Rooted family chiropractic

Notice of Privacy Practices

Your Information. Your Rights. Our Responsibilities.

Effective Date: October 1, 2026

Rooted Family Chiropractic is committed to protecting the privacy and security of your health information. This Notice of Privacy Practices explains how we may use and disclose your protected health information (PHI), your rights regarding your health information, and our responsibilities under federal law.

Please review this notice carefully.

YOUR RIGHTS

You have the right to:

  • Request a copy of your health information, in paper or electronic form.
  • Request that we correct health information you believe is incorrect or incomplete.
  • Request confidential communication in a specific way or at a specific location.
  • Ask us to limit certain uses or disclosures of your health information.
  • Request an accounting of certain disclosures of your health information.
  • Receive a paper copy of this Notice of Privacy Practices at any time.
  • Choose someone to act on your behalf when legally authorized.
  • File a complaint if you believe your privacy rights have been violated.

We will not retaliate against you for filing a privacy complaint.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

We may use or disclose your health information without your written authorization for purposes permitted by HIPAA, including:

Treatment

We may use or share your health information with other healthcare professionals involved in your care when necessary to provide treatment.

For example, if you are referred to another healthcare provider, we may share relevant information needed to coordinate your care.

Payment

We may use or disclose your health information to obtain payment for services we provide.

Because Rooted Family Chiropractic is a cash-based practice, most services are paid directly by patients. However, information may be disclosed when necessary for payment-related purposes permitted by law.

Healthcare Operations

We may use or disclose your health information as necessary to operate our practice, improve the quality of care we provide, maintain records, conduct administrative activities, and manage our business.

Appointment Reminders and Communications

We may use your contact information to remind you about appointments, communicate with you regarding your care, and provide information related to our services.

You may request that we contact you in a particular way or at a particular location.

Individuals Involved in Your Care

With your permission, we may share relevant health information with a family member, close friend, or another person involved in your care or payment for your care.

When legally permitted, we may also use professional judgment to determine whether disclosure to a person involved in your care is appropriate.

As Required by Law

We may use or disclose your health information when required by federal, state, or local law.

Public Health Activities

We may disclose health information for certain public health activities permitted or required by law, such as reporting certain diseases, injuries, or public health concerns.

Health Oversight

We may disclose health information to government agencies authorized to conduct oversight activities, such as audits, investigations, inspections, or licensing activities.

Legal Proceedings and Law Enforcement

We may disclose health information when permitted or required by law for certain legal proceedings, law enforcement purposes, or other government requests.

Serious Threats to Health or Safety

We may use or disclose health information when necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public, as permitted by law.

Workers’ Compensation

We may disclose health information as authorized by and to the extent necessary to comply with workers’ compensation laws.

USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION

Certain uses and disclosures of your health information require your written authorization.

Generally, we will obtain your written authorization before:

  • Using or disclosing your health information for marketing purposes when authorization is required.
  • Selling your health information.
  • Making other uses or disclosures not described in this notice when authorization is required.

If you provide written authorization, you may revoke that authorization in writing at any time, except to the extent we have already relied upon it.

YOUR RIGHT TO REQUEST RESTRICTIONS

You may ask us to restrict how we use or disclose your health information for treatment, payment, or healthcare operations.

We are not required to agree to every restriction request.

If you pay for a service or healthcare item completely out of pocket and request that information not be disclosed to your health plan for payment or healthcare operations, we will generally honor that request unless disclosure is required by law.

YOUR RIGHT TO REQUEST CONFIDENTIAL COMMUNICATIONS

You may request that we communicate with you about your health information in a particular way or at a particular location.

For example, you may request that we contact you by phone instead of text message or send correspondence to an alternate address.

We will accommodate reasonable requests.

OUR RESPONSIBILITIES

Rooted Family Chiropractic is required by law to:

  • Maintain the privacy and security of your protected health information.
  • Provide you with this notice describing our legal duties and privacy practices.
  • Follow the terms of the Notice of Privacy Practices currently in effect.
  • Notify you if a breach occurs that compromises the privacy or security of your protected health information when notification is required by law.
  • Provide you with a copy of this notice upon request.

We will not use or disclose your health information other than as described in this notice or as otherwise permitted or required by law unless you provide written authorization.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice of Privacy Practices. Any changes will apply to the health information we maintain.

The current version of this notice will be available in our office and on our website. You may request a paper copy at any time.

QUESTIONS OR PRIVACY CONCERNS

If you have questions about this notice or would like to exercise your privacy rights, please contact:

Rooted Family Chiropractic
Dr. Brylie Sanchez, DC
110 S Cherry St. Ste 300, Olathe, KS 66061
913-243-1909

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/

You will not be retaliated against for filing a complaint.