IMPORTANT: PLEASE READ CAREFULLY – INFORMATION ABOUT YOUR PRIVACY
Who Is Covered by This Notice
This Notice of Privacy Practices applies to Ledbetter Chiropractic dba Ledbetter Mind and Body Restoration and any programs or services associated with our facility.
Our Commitment to Your Privacy
We understand that your medical information is personal, and we are committed to protecting it. We create and maintain records of the care and services you receive at our facility. These records are necessary to provide quality care and to comply with legal requirements.
This notice applies to all medical records maintained by our facility.
We are required by law to:
Maintain the privacy of your Protected Health Information (PHI)
Provide you with this notice of our legal duties and privacy practices
Abide by the terms of the notice currently in effect
Description of Privacy Practices
This Notice describes how we may use and disclose your Protected Health Information (PHI) for treatment, payment, healthcare operations, and other purposes permitted or required by law. It also describes your rights regarding your health information.
“Protected Health Information” refers to information that identifies you and relates to your past, present, or future physical or mental health condition or healthcare services.
How We May Use and Disclose Your Medical Information
Treatment
We may use and disclose your PHI to provide, coordinate, or manage your healthcare. This includes sharing information with other healthcare providers involved in your care. In certain situations, we will obtain your written authorization before making disclosures. We will disclose only the minimum necessary information when required.
Payment
We may use and disclose your PHI to bill and collect payment for services provided. This may include sharing information with your insurance company to obtain payment or prior authorization.
Healthcare Operations
We may use your PHI for healthcare operations such as quality assessment, staff evaluation, accreditation, business planning, and other administrative activities necessary to run our practice.
Appointment Reminders and Treatment Communications
We may contact you to remind you of appointments, reschedule missed appointments, or provide information related to your treatment and care.
Communication with Family or Personal Representatives
We may disclose relevant information to a family member, personal representative, or close friend involved in your care, unless you object. In emergency situations, we may disclose information in your best interest and inform you afterward.
Business Associates
We may use third-party service providers to perform certain functions on our behalf. These business associates are required by law and contract to safeguard your Protected Health Information.
Legal Requirements
We will disclose your PHI when required to do so by federal, state, or local law.
Public Health Activities
We may disclose your PHI for public health purposes, including disease prevention, reporting child abuse or neglect, adverse reactions to medications, exposure to communicable diseases, or domestic violence reporting as required by law.
Health Oversight Activities
We may disclose your PHI to health oversight agencies for audits, investigations, inspections, licensure, or other authorized activities.
Lawsuits and Disputes
We may disclose your PHI in response to a court order, subpoena, or other lawful process.
Law Enforcement
We may release PHI to law enforcement officials under specific circumstances permitted by law.
Correctional Institutions
If you are an inmate, we may disclose PHI to correctional institutions or law enforcement officials as necessary for your healthcare and safety.
Medical Examiners
We may release PHI to medical examiners or funeral directors as necessary.
National Security
We may disclose PHI to authorized federal officials for national security and intelligence activities as required by law.
Changes to This Notice
We reserve the right to change this Notice. Any changes will apply to existing and future medical information. The current version will be available at our facility and on our website:
https://ledbettermindbody.com/
You may request a copy of the current Notice at any time.
Your Rights Regarding Your Medical Information
Right to Inspect and Copy
You have the right to inspect and obtain a copy of your PHI. Requests must be made in writing and submitted to the contact information listed below. A reasonable fee may apply.
Right to Amend
If you believe your PHI is incorrect or incomplete, you may request an amendment in writing with an explanation of the reason. We may deny your request under certain circumstances.
Right to an Accounting of Disclosures
You may request a written list of certain disclosures we have made of your PHI. Additional requests within a 12-month period may be subject to a reasonable fee.
Right to Request Confidential Communications
You may request that we communicate with you in a specific way (for example, by mail or at an alternate address). Requests must be made in writing.
Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your PHI. We are not required to agree to all requested restrictions, except in limited circumstances required by law.
Right to a Paper Copy of This Notice
You may request a paper copy of this Notice at any time.
Breach Notification
In the event of a breach of your unsecured Protected Health Information, we will notify you as required by law.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our facility or with the U.S. Department of Health and Human Services, Office for Civil Rights.
We will not retaliate against you for filing a complaint.
To file a complaint with our facility, submit a written complaint within 180 days of the suspected violation to:
Dr. Joshua Ledbetter, DC
5026 7th Street
Zephyrhills, FL 33542
Phone: 813-322-6502
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Toll-Free: (877) 696-6775
https://www.hhs.gov/ocr/privacy/hipaa/complaints/