HIPAA Notice of Privacy Practices

Effective Date: May 19, 2026

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

Kindspine Chiropractic Center is committed to protecting the privacy of your health information. We follow applicable federal privacy laws, including the Health Insurance Portability and Accountability Act of 1996, commonly known as HIPAA.

1. Our Responsibilities

Kindspine Chiropractic Center is required by law to:

  • Maintain the privacy and security of your protected health information
  • Provide you with this Notice of Privacy Practices
  • Follow the terms of this Notice
  • Notify you if a breach occurs that may have compromised the privacy or security of your health information

2. How We May Use and Share Your Health Information

We may use or disclose your protected health information for the following purposes:

Treatment

We may use your health information to provide chiropractic care, examinations, digital X-rays, spinal assessments, care recommendations, adjustments, and follow-up care.

Example: We may review your health history, symptoms, examination findings, or imaging results to create a care recommendation or communicate with another healthcare provider involved in your care.

Payment

We may use and share your health information to bill and collect payment for services provided.

Example: We may share necessary information with your insurance company, billing provider, or payment processor.

Healthcare Operations

We may use and share your health information for office operations, quality improvement, staff training, scheduling, recordkeeping, and business management.

Example: We may use your information to review the quality of care we provide or to manage appointment scheduling.

3. Other Uses and Disclosures Allowed by Law

We may also use or disclose your health information when allowed or required by law, including:

  • To comply with federal, state, or local laws
  • For public health and safety purposes
  • To report suspected abuse, neglect, or domestic violence when required by law
  • To respond to court orders, subpoenas, or legal proceedings
  • For workers’ compensation claims
  • To health oversight agencies for audits, investigations, inspections, or licensing
  • To law enforcement when required or permitted by law
  • To prevent or reduce a serious threat to health or safety

4. Uses That Require Your Written Authorization

We will not use or disclose your protected health information for purposes not described in this Notice unless you give us written permission.

Your written authorization is generally required for:

  • Most uses and disclosures of psychotherapy notes, if applicable
  • Marketing communications when required by law
  • Sale of protected health information
  • Sharing information with individuals or organizations not involved in your care, payment, or healthcare operations

You may revoke your authorization in writing at any time, except where we have already relied on it.

5. Appointment Reminders and Communications

We may contact you by phone, text message, email, or mail for appointment reminders, scheduling, follow-up communication, treatment information, or office-related updates.

Because email and text messaging may not always be fully secure, please let us know if you prefer a specific method of communication.

6. Your Rights Regarding Your Health Information

You have certain rights regarding your protected health information.

Right to Access Your Records

You have the right to request access to or a copy of your health records. We may charge a reasonable, cost-based fee for copies when permitted by law.

Right to Request Corrections

You may request that we correct health information you believe is incorrect or incomplete. We may deny the request in certain cases, but we will provide an explanation in writing.

Right to Request Confidential Communications

You may ask us to contact you in a specific way, such as by phone only, email only, or at a different mailing address. We will accommodate reasonable requests when possible.

Right to Request Restrictions

You may ask us not to use or share certain health information for treatment, payment, or healthcare operations. We are not required to agree to all requests, but we will review your request carefully.

If you pay for a service in full out of pocket, you may ask us not to share information about that service with your health insurance plan for payment or healthcare operations purposes, unless required by law.

Right to an Accounting of Disclosures

You may request a list of certain disclosures we have made of your protected health information. This list will not include disclosures made for treatment, payment, healthcare operations, or certain other excluded disclosures.

Right to Receive a Copy of This Notice

You have the right to receive a paper or electronic copy of this Notice at any time, even if you previously agreed to receive it electronically.

Right to File a Complaint

You have the right to file a complaint if you believe your privacy rights have been violated. You may file a complaint with Kindspine Chiropractic Center or with the U.S. Department of Health and Human Services.

We will not retaliate against you for filing a complaint.

7. Family Members and Caregivers

With your permission, or when appropriate under the circumstances, we may share relevant health information with a family member, caregiver, or other person involved in your care or payment for your care.

8. Business Associates

We may work with third-party service providers, known as business associates, who help us operate our office. These may include billing services, scheduling platforms, technology providers, payment processors, or record management services.

Business associates are required to protect your health information and use it only as permitted by law and by our agreements with them.

9. Changes to This Notice

We may update this Notice from time to time. Any updated version will apply to the health information we maintain and will be posted on our website or made available upon request.

10. Contact Information

If you have questions about this HIPAA Notice of Privacy Practices, would like to exercise your privacy rights, or wish to file a complaint, please contact:

Kindspine Chiropractic Center
1830 Piedmont Ave., Ste C
Atlanta, GA 30324
Phone: 404-477-7911

Scroll to Top