Notice of Privacy Practices (HIPPA)
Last Updated: March 26, 2026
This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please read it carefully.
Our Commitment to Your Privacy
We understand that your medical information is personal and are committed to protecting it. We create and maintain records of the care and services you receive in order to provide quality care and comply with legal requirements. This notice applies to all records of your care created or maintained by Pinnacle Hill Chiropractic.
We are required by law to:
- Keep your medical information private
- Provide you with this notice of our legal duties and privacy practices
- Follow the terms of the notice currently in effect
How We May Use and Disclose Your Information
The following categories describe how we may use and disclose your medical information. Not every use or disclosure in a category will be listed, but all permitted uses will fall within one of these categories.
For Treatment
We may use and share your medical information to provide, coordinate, or manage your care, including communication with other healthcare providers involved in your treatment.
For Payment
We may use and disclose your information to bill and collect payment from you, your insurance company, or a third party.
For Healthcare Operations
We may use and disclose your information to operate our practice, improve care, and evaluate staff performance.
Appointment Reminders & Communication
We may contact you via phone, email, or text message to remind you of appointments, respond to your questions, and provide scheduling updates.
Individuals Involved in Your Care
We may share relevant information with a family member, friend, or other person involved in your care or payment for your care, unless you object.
Research
Under certain circumstances, we may use and disclose medical information about you for research purposes. For example, a research project may involve comparing the health and recovery of patients who received different treatments for the same condition. Research use is subject to applicable legal requirements and oversight.
SMS (Text Messaging) Communications
If you provide your mobile phone number, you consent to receive SMS communications from Pinnacle Hill Chiropractic, including responses to inquiries, appointment reminders, cancellations, and scheduling updates.
- Message frequency may vary
- Message and data rates may apply
- Consent is not a condition of purchase
You may opt out at any time by replying STOP. Reply HELP for assistance.
Pinnacle Hill Chiropractic will not sell or share your mobile information with third parties for marketing or promotional purposes.
Other Permitted Uses and Disclosures
We may use or disclose your medical information without your authorization in certain situations required or permitted by law, including but not limited to the categories required under 45 CFR §164.512. These include, but are not limited to:
As Required by Law
We will disclose medical information about you when required to do so by federal, state, or local law.
Public Health Risks
We may disclose medical information for public health activities, including to prevent or control disease, report births and deaths, report abuse or neglect, report reactions to medications, and notify persons at risk of exposure to disease or condition.
Health Oversight Activities
We may disclose medical information to a health oversight agency for activities authorized by law, such as audits, investigations, inspections, and licensure.
To Avert a Serious Threat to Health or Safety
We may use and disclose medical information when necessary to prevent a serious threat to your health and safety, or the health and safety of the public or another person. Any disclosure would only be made to someone able to help prevent the threat.
Lawsuits and Disputes
If you are involved in a lawsuit or dispute, we may disclose medical information in response to a court or administrative order, subpoena, discovery request, or other lawful process.
Law Enforcement
We may release medical information if asked to do so by a law enforcement official in response to a court order, subpoena, warrant, or similar process; to identify or locate a suspect or missing person; about the victim of a crime; or in emergency circumstances to report a crime.
Disaster Relief
We may use or disclose your medical information to a public or private entity authorized by law or by its charter to assist in disaster relief efforts.
Organ and Tissue Donation
If you are an organ donor, we may release medical information to organizations that handle organ procurement, transplantation, or donation banks, as necessary to facilitate organ or tissue donation and transplantation.
Military and Veterans
If you are a member of the armed forces, we may release medical information about you as required by military command authorities. We may also release medical information about foreign military personnel to the appropriate foreign military authority.
Workers’ Compensation
We may release medical information about you for workers’ compensation or similar programs that provide benefits for work-related injuries or illness.
Coroners, Medical Examiners, and Funeral Directors
We may release medical information to a coroner or medical examiner, for example to identify a deceased person or determine the cause of death, and to funeral directors as necessary to carry out their duties.
National Security and Intelligence Activities
We may release medical information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.
Uses Requiring Your Authorization
Other uses and disclosures of medical information not covered by this notice or applicable laws will be made only with your written authorization. You may revoke that authorization at any time in writing. We are unable to take back disclosures already made with your permission, and we are required to retain records of the care we provided to you.
Your Rights Regarding Your Medical Information
You have the following rights regarding medical information we maintain about you:
Right to Access and Copies
You have the right to inspect and copy medical information that may be used to make decisions about your care, including medical and billing records. To do so, submit your request in writing to our office. We may charge a fee for the costs of copying or mailing. We may deny your request in certain limited circumstances, and if denied, you may request that the denial be reviewed by a person who was not involved in the original decision.
Right to Amend
If you believe medical information we have about you is incorrect or incomplete, you may ask us to amend it in writing. We may deny your request if the information was not created by us, is not part of the records we maintain, or is accurate and complete.
Even if we deny your request, you have the right to submit a written addendum of up to 250 words regarding any item you believe is incomplete or incorrect. If you request in writing that the addendum be made part of your medical record, we will attach it to your records and include it in future relevant disclosures.
Right to Request Restrictions
You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or healthcare operations, or on disclosures to someone involved in your care. We are not required to agree to all requests, but if we do agree, we will comply unless the information is needed for emergency treatment. Submit restriction requests in writing, specifying: (1) what information you want to limit; (2) whether you want to limit use, disclosure, or both; and (3) to whom the limits apply.
Right to Request Confidential Communications
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location (for example, by mail only, or only at a specific phone number). Submit your request in writing specifying how or where you wish to be contacted. We will accommodate all reasonable requests without requiring a reason.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures we have made of your medical information, other than for treatment, payment, and healthcare operations. Submit your request in writing, specifying a time period of no longer than six (6) years and no earlier than April 14, 2003, and your preferred format (paper or electronic). The first accounting request within any 12-month period is free. For additional requests within the same period, we may charge a fee and will notify you of the cost before proceeding.
Right to a Paper Copy of This Notice
You have the right to a paper copy of this notice at any time, even if you have agreed to receive it electronically. Contact our office to request a copy.
Changes to This Notice
We reserve the right to update this notice at any time. Changes will apply to all medical information we maintain, including information received before the change. An updated copy will be posted in our office and reflected above with a revised effective date.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
To file a complaint with us, contact:
Pinnacle Hill Chiropractic
1815 S. Clinton Ave, Suite 410
Rochester, NY 14618
Email: [email protected]
To file a complaint with the federal government, visit:
U.S. Department of Health and Human Services, Office for Civil Rights
www.hhs.gov/ocr/privacy/hipaa/complaints
Prefer a downloadable version? View our full Notice of Privacy Practices as a PDF here: Notice of Privacy Practices
For additional information, please refer to our Patient Information page.