Notice of Privacy Practices
Castroville Chiropractic Clinic
11282 Merritt Street, Castroville, CA 95012
Randal G Jones, D.C. – (831) 633-4067
Effective Date: 11/1/2025
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.
We understand the importance of privacy and are committed to maintaining the confidentiality of your medical information. We make a record of the medical care we provide and may receive such records from others. We use these records to provide or enable other health care providers to provide quality medical care, to obtain payment for services provided to you as allowed by your health plan, and to enable us to meet our professional and legal obligations to operate this medical practice properly.
We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices, and to notify affected individuals following a breach of unsecured protected health information.
Table of Contents
- How This Medical Practice May Use or Disclose Your Health Information
- When This Medical Practice May Not Use or Disclose Your Health Information
- Your Health Information Rights
- Right to Request Special Privacy Protections
- Right to Request Confidential Communications
- Right to Inspect and Copy
- Right to Amend or Supplement
- Right to an Accounting of Disclosures
- Right to a Paper or Electronic Copy of this Notice
- Changes to this Notice of Privacy Practices
- Complaints
A. How This Medical Practice May Use or Disclose Your Health Information
This medical practice collects health information about you and stores it in a chart and on a computer. This is your medical record. The medical record is the property of this medical practice, but the information in the medical record belongs to you. The law permits us to use or disclose your health information for the following purposes:
1. Treatment
We use medical information to provide your care. We may share your information with employees, physicians, pharmacists, laboratories, and family members involved in your care.
2. Payment
We use and disclose information to obtain payment from your health plan or to assist other providers with payment for services provided to you.
3. Health Care Operations
We may use your information to operate and improve this practice, review staff qualifications, obtain authorizations, conduct audits, manage business operations, and coordinate with business associates under HIPAA-required contracts.
4. Appointment Reminders
We may contact you or leave messages regarding upcoming appointments.
5. Sign-In Sheet
We may ask you to sign in or call your name in the waiting room.
6. Notification and Communication With Family
We may disclose your information to notify family members of your condition or in emergencies unless you object.
7. Marketing
We may provide information about products or services related to your care without receiving payment. We will not use your information for paid marketing without authorization.
8. Sale of Health Information
We will not sell your information without written authorization.
9. Public Health
We may disclose information for disease prevention, abuse reporting, FDA reporting, or infection exposure.
10. Health Oversight Activities
We may disclose information to agencies conducting audits or investigations.
11. Judicial and Administrative Proceedings
We may disclose information as required by courts or administrative orders.
12. Law Enforcement
We may disclose information for law enforcement purposes such as locating individuals or responding to legal processes.
13. Coroners
We may disclose information to coroners for death investigations.
14. Organ or Tissue Donation
We may release information to donation organizations.
15. Public Safety
We may disclose information to prevent serious threats to safety.
16. Proof of Immunization
We may provide proof of immunization to schools with your agreement.
17. Specialized Government Functions
We may disclose information for military, national security, or correctional purposes.
18. Workers’ Compensation
We may disclose information as required under workers’ compensation laws.
19. Change of Ownership
Your records may transfer to a new owner if this practice is sold or merged.
20. Breach Notification
We will notify you of breaches of unsecured protected health information.
B. When This Medical Practice May Not Use or Disclose Your Health Information
We will not use or disclose your health information without written authorization except as described in this Notice. You may revoke authorizations at any time in writing.
C. Your Health Information Rights
1. Right to Request Special Privacy Protections
You may request restrictions on disclosures. Required restrictions will be honored; others may be accepted or denied.
2. Right to Request Confidential Communications
You may request communications at specific locations or through specific methods.
3. Right to Inspect and Copy
You may request access to your health information in paper or electronic format. Reasonable fees may apply.
4. Right to Amend or Supplement
You may request corrections to your health information. We may deny requests under certain conditions.
5. Right to an Accounting of Disclosures
You may request a list of disclosures except for those related to treatment, payment, operations, and other defined exceptions.
6. Right to a Paper or Electronic Copy of this Notice
You may request a paper or digital copy of this Notice at any time.
D. Changes to this Notice of Privacy Practices
We reserve the right to amend this Notice at any time. Updated versions will apply to all information we maintain and will be posted in our office and on our website.
E. Complaints
If you have complaints about how your information is handled, contact our Privacy Officer. You may also file a complaint with the U.S. Department of Health and Human Services at OCRMail@hhs.gov or through the HIPAA complaint portal.