Notice of Privacy Practices
Notice of Privacy Practices
Granite Family Chiropractic Center
868 Prentice St, Granite Falls, MN 56241
(320) 564-1209 • dr.ann.gfcc@gmail.com
Effective Date: 06/06/2025
This Notice describes how your medical information may be used and disclosed, and how you can access this information. Please review it carefully.
Your Health Information Rights
As a patient of Granite Family Chiropractic Center, you have the right to:
- Request to inspect and obtain a copy of your health records
- Request corrections to your medical records
- Receive a list of disclosures of your health information
- Request restrictions on certain uses or disclosures
- Request confidential communications (e.g., by phone, email, or mail)
- Receive a paper copy of this Notice upon request
How We May Use and Disclose Your Health Information
We may use and disclose your protected health information (PHI) for the following purposes:
- Treatment – To provide, coordinate, or manage your chiropractic care
- Payment – To obtain payment or reimbursement from your insurance provider
- Healthcare Operations – For quality assessment, staff training, or compliance audits
- As Required by Law – In situations involving public health, legal proceedings, or law enforcement
- Appointment Reminders – To contact you about upcoming appointments
We will not sell your health information or use it for marketing without your explicit written consent.
Your Consent
By receiving care from Granite Family Chiropractic Center, you consent to the use of your health information as described in this Notice. You have the right to revoke your consent in writing at any time.
Our Responsibilities
We are required by law to:
- Maintain the privacy of your protected health information
- Provide you with this Notice of our legal duties and privacy practices
- Abide by the terms of this Notice
- Notify you in the event of a breach of your unsecured health information
Questions or Complaints?
If you believe your privacy rights have been violated, you may contact our office or file a complaint with the U.S. Department of Health and Human Services. We will not retaliate for filing a complaint.
Contact:
Granite Family Chiropractic Center
(320) 564-1209
dr.ann.gfcc@gmail.com