HIPAA Notice of Privacy Practices

This notice describes how protected health information ("PHI") about you may be used and disclosed and how you can get access to this information. Please review it carefully. This page is editable content maintained by the practice and is not a substitute for legal advice.

How we may use and disclose PHI

We may use and disclose your PHI to provide treatment, obtain payment, and operate our practice. With your written authorization, we may share information with referring providers and members of your care team.

Your rights

• The right to access and request a copy of your records.
• The right to request amendments to your records.
• The right to request restrictions on certain uses and disclosures.
• The right to receive an accounting of disclosures.
• The right to receive confidential communications.
• The right to receive a paper copy of this notice.

Our responsibilities

We are required by law to maintain the privacy and security of your PHI, notify you in the event of a breach affecting your information, and follow the terms of the notice currently in effect.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be retaliated against for filing a complaint.

Contact

Jupiter Medical Massage · Canton, MI · 313-699-5301 · info@jupitermedicalmassage.com