that we communicate with you about your health information in a certain way or at a certain location. For example, you may ask that we only contact you at work or by mail.
Right to a Paper Copy of This Notice: You have the right to receive a paper copy of this Notice at any time, even if you have agreed to receive it electronically. Please ask at the front desk and we will provide one.
Right to Be Notified of a Breach: You have the right to be notified in the event of a breach of your unsecured protected health information.
Our Duties
We are required by law to maintain the privacy and security of your protected health information. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. We must follow the duties and privacy practices described in this Notice and give you a copy of it. We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
Changes to This Notice
We reserve the right to change this Notice at any time. We reserve the right to make the revised or changed Notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice in our office and on our website. The Notice will contain the effective date on the first page.
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. To file a complaint with us, contact our Privacy Officer using the information below. To file a complaint with HHS, visit www.hhs.gov/ocr/privacy/hipaa/complaints or call 1-800-368-1019. We will not retaliate against you for filing a complaint.
Contact Our Privacy Officer
Canton Center Chiropractic Clinic
Attention: Privacy Officer
6231 N. Canton Center Rd., Suite 109
Canton, MI 48187
info@cantoncenterchiropractic.com
(734) 455-6767