THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.  PLEASE REVIEW IT CAREFULLY. We are required by state and federal law to maintain the privacy of your patinet file and the protected health information therein.  We are also required to to provide you with this notice of our privacy practices with respect to your health information.  We understand that your health information is personal and we are committed to protecting it.  Any use or disclosure of your health information, other than as outlined below, will only be made upon your written authorization. In the course of your care as a patient at Leber Chiropractic Center, PC we may use or disclose personal and heath related information about you in the following ways: 1.  Your personal health information, including your clinical records, may be disclosed to another health care provider or hospital if it is necessary to refer you for further diagnosis or treatment. 2.  Your health care records, as well as your billing records, may be disclosed to another party, such as an insurance carrier or your employer, if they are responsible for payment of your services. 3.  Your name, address and phone number may be used to contact you regarding newsletters, appointment reminders and other health information that may be of interest to you. 4.  If contacted by phone, a message may be left on your answering machine or voice mail. 5.  If contacted via the internet, an e-mail message may be sent to the address listed in your file. Under federal law, we are also permitted or required to use or disclose your health information without your consent or authorization in the following circumstances: 1.  If we are providing services to you based on the orders of another health care provider. 2.  If we provide health care services to you in an emergency. 3.  If we are ordered by the courts, or another appropriate agency, to disclose your information. 4.  If there are substantial barriers to communication with you, but in our professional judgement we believe that you intend for us to provide care. 5.  If we are required by law to provide care to you and we are unable to obtain your consent after attempting to do so. We normally provide information about your health to you in person, at the time you receive treatment.  We may also mail information to you regarding your health care or about the status of your account.  If you would like to receive this information at an address other than your home, or if you would like the information in a different form, please advise us in writing as to your preference. You have the right to inspect and/or copy your health information for seven years from the date that the record was created or as long as the information remains in our files.  You also have the right to refuse to provide authorization for this office to contact you regarding these matters.  If you do not provide us with authorization it will not affect the care provided to you or the reimbursement avenues associated with your care.  In addition, you have the right to request an amendment to your health information.  Requests to inspect, copy or ammend your health related information should be provided to us in writing. We are required by law to abide by the terms of this notice while it is in effect.  We reserve the right to alter or ammend the terms of this privacy notice.  If changes are made to our privacy policy we will notify you in writing as soon as possible following the changes.  Any change in our privacy notice will apply for all of your health information in our files.  Information that we use or disclose based on this privacy notice may be subject to re-disclosure by the person to whom we provide the information and may no longer be protected by federal privacy rules. This office utilizes an open door environment for ongoing patient care.  As a result, patients are occassionally within sight of one another and some ongoing routine details of care are discusses within earshot of other patients and staff.  This environment is used for ongoing care and is NOT the environment used for consultation, history taking or the report of findings.  These procedures are completed in a private, confidential setting.  We are making this disclosure due to various interpretations under federal law with respect to what are know as "incidental disclosures" of health information.  It is our view that the kinds of matters related in an open door environment are incidental matters.  In the event you do not agree with this interpretation, we are providing this disclosure and requesting your authorization.  If you choose not to be treated in an open door environment, arrangements at another office will be made for you. If you have a complaint regarding our privacy notice, our privacy practices or any aspect of our privacy activities you can direct your complaint, in writing,  to the Privacy Officer at Leber Chiropractic Center, PC. You have the right to revoke this authorization at any time.  You may revoke authorization by mailing or hand delivering a written notice to the Privacy Officer at Leber Chiropractic Center, PC.