Notice of Privacy Practices (HIPAA)

Effective Date: 10/08/2023
Switchback Chiropractic and Wellness

110 Bloomfield Ave, Caldwell NJ, 07006 | 973-852-3777 | drjosh@switchbackchironj.com

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.

Your Rights
You have the right to:
- Get a copy of your medical record
- Request corrections to your record
- Request confidential communications (e.g., contact you at home vs. work)
- Ask us to limit what we use or share (we'll consider all requests but may not be able to comply in all cases)
- Get a list of those with whom we've shared your information (past six years)
- Get a copy of this notice any time
- Choose someone to act for you (if you've given someone legal authority)
- File a complaint if you believe your privacy rights have been violated

Our Uses and Disclosures
We typically use or share your health information to:
Treat you
-We can use your health information and share it with other professionals who are treating you.
Example: Sharing relevant history with a specialist or primary care doctor.

Run our organization
-We use your information to manage operations, improve care, and contact you when necessary.
Example: Using data to schedule appointments or check treatment outcomes.

Bill for services
-We can use and share your health information to bill and get payment from health plans or other entities.
Example: Submitting information to your insurer for reimbursement.

Other Permitted Uses and Disclosures
We may share your information for:
- Preventing disease or injury
- Reporting adverse events or product defects
- Complying with state or federal mandates
- Responding to legal proceedings or law enforcement
- Working with medical examiners or funeral directors
- Helping with workers' compensation claims
- Supporting government functions (e.g., military, national security)

Your Choices
In these cases, you have the right to say yes or no:
- Sharing information with your family, close friends, or others involved in your care
- Sharing information in a disaster relief situation
- Including your information in a patient directory or testimonials
- Contacting you for fundraising efforts (if applicable)

We will never share your information for marketing purposes or sell your information without your explicit written authorization.

Our Responsibilities
- We are required by law to maintain the privacy and security of your Protected Health Information (PHI).
- We will let you know promptly if a breach occurs that may have compromised your information.
- We must follow the duties and privacy practices described in this notice.
- We will not use or share your information other than as described here unless you give us written permission.

Changes to This Notice
We may change this notice and apply those changes to all PHI we maintain. The latest version will always be available
at:
https://www.switchbackchironj.com/notice-of-privacy-practices

Questions or Complaints
If you have concerns or believe your rights have been violated, contact:
Privacy Officer - Dr. Joshua Budzinski, D.C.
Switchback Chiropractic
110 Bloomfield Ave, Caldwell NJ 07006
973-852-3777
drjosh@switchbackchironj.com

You may also file a complaint with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

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