HIPAA Notice of Privacy Practices
Chiropractic Healthcare Group LLC d/b/a Atlanta Back and Body​
777 Cleveland Ave SW, Suite 105
Atlanta, GA 30315
Phone: 470-575-0123
Fax: 678-649-2135
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Privacy Contact:
Daniel Riase, DC
Email: careteam@atlantabackandbody.com
Effective Date: January 1, 2026
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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.​
Chiropractic Healthcare Group LLC d/b/a Atlanta Back and Body (“Atlanta Back & Body,” “we,” “our,” or “us”) is required by law to maintain the privacy and security of your protected health information (PHI) and to provide you with this Notice of Privacy Practices.
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Protected health information includes information about your health condition, medical history, examination findings, treatment, and payment for healthcare services that can identify you.
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This notice explains how your medical information may be used and disclosed and describes your rights regarding that information.
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Uses and Disclosures of Health Information
The clinic may use or disclose your protected health information for the following purposes:
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Treatment
We may use and disclose your health information to provide, coordinate, or manage your healthcare. This may include sharing information with other healthcare providers involved in your care, such as physicians, specialists, imaging centers, therapists, laboratories, or other providers involved in evaluating or treating your condition.
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Payment
We may use and disclose your health information to obtain payment for healthcare services provided to you. This may include communication with:
• health insurance companies
• personal injury insurers
• MedPay or liability insurers
• claims administrators
• attorneys or legal representatives involved in your claim
• other responsible parties involved in payment for services
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Information disclosed may include medical documentation necessary to process claims or determine payment responsibility.
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Healthcare Operations
We may use or disclose health information for administrative and operational activities necessary to run the clinic. These activities may include:
• quality improvement activities
• compliance monitoring
• credentialing and licensing
• staff training
• internal auditing
• business planning and administrative functions
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Other Uses and Disclosures Permitted by Law
In certain situations, the clinic may disclose health information without your written authorization when permitted or required by law. Examples include:
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Legal Requirements
We may disclose health information when required by federal, state, or local law, including in response to:
• court orders
• subpoenas
• lawful legal processes
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Public Health and Safety
We may disclose information to appropriate authorities when required to:
• report injuries
• prevent disease
• comply with public health regulations
• protect patient safety or the safety of others
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Electronic Communication
The clinic may communicate with you or transmit health information using electronic methods including:
• secure email
• electronic health record portals (Jane App)
• secure records portals
• encrypted file transfer systems
• fax
• telehealth platforms
• patient text messaging
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If you request communication through unencrypted email or text messaging, you should be aware that these methods may carry some privacy risk because they may not be fully secure. By requesting such communication, you acknowledge and accept these potential risks.
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Business Associates
The clinic may share protected health information with business associates that perform services on behalf of the clinic, such as electronic health record providers, information technology providers, or administrative service vendors. These entities are required to protect the confidentiality of your health information under applicable privacy laws.
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Uses and Disclosures That Require Written Authorization
Uses and disclosures of your protected health information that are not described in this Notice will generally be made only with your written authorization.
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Examples of uses or disclosures that typically require written authorization include:
• certain disclosures of mental health records (if applicable)
• uses or disclosures for marketing purposes
• the sale of protected health information
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You may revoke an authorization at any time by submitting a written request to the clinic. Revocation will not apply to information already disclosed in reliance on the authorization.
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Your Rights Regarding Your Health Information
You have the following rights regarding your protected health information:
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Right to Access
You have the right to inspect and obtain copies of your medical records and other health information maintained by the clinic. Requests for records will generally be fulfilled within 30 days, as permitted by law.
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Right to Request Amendment
If you believe that information in your medical record is incorrect or incomplete, you may request a correction or amendment to your record.
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Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your health information. While the clinic will consider such requests, we may not always be able to comply if the restriction would interfere with treatment, payment, or healthcare operations.
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Right to Request Confidential Communication
You may request that the clinic communicate with you using specific methods or at specific locations to help protect your privacy.
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Right to an Accounting of Disclosures
You have the right to receive a list of certain disclosures of your health information made by the clinic.
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Right to Obtain a Copy of This Notice
You have the right to receive a paper or electronic copy of this Notice of Privacy Practices at any time. A current copy of this notice is also available online at: atlantabackandbody.com/hipaa
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Breach Notification
The clinic is required to notify affected individuals if a breach of protected health information occurs that may compromise the privacy or security of your information.
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Changes to This Notice
The clinic reserves the right to change or update this Notice of Privacy Practices at any time. Updated notices will apply to all protected health information maintained by the clinic.
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Updated versions of this notice will be made available at the clinic and on our website.
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Complaints
If you believe your privacy rights have been violated, you may file a complaint with the clinic or with the U.S. Department of Health and Human Services Office for Civil Rights.
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To file a complaint with the clinic, contact:
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Daniel Riase, DC
Privacy Officer
careteam@atlantabackandbody.com
470-575-0123
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Filing a complaint will not affect your care or treatment in any way.
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Contact Information
If you have questions about this notice or about how your medical information may be used or disclosed, please contact:
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Daniel Riase, DC
Chiropractic Healthcare Group LLC d/b/a Atlanta Back and Body
777 Cleveland Ave SW, Suite 105
Atlanta, GA 30315
Phone: 470-575-0123
Email: careteam@atlantabackandbody.com
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