While the law requires us to give you this disclosure, please understand that we have, and always will, respect the privacy of your health information. There are several circumstances in which we may have to use or disclose your health insurance information.
We have a more complete notice that provides a detailed description of how your health information may be used or disclosed. You have the right to review that notice before you sign this consent form. Your right to limit uses or disclosures
You have the right to request that we do not disclose your health information to certain individuals, companies or organizations. If you would like to place any restrictions on the use or disclosure or your health information please let us know in writing. We are not required to agree to your restrictions.
Your right to revoke your authorization
You may revoke your consent to us at any time; however, your revocation must be in writing.
We offer some spinal adjustments in an open room setting, with other patients in the same room. Comments about your symptoms, improvement or the lack there of may be discussed at your office visits. If you have something private that you would like to discuss with the doctor, let the front desk know and you will be put into a private room.