Notice of Privacy Practices (HIPAA)

NOTICE OF PRIVACY PRACTICES

Effective Date: July 3, 2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION.

Please review it carefully.

Our Responsibilities

Arena Chiropractic is required by federal law to:

• Maintain the privacy of your protected health information (PHI)

• Provide you with this Notice of Privacy Practices

• Follow the terms of this notice currently in effect

• Notify you if a breach of unsecured protected health information occurs

How We May Use and Disclose Your Information

We may use or disclose your protected health information for:

Treatment

To provide chiropractic evaluation, treatment, referrals, consultations, and coordination of your healthcare.

Payment

To bill insurance companies, Medicare, attorneys, or other responsible parties for services rendered.

Healthcare Operations

To improve the quality of care, maintain records, conduct quality improvement activities, and operate our practice.

As Required by Law

We may disclose information when required by federal or Georgia law.

Public Health and Safety

When permitted by law for public health reporting or to prevent serious threats to health or safety.

Workers’ Compensation

As authorized by applicable workers’ compensation laws.

Uses Requiring Your Authorization

We will obtain your written authorization before using or disclosing your information for purposes not otherwise permitted by law, including most marketing communications or disclosures not related to treatment, payment, or healthcare operations.

You may revoke an authorization at any time in writing.

Your Rights

You have the right to:

• Obtain a copy of your medical records

• Request corrections to your records

• Request confidential communications

• Request restrictions on certain uses or disclosures

• Receive an accounting of certain disclosures

• Obtain a paper or electronic copy of this Notice

Certain requests may be subject to applicable legal limitations.

Questions or Complaints

If you believe your privacy rights have been violated, you may contact:

Privacy Officer

Arena Chiropractic

2410 Riverside Drive

Macon, GA 31204

Phone: (478) 743-0047

You may also file a complaint with the:

U.S. Department of Health and Human Services

Office for Civil Rights

Filing a complaint will not affect your care or services.

https://www.hhs.gov/hipaa/index.html

Changes to This Notice

Arena Chiropractic reserves the right to revise this Notice of Privacy Practices. Updated notices will be posted on our website and made available upon request.