This summary discloses how health information about you may be used. A full notice of your privacy rights has also been made available to you.
Waterbury Chiropractic uses health information about your treatment, to obtain payment, for treatment with your authorization as required, for administrative purposes and to evaluate the quality of care that you receive.
Waterbury Chiropractic will not disclose your information to others unless you tell us to do so, or unless the law authorizes or requires us to do so.
Waterbury Chiropractic may disclose your information for public health activities, to funeral directors to enable them to carry out their activities, for organ and tissue donations, research, health and safety, governmental function in order to comply with workers compensation laws and regulations. You have the right to request restrictions, review and retain a copy of your health record, request communication of your information by alternative means at alternative locations, revoke your authorization and request an accounting of your health records, for which a fee may be charged.
You may complain to the Privacy Officer and to the Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against for filing a complaint.
Waterbury Chiropractic must maintain the privacy of prectoted health information, provide you with notice of its legal duties and privacy practicewith s respeunable ct to your health information, abide by the terms of the notice, to notify you if it was to agree to the requested restrictions on how your information is used or disclosed, accommodate reasonable requests you may make to communicate with health information by alternative means or by alternative locations and obtain your written authorization to use or disclose your health information for reasons other than those listed above and permitted by law.
If you have any questions or complaints please contact:
Waterbury Chiropractic Wellness ⚫ 1400 Shelby Drive ⚫ Dyersburg, TN 38024
Phone 731-377-5550