Legend Chiropractic Excelsior
Notice of Privacy Practices & Privacy Policy
Effective Date: September 17, 2025
1. Introduction
At Legend Chiropractic Excelsior (“we,” “us,” “our”), we are committed to protecting your privacy and ensuring that your personal information and protected health information (“PHI”) are handled in a safe, lawful, and transparent manner. This Notice describes how we collect, use, disclose, and protect your information and your rights regarding that information in accordance with HIPAA (Health Insurance Portability and Accountability Act) and applicable federal, state, and local laws.
2. Information We Collect
We collect both non-medical and medical information depending on your services, including but not limited to: personal identification details (name, address, phone number, email address, date of birth); demographic information (gender, insurance status if needed, emergency contact); medical information / Protected Health Information (PHI) such as health history, treatment records, diagnosis, test results, progress notes, payment records; appointment & billing data including insurance or payment status, billing address, claims, invoices; communication preferences such as how you prefer us to contact you and any consents you provide; and website interactions, cookies, analytics data if applicable to improve your experience.
3. How We Use Your Information
We may use or disclose your information in the following permitted ways:
(a) Treatment: to provide, coordinate, and manage your care and treatment, including referrals;
(b) Payment: to handle billing, insurance claims, payment processing, and related financial record-keeping;
(c) Healthcare Operations / Business Operations: for internal activities including quality improvement, staff training, audits, legal compliance, record-keeping, and administrative operations;
(d) Appointment Reminders: to send you reminders of scheduled appointments or follow-ups, if you consent to receive them;
(e) Communication: to respond to your inquiries, send educational content, provide information about services, or notify you of changes in clinic policies;
(f) Legal / Required by Law: when required by law, regulation, court order, or government rulings (e.g. public health, safety, abuse/neglect reporting); and
(g) With Authorization: when you give written authorization, such as for marketing, sharing with third parties not involved in your care, or research.
4. Your Rights Regarding Your Information
You have several important rights concerning your personal and health information:
(a) Right to Access and Copy: you can request access to and copies of your health records;
(b) Right to Amend: if you believe information is incorrect or incomplete, you may request changes;
(c) Right to Restrict Certain Disclosures: you may ask us to limit certain uses or disclosures of your PHI (e.g. for purposes other than treatment or payment);
(d) Right to Confidential Communications: you have the right to be contacted in a method or location of your choosing (e.g. phone, email, text) if reasonable;
(e) Right to an Accounting of Disclosures: you can request a list of certain disclosures we’ve made of your PHI;
(f) Right to Revoke Authorization: you may revoke written consent or authorization at any time, except to the extent we have already acted based on it; and
(g) Right to Receive Notice of Breach: if there is any breach of your unsecured PHI, we are required by law to notify you in a timely manner.
5. Privacy & Security Measures We Take
To protect your information, we implement administrative, physical, and technical safeguards, including secure storage of paper/physical records; encryption, firewalls, and secure digital storage for electronic records; access controls so only authorized personnel can access PHI; staff training on HIPAA, privacy, and confidentiality; regular reviews of privacy policy and security practices; and procedures for responding to security incidents or data breaches.
6. Sharing Your Information / Disclosure to Third Parties
We will not share or sell your PHI without written consent, except under the following situations: share with business associates (e.g., billing companies, IT support) who perform services for us under agreements to protect your PHI; share with other health care providers as needed for your treatment; share with insurance companies/payers to process claims or payments; share when required by law (for example, reporting infectious disease, law enforcement under court order, etc.); and share with your written authorization for other purposes.
7. Consent / Authorization
By seeking care or continuing care with Legend Chiropractic Excelsior, you consent to the uses and disclosures described in this Notice. For any uses/disclosures outside these permitted ones, we will ask for your specific written authorization.
8. Changes to Privacy Practices
We reserve the right to change this Notice at any time. When we do, the revised Notice will apply to all PHI we maintain. We will post the updated Notice on our website and in the office, and make it available upon request.
9. Complaints / Contact Information
If you believe your privacy rights have been violated, you may contact us directly at:
Legend Chiropractic Excelsior
Phone: (952) 381-9476
Email: axelosborndc@gmail.com
You may also file a complaint with the Office for Civil Rights (OCR) at the U.S. Department of Health & Human Services:
https://www.hhs.gov/ocr/privacy/index.html.
We will not retaliate against you for filing a complaint.
10. Miscellaneous
All staff are required to abide by this Privacy Policy. A copy of this Notice will be provided to you upon request and is posted in our office. This Notice is effective from September 17, 2025.
Thank you
Thank you for trusting Legend Chiropractic Excelsior with your care. Your privacy and wellbeing are our top priority.