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.
This Notice of Privacy Practices describes how BLOOMFIELD CHIROPRACTIC CENTER PLLC may use and disclose your health information and how you can access this information. This Notice explains how we use and share your health information and describes your rights and our legal duties under federal and state privacy laws.
This Notice of Privacy Practices applies to our chiropractic practice and all related services we provide, including those performed by our support staff and business associates who help deliver or manage your care. We follow the requirements of the Health Insurance Portability and Accountability Act (HIPAA). This Notice applies to you as a patient of our practice and to any services we provide in connection with your care.
If you have any questions about this Notice, please contact our Privacy Officer or any staff member in our office.
We are required by law to:
We may change the terms of this Notice from time to time. When we make a significant change, we will post the revised version in our office and, if applicable, on our website. You may obtain the current version at any time by contacting our Privacy Officer or asking at the front desk. You may contact our Privacy Officer in person at our office, by mail at the address above, or by phone.
Protected Health Information (PHI) is information about you that may identify you and relates to your past, present, or future physical or mental health condition, the provision of health care to you, or payment for that care.
Federal law (HIPAA) permits us to use and disclose your protected health information for treatment, payment, and health care operations without a separate written authorization, as described in this Notice.
We may use sign-in sheets or call you by name in the waiting area as part of our normal operations, in a manner consistent with applicable privacy requirements.
We may share your PHI with third-party "business associates" who perform services for us (such as billing, IT support, or transcription). These entities are required by contract to protect the privacy and security of your PHI.
To the extent applicable, we will require, through our agreements with that business associate, that they protect those records in accordance with applicable Part 2 confidentiality requirements.
Other uses and disclosures of your PHI will be made only with your written authorization, unless otherwise permitted or required by law. These include:
Certain records related to Substance Use Disorder (SUD), if present in your record, receive additional confidentiality protections under federal law (42 C.F.R. Part 2).
Our primary services are chiropractic care. We are not a substance use disorder (SUD) treatment program as defined by federal law. However, we may receive or maintain information related to SUD treatment if you or another provider shares that information with us.
If our office maintains such information—such as information received from other providers, hospitals, or patient disclosures—those records generally will not be used or disclosed without your specific written authorization, except as otherwise permitted or required by federal law.
A standard authorization to release medical information may not be sufficient to permit disclosure of SUD-protected records. When required by law, we will obtain an authorization that specifically covers SUD information and complies with 42 C.F.R. Part 2. You may revoke your authorization for us to disclose SUD-protected records at any time by submitting a written request to our Privacy Officer. Revocation will not affect disclosures already made in reliance on your prior authorization.
Most patients seen in our chiropractic practice will not have records covered by these special rules. This section applies only if we receive or maintain information from an SUD treatment program.
We may use or disclose your PHI without your authorization in the following situations:
Important Note About SUD Records: Some disclosures described in this section do not apply to records protected by 42 C.F.R. Part 2. Please see the "Substance Use Disorder (SUD) Records - 42 C.F.R. Part 2" section of this Notice for information about how we handle SUD-protected records.
We may disclose PHI in response to a valid court order, subpoena, discovery request, or other lawful process as permitted by law.
Important: Records protected under federal Substance Use Disorder confidentiality regulations (42 C.F.R. Part 2), if applicable, may only be disclosed pursuant to a court order that specifically authorizes such disclosure or as otherwise permitted by federal law. A subpoena or legal request alone may not be sufficient for disclosure of SUD-protected information.
If we maintain records protected by 42 C.F.R. Part 2, those records are subject to stricter rules than other PHI. Please refer to the "Substance Use Disorder (SUD) Records - 42 C.F.R. Part 2" section of this Notice for details.
You have the right to:
To exercise any of these rights, please submit a written request to our Privacy Officer.
If our office maintains records protected under 42 C.F.R. Part 2, you have additional rights related to those records. Disclosure of such information generally requires your written authorization, and you may revoke that authorization at any time. Revocation will not apply to disclosures already made in reliance on your authorization.
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services by visiting www.hhs.gov/hipaa or calling 1-800-368-1019.
To file a complaint with our office, please contact the Privacy Officer at the address or phone number listed above. You will not be penalized or retaliated against for filing a complaint.
We may collect and process the following categories of personal information that you submit directly to us:
Like most websites, this Website automatically collects information through cookies and other tracking technologies. To learn more, please read our Cookie Policy.
We may use the personal information that you submit directly to us for the following purposes:
In addition to the uses described above, we may use personal information that we collect for other purposes that are disclosed to you at the time we collect the information or with your consent. To learn about how this Website uses information automatically collected through cookies and other tracking technologies, please read our Cookie Policy.
We may share your information with third parties in the following circumstances:
This Website may contain messaging services, forums, reviews and ratings pages, communities, and other communication channels. Information that you voluntarily disclose in any of these channels is public information that may be read, collected, or used by us and third parties. Be aware that there is no expectation of privacy or confidentiality in these channels and we are not responsible for any information that you choose to make public or transmit through these channels.
This Website may link to other websites or services operated by third parties and may carry advertisements, content, functionality, promotions, or applications developed and maintained by third parties. We may also provide social media features on this Website that enable you to share personal information with your social network(s). We do not exercise control over, and are not responsible for the privacy practices of, such third-party websites and services. Linking to a third-party website or service, or providing a feature developed and maintained by a third party, is not an endorsement, authorization, or representation of our affiliation with such third party nor is it an endorsement of such third party’s privacy policies or practices. Use of such third-party website and service is entirely at your own risk.
This Website is not directed to children under the age of 13. If you are under 13, please do not use this Website. We do not knowingly collect personal information of children under the age of 13. If we learn that this Website has collected personal information from someone under 13, we will take appropriate steps to delete such information.
We are headquartered in the United States and this Website is hosted in the United States. If you are located outside the United States, be aware that the information that is provided to or collected through this Website will be transferred to the United States and to our service providers with operations in other countries. The privacy and data protection laws in the United States and other jurisdictions may not be equivalent to the laws of your country of residence. By using this Website or by providing us with your information, you consent to the collection, transfer, storage, and processing of information to and in the United States and elsewhere.
We reserve the right to change or supplement this Privacy Policy at any time. If we make any material changes to this Privacy Policy, we will notify you of any such changes via email or by posting the revised Privacy Policy on this Website. Your continued use of this Website constitutes your agreement to the revised Privacy Policy.
This Notice of Privacy Practices is effective as of: 2/15/26
Bloomfield Chiropractic Center PLLC 6250 Orchard Lake Road Suite A West Bloomfield, MI 48322 Phone: 248-626-3030 Fax: 248-626-3455 [email protected] www.bloomfieldchiropracticcenter.com