Privacy Policy
 Information Collection and Use

Effective Date: 12-24-2024

This privacy policy describes how Belanger Chiropractic collects, uses, and discloses protected health information about our patients.

Understanding Your Health Information

Protected health information (PHI) is information about your health or health care that can be linked to you. This information can include:

• Demographic data (name, address, birth date, etc.)
• Health history
• Treatment records
• Insurance information
• Payment information

How We Use and Disclose Your Health Information

We may use and disclose your PHI for various reasons, including:

• Treatment: We may use and disclose your PHI to provide, coordinate, or manage your health care and related services. This includes consulting with other health care providers, referring you to specialists, and obtaining laboratory services.
• Payment: We may use and disclose your PHI to obtain payment for the services we provide to you. This includes activities such as billing your insurance company, processing credit card payments, and collecting outstanding balances.
• Healthcare Operations: We may use and disclose your PHI for healthcare operations purposes, such as improving the quality of our services, evaluating the performance of our staff, and conducting training programs.

Other Uses and Disclosures

We may also use and disclose your PHI for other purposes, as permitted or required by law. These purposes include:

• Required by Law: We may disclose your PHI when required to do so by federal, state, or local law.
• Public Health Activities: We may disclose your PHI to public health authorities for purposes such as preventing or controlling disease, injury, or disability.   
• Victims of Abuse, Neglect, or Domestic Violence: We may disclose your PHI to a government authority if we reasonably believe you are a victim of abuse, neglect, or domestic violence.   
• Health Oversight Activities: We may disclose your PHI to a health oversight agency for activities authorized by law, such as audits and investigations.   
• Judicial and Administrative Proceedings: We may disclose your PHI in response to a court order, subpoena, or other legal process.
• Law Enforcement Purposes: We may disclose your PHI to law enforcement officials for purposes such as identifying or locating a suspect, fugitive, or missing person.
• Coroners, Medical Examiners, and Funeral Directors: We may disclose your PHI to coroners, medical examiners, and funeral directors to allow them to perform their duties.
• Organ, Eye, or Tissue Donation: We may disclose your PHI to organ procurement organizations.
• Research: We may disclose your PHI for research purposes in certain circumstances.
• Serious Threat to Health or Safety: We may disclose your PHI if we believe it is necessary to prevent a serious threat to your health or safety or the health or safety of others.   
• Specialized Government Functions: We may disclose your PHI for specialized government functions, such as military and national security activities.
• Workers' Compensation: We may disclose your PHI as authorized by workers' compensation laws.
• Inmates: We may disclose your PHI if you are an inmate of a correctional institution.

Your Rights Regarding Your Health Information

You have the following rights regarding your PHI:

• Right to Inspect and Copy: You have the right to inspect and obtain a copy of your PHI.
• Right to Request Amendment: You have the right to request that we amend your PHI.
• Right to an Accounting of Disclosures: You have the right to request an accounting of disclosures of your PHI.
• Right to Request Restrictions: You have the right to request restrictions on how we use and disclose your PHI.
• Right to Request Confidential Communications: You have the right to request that we communicate with you about your PHI in a specific way or at a specific location.   
• Right to a Paper Copy of This Notice: You have the right to receive a paper copy of this notice.

Our Responsibilities

We are required by law to:

• Maintain the privacy of your PHI.
• Provide you with this notice of our privacy practices.
• Abide by the terms of this notice.
• Notify you following a breach of unsecured PHI.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.   

Contact Information

If you have any questions about this privacy policy or would like to exercise your rights, please contact us at:   

  Belanger Chiropractic 1003 E. Freeway Dr. Conyers, Ga 30094

  billing@belangerchiropractic.com

  770-760-1394

Changes to this Privacy Policy

We reserve the right to change this privacy policy at any time. We will post any revisions on our website and provide you with a copy of the revised notice.