Genesis Chiropractic Rehabilitation NW

Dr. Marc Hines, DC 
Dr. Jacob McKee, DC
12815 Canyon Rd E, Suite K • Puyallup, WA 98373
Phone: 253-256-4769 
Email: genesischironw@gmail.com

This notice describes how your medical information may be used and disclosed, and how you can access this information.
Please review it carefully. We are required by law to maintain the privacy of your protected health information (PHI) and to provide you with this notice of our legal duties and privacy practices.

How We May Use and Disclose Your Health Information

We may use or share your information in the following ways:

Treatment:

We may use your health information to provide, coordinate, or manage your care. For example, we may share information with another healthcare provider for further diagnosis or treatment.

Payment:

We may use and disclose your health information to bill and collect payment for services rendered. For example, your insurance company may require information about your care before they pay us.

Healthcare Operations:

We may use your health information to evaluate the quality of care we provide or for training and compliance purposes.

As Required by Law:

We will disclose your information when required by federal, state, or local law.

Public Health and Safety:

We may disclose information for public health activities, to prevent or control disease, or to report abuse or neglect.

Law Enforcement and Legal Proceedings:

We may disclose information in response to a court order or legal process.

Your Rights Regarding Your Health Information

Access:

You may request to review or obtain a copy of your medical records.

Amendment:

You may request corrections to your records if you believe they are inaccurate or incomplete.

Restrictions:

You may request limitations on how we use or share your information, though we are not always required to agree.

Confidential Communications:

You may request that we contact you in a specific way (e.g., home phone, work phone, or email).

Accounting of Disclosures:

You may request a list of disclosures we’ve made of your health information other than for treatment, payment, or operations.

Copy of This Notice:

You are entitled to receive a copy of this notice at any time.

Our Responsibilities

We are required by law to:
– Maintain the privacy of your health information.
– Provide you with this notice of our legal duties and privacy practices.
– Follow the terms of this notice currently in effect.
– Notify you if a breach occurs that may have compromised your health information.

Changes to This Notice

We reserve the right to change our privacy practices and this notice at any time. Any changes will apply to existing and future health information, and an updated notice will be available in our office and on our website.

Questions or Complaints

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. You will not be penalized for filing a complaint.
To contact our Privacy Officer, please call 253-256-4769 or email genesischironw@gmail.com.

Effective Date:

January 1, 2025