Notice of Privacy Practices

This notice describes how healthcare information about you may be used, disclosed, and how you can get access to this information.  Please review this notice carefully.

Elite Advantage Chiropractic LLC (EAC) is dedicated to ensuring the privacy of your protected health information (PHI).  EAC is required by law to provide you with this notice of privacy practices, and to inform you of your rights, and our obligations, concerning your PHI.  We are required to follow the privacy practices described below while this notice is in effect.  The terms of this notice apply to Elite Advantage Chiropractic.

Uses and Disclosures of Your PHI

The following sections describe different ways that we may use and disclosure your PHI.  For each section of uses or disclosures, there will be a description given.  Some information, such as certain drug and alcohol information, HIV information and mental health information is entitled to special restrictions related to its use and disclosure.  Not every use or disclosure will be listed.  All of the ways EAC is permitted to use and disclose information, however, will fall within one of the following categories.


We may disclose your PHI to another healthcare facility and/or healthcare provider, transport company, community agency, family member or other third party to provide and/or coordinate healthcare services and treatments.


We may use and/or disclose your PHI to bill and obtain payment for treatment and/or services you receive with EAC.

Health Care Operations

We may use and disclose your PHI in connection with our healthcare operations.  Healthcare operations include, but are not limited to; clinical education, quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance.

Business Associates

We may disclose your PHI to businesses performing services for EAC such as processing claims, data analysis, billing, benefit management, practice management, re-pricing and legal assistance.  

Appointment Reminders

We may contact you to remind you that you have an appointment with EAC or one of our associates.

Individuals Involved in Your Care or Payment

Unless there is a specific request made to and agreed to by the privacy officer at our location/facility, we may disclose PHI to a person who is involved in your health care or helps pay for your care, such as a family member or friend to facilitate that person’s involvement in caring for you or in payment for your care.

As required by law

We will disclose health information about you when required to do so by federal or state law.

To Avert a Serious Threat to Health or Safety

We may use and disclose your PHI when necessary to prevent or lessen serious and imminent threat to your health and safety of the public or another person.  Any disclosure would be to someone able to help stop or reduce the threat.

Public Health Purposes

We may use or disclose your PHI when we are required to do so by law, for public health reasons, including, but not limited to:

  • Reporting certain communicable diseases to health officials;
  • Reporting child abuse or neglect;
  • Reporting elder abuse, neglect or exploitation.

Lawsuits and Other Legal Actions

We may disclose PHI in response to judicial proceedings and law enforcement inquiries as permitted by law. We may also disclose PHI in response to a subpoena, discovery request, warrant, summons or other lawful process.

Health-oversight Activities

We may disclose PHI to governmental, licensing, auditing and accrediting agencies as authorized or required by law.


Access to your PHI

You have the right to access, inspect, and/or receive paper and/or electronic copies of the PHI that we maintain about you, with limited exceptions. EAC provides to an individual, upon written request, access within 30 calendar days of the day EAC receives a request, to inspect and/or copy their PHI.

If you request paper copies, we will charge you our standard copying fee for each page, and postage if you want the copies mailed to you. If you request an alternative format, we will charge a reasonable cost based fee for providing your PHI in that format. If you prefer, we will prepare a summary or an explanation of your PHI for a fee.

Amendments to Your Records

You have the right to request that we amend your PHI. Such requests must be made in writing, and must explain why the information should be amended. We are not obligated to make all requested amendments but will give each request careful consideration.  All amendment requests, in order to be considered by us, must be in writing and signed by you or your representative, and must state the reasons for the amendment correction request.  If any amendment or correction you request is made by us, we may also notify others who work with us and have copies of the uncorrected record if we believe that such notification is necessary.  Please know that if we accept your request, we may not delete any information already documented in your health records. 

Changes to this Notice

We reserve the right to change this notice and the privacy practices described below at any time in accordance with applicable law.  Prior to making significant changes to our privacy practice, we will alter this notice to reflect the changes, and make the revised notice available to you on request.  Any changes we make to our privacy practices and/or this notice may be applicable to PHI created or received by us prior to the date of the changes.

Breach Notification

We are required to notify you in writing of any breach of your secured PHI as soon as possible, but in any event, no later than 60 days after we discover it.

Paper Copy of this Notice

You have the right to a paper copy of this notice.  You may ask us to give you a paper copy of this notice at any time.  Even if you receive this notice electronically, you’re still entitled to a paper copy.

Contact Information

Elite Advantage Chiropractic LLC

(563) 484-0489


Tags: Policies, Company Information