- Thomas Edison
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.
Chicago Chiropractic is required, by law, to maintain the privacy and confidentiality of your protected health information and to provide our patients with notice of our legal duties and privacy practices with respect to your protected health information.
We may disclose your health care information to other healthcare professionals within our practice for the purpose of treatment, payment or healthcare operations. (example)
"On occasion, it may be necessary to seek consultation regarding your condition from other health care providers associated with Chicagoland Chiropractic Health Center."
"It is our policy to provide a substitute health care provider, authorized by Chicago Chiropractic to provide assessment and/or treatment to our patients, without advanced notice, in the event of your primary health care provider’s absence due to vacation, sickness, or other emergency situation."
We may disclose your health information to your insurance provider for the purpose of payment or health care operations.
We may disclose your health information as necessary to comply with State Workers’ Compensation Laws.
We may disclose your health information to notify or assist in notifying a family member, or another person responsible for your care about your medical condition or in the event of an emergency or of your death.
As required by law, we may disclose your health information to public health authorities for purposes related to: preventing or controlling disease, injury or disability, reporting child abuse or neglect, reporting domestic violence, reporting to the Food and Drug Administration problems with products and reactions to medications, and reporting disease or infection exposure.
We may disclose your health information in the course of any administrative or judicial proceeding.
We may disclose your health information to a law enforcement official for purposes such as identifying or locating a suspect, fugitive, material witness or missing person, complying with a court order or subpoena, and other law enforcement purposes.
We may disclose your health information to coroners or medical examiners.
We may disclose your health information to organizations involved in procuring, banking, or transplanting organs and tissues.
We may disclose your health information to researchers conducting research that has been approved by an Institutional Review Board.
It may be necessary to disclose your health information to appropriate persons in order to prevent or lessen a serious and imminent threat to the health or safety of a particular person or to the general public.
We may disclose your health information for military, national security, prisoner and government benefits purposes.
In the event that Chicago Chiropractic is sold or merged with another organization, your health information/record will become the property of the new owner.
Chicago Chiropractic reserves the right to amend this Notice of Privacy Practices at any time in the future, and will make the new provisions effective for all information that it maintains. Until such amendment is made, Chicago Chiropractic is required by law to comply with this Notice.
Chicago Chiropractic is required by law to maintain the privacy of your health information and to provide you with notice of its legal duties and privacy practices with respect to your health information. If you have questions about any part of this notice or if you want more information about your privacy rights, please contact: Dr. Michael Kauf by calling this office at 312.337.4004. If Dr. Michael Kauf is not available, you may make an appointment for a personal conference in person or by telephone within 2 working days.
Complaints about your Privacy rights, or how Chicago Chiropractic has handled your health information should be directed to Dr. Michael Kauf, by calling this office at 312.337.4004 If Dr. Michael Kauf is not available, you may make an appointment for a personal conference in person or by telephone within 2 working days.
If you are not satisfied with the manner in which this office handles your complaint, you may submit a formal complaint to:DHHS, Office of Civil Rights