NOTICE OF PRIVACY PRACTICES

CORRECTIVE CHIROPRACTIC CLINIC

1 W Madison, New Buffalo, MI

Phone: 269-469-1310 | Email: drbryan@newbuffalochiropractor.com Privacy Officer: C. Bryan Strother, DC

NOTICE OF PRIVACY PRACTICES

Effective Date: February 19, 2026

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. You have a right to a paper or electronic copy of this notice.

YOUR RIGHTS

You have rights regarding how your health information is used and shared.

YOUR CHOICES

You have some choices in how your information is used and shared in certain situations.

OUR USES & DISCLOSURES

We explain how, why, and when we use and share your information.

 

YOUR RIGHTS

When it comes to your health information, you have the following rights:

Get a Copy of Your Medical Record

  • You can ask to see or get an electronic or paper copy of your chiropractic medical record and other health information we have about you.
  • We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
  • To request your records, contact Bryan Strother, DC at 269-469-1310 or drbryan@newbuffalochiropractor.com.

Ask Us to Correct Your Medical Record

  • You can ask us to correct health information about you that you think is incorrect or
  • We may say "no" to your request, but we will tell you why in writing within 60

Request Confidential Communications

  • You can ask us to contact you in a specific way (for example, home, office, or cell phone) or to send mail to a different address.
  • We will say "yes" to all reasonable

 

Ask Us to Limit What We Use or Share

  • You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree, and we may say "no" if, for example, it could affect your care. If we do agree, we may still share the information in an emergency.
  • If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information with your health insurer for payment or operations purposes. We will say "yes" unless a law requires otherwise.

Get a List of Those with Whom We've Shared Information

  • You can ask for an accounting of the times we've shared your health information for the six years prior to the date you ask, who we shared it with, and why.
  • We will include all disclosures except those for treatment, payment, and health care operations, and certain other disclosures you asked us to make. We provide one accounting per year at no charge; additional requests within 12 months may carry a reasonable, cost-based fee.

Get a Copy of This Privacy Notice

  • You can ask for a paper copy of this notice at any time, even if you agreed to receive it electronically. We will provide it This notice is also posted in our office and available on our website.

Choose Someone to Act for You

  • If someone has legal authority to act as your personal representative — such as a person holding your medical power of attorney or your legal guardian — that person can exercise your rights and make choices about your health information.
  • We will verify that the person has this authority before we take any

File a Complaint if Your Rights Are Violated

  • You can complain to us if you feel we have violated your Contact: C. Bryan Strother, DC | 269-469-1310 | drbryan@newbuffalochiropractor.com
  • You can file a complaint with the S. Department of Health and Human Services, Office for Civil Rights: 200 Independence Avenue S.W., Washington, D.C. 20201 | 1-877-696-6775 | www.hhs.gov/hipaa/filing-a-complaint
  • We will not retaliate against you for filing a

YOUR CHOICES

For certain health information, you can tell us your preferences about what we share. Tell us what you want us to do, and we will follow your instructions.

Sharing with Family, Friends, and Caregivers

  • You have the right and choice to tell us to share your information with family members, close friends, or others involved in your care or payment.
  • If you cannot communicate your preference — for example, if you are unconscious — we may share your information if we believe it is in your best interest, or when needed to lessen a serious and imminent threat to health or safety.

Disaster Relief

  • We may share your health information with disaster relief organizations to help find you or notify family in an emergency. You may tell us not to do this if you are able to.

 

Information We Will NEVER Share Without Your Written Authorization

  • Marketing purposes
  • Sale of your information
  • Most sharing of psychotherapy notes (note: as a chiropractic practice, we do not create psychotherapy notes, but this protection applies to any such records we may receive from other providers)

Fundraising

  • We may contact you for fundraising efforts, but you can tell us not to contact you again at any
  • To the extent we use substance use disorder records subject to 42 CFR Part 2 for fundraising communications, we will provide you clear advance notice and an explicit choice

OUR USES AND DISCLOSURES

In all cases, if we have substance use disorder patient records about you subject to 42 CFR Part 2, we cannot use or share information in those records in civil, criminal, administrative, or legislative investigations or proceedings against you without (1) your consent or (2) a court order and a subpoena.

How We Typically Use and Share Your Health Information

Treat You: We use your health information and share it with other professionals involved in your care.

Example: Your chiropractor shares relevant X-ray findings and treatment notes with a referring orthopedic specialist or your primary care physician to coordinate your spinal care.

Run Our Practice: We use and share your health information to manage our practice, improve your care, and contact you when necessary.

Example: We use your contact information to send appointment reminders for your chiropractic adjustments or follow-up care.

Bill for Your Services: We use and share your health information to bill and receive payment from health plans or other payers.

Example: We provide your diagnosis codes, procedure codes, and treatment records to your insurance plan so it will pay for your chiropractic services.

Other Permitted and Required Uses and Disclosures

We are also allowed or required to share your information in the following ways. We must meet specific legal conditions before sharing for these purposes.

Public Health and Safety: We may share health information to prevent disease, report adverse reactions to medications, report suspected abuse, neglect, or domestic violence, or prevent a serious threat to health or safety.

Research: We may use or share your information for health research approved by an institutional review board or privacy board with appropriate safeguards in place.

Comply with the Law: We will share information about you if state or federal laws require it, including with the Department of Health and Human Services to confirm compliance with federal privacy law.

Workers' Compensation: We may share your information as authorized by and to the extent necessary to comply with Michigan workers' compensation laws.

Law Enforcement: We may disclose information for law enforcement purposes under specific legal conditions, including in response to court orders, warrants, subpoenas, or administrative requests.

 

Organ and Tissue Donation: We can share health information with organ procurement organizations if relevant.

Medical Examiner or Funeral Director: We may share health information with a coroner, medical examiner, or funeral director in the event of a patient's death, as permitted by law.

Government Functions: We may share information for authorized government functions including military operations, national security, and presidential protective services.

Respond to Lawsuits and Legal Actions: We may share health information in response to a court or administrative order, or in response to a valid subpoena.

 

MICHIGAN-SPECIFIC PRIVACY PROTECTIONS

Michigan law provides additional confidentiality protections beyond federal HIPAA requirements for certain categories of information. We comply with all applicable state laws:

HIV-Related Information: Michigan law provides strict confidentiality protections for HIV-related health information. We will not disclose HIV-related information except as specifically permitted by Michigan law, which may include limited disclosures for certain public health purposes or other legal requirements.

Mental Health Records: If we maintain records that are subject to additional confidentiality protections under Michigan's Mental Health Code (MCL 330.1748), we will apply those protections as required by law. As a chiropractic practice, we do not typically create records governed by these provisions, but this protection applies to any such records we may receive from other providers.

Substance Use Disorder Records: Federal law (42 CFR Part 2) provides heightened protection for substance use disorder treatment records. As noted throughout this notice, we will not disclose such records in investigations or legal proceedings against you without your written consent or a court order and subpoena. Michigan law may impose additional restrictions in certain circumstances.

Workers' Compensation: Disclosures for Michigan workers' compensation purposes are limited to information relevant and necessary to your specific claim, consistent with Michigan law.

 

OUR RESPONSIBILITIES

  • We are required by law to maintain the privacy and security of your protected health
  • We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it upon request.
  • We will not use or share your information other than as described in this notice unless you provide written authorization. You may revoke that authorization in writing at any time; revocation will not affect uses or disclosures already made.
  • We never market or sell your personal health For more information about HIPAA privacy rights, visit:

www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html

 

CHANGES TO THE TERMS OF THIS NOTICE

 

We may change the terms of this notice at any time. The changes will apply to all health information we have about you. The updated notice will be available upon request, posted in our office, and on our website. We will provide you a copy of any revised notice at your next visit after the change takes effect.

 

QUESTIONS AND CONTACT INFORMATION

If you have questions about this notice or wish to exercise any of your privacy rights, please contact our Privacy Officer:

Corrective Chiropractic Clinic

1 W Madison, New Buffalo, MI Privacy Officer: C. Bryan Strother, DC Phone: 269-469-1310

Email: drbryan@newbuffalochiropractor.com

Effective Date: February 19, 2026 | Compliant with HIPAA 45 CFR §164.520 and 42 CFR Part 2 (as updated February 16, 2026)