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Notice of Privacy Practices (HIPAA NPP)

NOTICE OF PRIVACY PRACTICES
Performance Chiropractic & Acupuncture
Signal Mountain Chiropractic
Effective Date: October 7, 2025

 

This Notice describes how your medical information may be used and disclosed, and how you can get access to this information. Please review it carefully.
 

Your Rights
You have the right to:

  • Get a copy of your paper or electronic medical record

  • Request corrections to your medical record

  • Request confidential communications

  • Ask us to limit what we use or share

  • Get a list of certain disclosures we’ve made

  • Get a copy of this privacy notice at any time

  • Choose someone to act for you

  • File a complaint if you believe your privacy rights have been violated

 

Your Choices
You have choices about the ways we use and share your information. For example, you may:

  • Tell us whether we can share information with family, friends, or others involved in your care

  • Decide whether to receive appointment reminders by certain methods

  • Choose whether we share information for marketing or fundraising purposes

 

Our Uses and Disclosures
We typically use or share your health information to:

  • Treat you and coordinate care with other providers

  • Run our practice (e.g., operations, quality improvement)

  • Bill you for services

 

We may also share information to comply with laws, respond to legal requests, prevent serious threats to health or safety, and in other legally permitted circumstances.
 

Our Responsibilities

  • 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.

  • We will not use or share your information other than as described here unless you give us written permission.

 

Questions or Complaints
If you have any questions about this notice or believe your privacy rights have been violated, contact:
📞 423-760-8880
📧 drchris.performance@gmail.com

 

Performance Chiropractic & Acupuncture
1748 Dayton Blvd, Red Bank, TN 37415

 

Signal Mountain Chiropractic
1807 Taft Hwy, #3, Signal Mountain, TN 37377

 

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

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