NOTICE OF PRIVACY PRACTICES

The Haven: Pediatric + Prenatal Chiropractic, PLLC

6200-A Creft Cir

Indian Trail, NC 28079

(704) 893-5001 | hello@havenchiroclt.com

havenchiroclt.com

Effective Date: May 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.

1. Our Duty to Safeguard Your Protected Health Information

The Haven: Pediatric + Prenatal Chiropractic, PLLC is committed to protecting the privacy of your health information. We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect.

 

We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. Before we make a significant change in our privacy practices, we will change this Notice and make the new Notice available upon request.

 

2. How We May Use and Disclose Your Health Information

We use and disclose health information about you for treatment, payment, and healthcare operations.

• Treatment: We may use or disclose your health information to a physician, another chiropractor, or other healthcare providers providing treatment to you. For example, we may consult with your primary care physician or pediatrician regarding your specific care plan.

• Payment: We may use and disclose your health information to obtain payment for services we provide to you. This may include providing information to your health insurance company to determine eligibility or to obtain reimbursement.

• Healthcare Operations: We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing, or credentialing activities.

   

3. Other Permitted and Required Uses and Disclosures

• To You and on Your Authorization: You may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time.

   

• Family and Friends: We must disclose your health information to you, as described in the Patient Rights section of this Notice. We may disclose your health information to a family member, friend, or other person to the extent necessary to help with your healthcare or with payment for your healthcare, but only if you agree that we may do so.

   

• Required by Law: We may use or disclose your health information when we are required to do so by law (e.g., in response to a court or administrative order, subpoena, discovery request, or other lawful process).

   

• Public Health and Safety: We may disclose your health information to authorized public health officials to prevent or control disease, injury, or disability; to report abuse, neglect, or domestic violence; or to avert a serious threat to your health or safety or the health and safety of others.

• Workers' Compensation: We may disclose your health information to the extent authorized by and to the extent necessary to comply with laws relating to workers' compensation or other similar programs established by law.

4. Your Health Information Rights

• Access: You have the right to look at or get copies of your health information, with limited exceptions. You must make a request in writing to obtain access to your health information. We may charge you a reasonable cost-based fee for expenses such as copies and staff time.

   

• Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in an emergency).

   

• Alternative Communication: You have the right to request that we communicate with you about your health information by alternative means or to alternative locations. You must make your request in writing.

   

• Amendment: You have the right to request that we amend your health information. Your request must be in writing, and it must explain why the information should be amended. We may deny your request under certain circumstances.

• Accounting of Disclosures: You have the right to receive a list of instances in which we or our business associates disclosed your health information for purposes other than treatment, payment, healthcare operations, and certain other activities.

   

• Electronic Notice: If you receive this Notice on our website or by electronic mail (e-mail), you are entitled to receive this Notice in written form upon request.

   

5. Questions and Complaints

If you want more information about our privacy practices or have questions or concerns, please contact us.

If you are concerned that we may have violated your privacy rights, or you disagree with a decision we made about access to your health information or in response to a request you made to amend or restrict the use or disclosure of your health information, you may complain to us using the contact information listed at the bottom of this page. You also may submit a written complaint to the U.S. Department of Health and Human Services.

We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services.

 

Contact Officer: Clinic Administrator

Telephone: (704) 893-5001

Address: 6200-A Creft Cir, Indian Trail, NC 28079