Effective date: August 1, 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.

JP Chiropractic is committed to protecting the privacy and security of your protected health information (“PHI”). This notice explains your rights, our responsibilities, and the ways we may use and disclose your health information under the Health Insurance Portability and Accountability Act (“HIPAA”) and other applicable laws.

Your Rights

When it comes to your health information, you have certain rights. We will help you exercise these rights.

Get a copy of your health and billing records

You may ask to inspect or receive an electronic or paper copy of your health record and other health information we maintain about you. We will generally provide a copy or summary within the time required by law. We may charge a reasonable, cost-based fee where permitted.

Ask us to correct your records

You may ask us to correct health information that you believe is incorrect or incomplete. We may deny the request in certain circumstances, but we will provide a written explanation when required.

Request confidential communications

You may ask us to contact you in a specific way—for example, only at a particular phone number—or to send mail to a different address. We will accommodate reasonable requests.

Ask us to limit what we use or share

You may ask us not to use or disclose certain information for treatment, payment, or health care operations. We are not always required to agree. If you pay for a service in full out of pocket and ask us not to disclose information about that service to your health plan for payment or operations purposes, we will comply unless disclosure is otherwise required by law.

Get a list of disclosures

You may request an accounting of certain disclosures of your health information made during the period allowed by law. The accounting does not include every disclosure, such as most disclosures for treatment, payment, and health care operations.

Get a copy of this notice

You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.

Choose someone to act for you

If you have given someone medical power of attorney or if someone is your legal guardian or personal representative, that person may exercise your rights and make choices about your health information as permitted by law. We may verify that the person has appropriate authority.

File a complaint without retaliation

You may complain if you believe your privacy rights have been violated. Contact the JP Chiropractic Privacy Officer using the information below. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights through the OCR complaint process. We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you may tell us your preferences about what we share. You may ask us to share information with family members, close friends, or others involved in your care or payment for your care. You may also tell us your preferences regarding disaster-relief situations. If you cannot communicate your preference, we may share information when we believe it is in your best interest and the disclosure is permitted by law.

We will obtain your written authorization before using or disclosing your information for purposes not described in this notice when authorization is required, including most uses of psychotherapy notes, most marketing purposes, and the sale of PHI. You may revoke an authorization in writing at any time, except to the extent we have already relied on it.

How We May Use and Share Your Information

Treatment

We may use and share your health information with chiropractors, physicians, therapists, imaging facilities, laboratories, or other health professionals involved in your care.

Payment

We may use and share your health information to bill and obtain payment from health plans, patients, responsible parties, or other entities. This may include eligibility verification, claims submission, utilization review, and collection activities permitted by law.

Health care operations

We may use and share your information to operate the practice, coordinate care, improve quality, train staff, conduct audits, manage risk, and perform other permitted health care operations. We may share information with business associates who perform services for us and are required to safeguard PHI.

Appointment reminders and care communications

We may contact you regarding appointments, follow-up care, treatment alternatives, health-related benefits, or services that may be of interest. Messages may be left using the contact information you provide unless you request another method.

Other uses and disclosures permitted or required by law

Subject to applicable legal requirements and limitations, we may use or disclose information for public-health and safety activities; reporting suspected abuse, neglect, or domestic violence; health oversight; judicial or administrative proceedings; certain law-enforcement purposes; workers’ compensation; organ and tissue donation; coroners, medical examiners, and funeral directors; specialized government functions; research approved or permitted by law; preventing a serious and imminent threat; and other situations required by law.

We will not use or disclose PHI for a criminal, civil, or administrative investigation of, or to impose liability on, a person for seeking, obtaining, providing, or facilitating lawful reproductive health care when federal law prohibits that use or disclosure. When required, we will obtain a signed attestation from a person requesting PHI potentially related to reproductive health care.

Our Responsibilities

Website and Electronic Communications

General website forms, ordinary email, and standard text messaging may not be appropriate for sensitive medical information. Please do not submit detailed health information or other sensitive PHI through a general website contact form. Call our office if you need to discuss confidential medical information or request a secure communication method.

Contact Our Privacy Officer

JP Chiropractic — Privacy Officer
1012 Physicians Dr, Suite 102
Charleston, SC 29414
Phone: (843) 473-7246

You may contact the Privacy Officer with questions about this notice, to exercise a privacy right, or to file a complaint with the practice.