Notice of Privacy Practices (HIPAA)
Version: v2025-08-27 • Last Updated: August 27, 2025
610-494-0412 • gochiromobile.com
IMPORTANT: This Notice describes how your medical information may be used and disclosed and how you can get access to this information. Please review it carefully.
Our commitment to your privacy
We are committed to protecting your health information. This Notice explains how we use and share your Protected Health Information (PHI) and your rights under HIPAA.
How we may use and disclose your information
Without your written authorization
- Treatment — to provide, coordinate, or manage your care (e.g., discussing your case with another provider when appropriate).
- Payment — to obtain payment for your care (e.g., information on a superbill you submit to your insurer).
- Healthcare Operations — for practice operations (quality improvement, training, licensing, audits).
We may also use/disclose PHI when permitted or required by law, including public health activities, oversight, court orders/subpoenas (when conditions are met), law enforcement, to avert a serious threat to health/safety, workers’ compensation, coroners/medical examiners, and research with required safeguards.
Uses/disclosures that require your authorization
Other uses/disclosures—such as most marketing, the sale of PHI, and certain psychotherapy notes—require your written authorization. If you authorize a use/disclosure, you may revoke it in writing at any time (except where action has already been taken).
Your rights
- Inspect and get a copy of your records (paper/electronic) within legally required time frames; reasonable, cost-based fees may apply.
- Request an amendment if you believe information is inaccurate or incomplete.
- Receive an accounting of disclosures (certain disclosures we made, excluding those for treatment, payment, healthcare operations, or those you authorized).
- Request restrictions on uses/disclosures. We are not required to agree, but if we do, we will abide by them except in emergencies.
- Request confidential communications (e.g., use a specific phone number or address). We will accommodate reasonable requests.
- Receive a paper copy of this Notice at any time, even if you agreed to receive it electronically.
- Be notified of a breach of unsecured PHI as required by law.
Our responsibilities
- Maintain the privacy and security of your PHI, provide this Notice, and follow the Notice in effect.
- Not use/share your information other than as described unless you authorize us in writing.
- We may change this Notice at any time; updates will show a new “Last Updated” date and apply to all PHI we maintain.
Texting and email
We often use text or email for scheduling, reminders, and basic instructions. These methods may carry some privacy risk. By providing your contact information and booking care, you consent to receive messages related to your care. You may opt out at any time.
Questions or complaints
Privacy Officer: Dr. David DeFries
Go Chiro Mobile • 610-494-0412 •
gochiromobile.com
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.