HIPPA Policy

Leo Uemura Chiropractic: 21535 Hawthorne Blvd. Suite #270 Torrance, CA 90503

Leo Uemura, D.C. (424) 201-0036

Effective Date: 01/01/2023

Notice of Privacy Practices

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…

Table of Contents

1. How This Medical Practice May Use or Disclose Your Health Information
2. When This Medical Practice May Not Use or Disclose Your Health Information
3. Your Health Information Rights
4. Right to Request Special Privacy Protections
5. Right to Request Confidential Communications
6. Right to Inspect and Copy
7. Right to Amend or Supplement
8. Right to an Accounting of Disclosures
9. Right to a Paper or Electronic Copy of this Notice
10. Changes to this Notice of Privacy Practices
11. 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…

1. Treatment

We use medical information about you to provide your medical care. We disclose medical information to our employees and others…

2. Payment

We use and disclose medical information about you to obtain payment for the services we provide…

3. Health Care Operations

We may use and disclose medical information about you to operate this medical practice…

4. Appointment Reminders

We may use and disclose medical information to contact and remind you about appointments…

5. Sign In Sheet

We may use and disclose medical information about you by having you sign in when you arrive…

6. Notification and Communication With Family

We may disclose your health information to notify or assist in notifying a family member…

7. Marketing

Provided we do not receive any payment for making these communications, we may contact you to give you information about products or services…

8. Sale of Health Information

We will not sell your health information without your prior written authorization…

9. Public Health

We may, and are sometimes required by law, to disclose your health information to public health authorities…

10. Health Oversight Activities

We may, and are sometimes required by law, to disclose your health information to health oversight agencies…

B. When This Medical Practice May Not Use or Disclose Your Health Information

Except as described in this Notice of Privacy Practices, this medical practice will, consistent with its legal obligations, not use or disclose health information…

C. Your Health Information Rights

1. Right to Request Special Privacy Protections

You have the right to request restrictions on certain uses and disclosures of your health information…

2. Right to Request Confidential Communications

You have the right to request that you receive your health information in a specific way or at a specific location…

3. Right to Inspect and Copy

You have the right to inspect and copy your health information, with limited exceptions…

D. Changes to this Notice of Privacy Practices

We reserve the right to amend this Notice of Privacy Practices at any time in the future…

E. Complaints

Complaints about this Notice of Privacy Practices or how this medical practice handles your health information should be directed to our Privacy Officer…

You will not be penalized in any way for filing a complaint.