NOTICE OF PRIVACY PRACTICES
Watts Wellness Chiropractic
217 Arrowhead Blvd
Jonesboro, GA 30236
Kenneth Watts, D.C.
Phone: (678) 931-9901
Privacy Officer:
Dr. Kenneth Watts
Phone: (678) 931-9901
Effective Date: 01-01-2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
We understand the importance of privacy and are committed to maintaining the confidentiality of your medical information. We create a record of the care and services you receive at this office. We use these records to provide quality health care, obtain payment for services, and meet our professional and legal obligations.
We are required by law to:
• Maintain the privacy of your protected health information (PHI)
• Provide you with notice of our legal duties and privacy practices
• Follow the terms of this notice currently in effect
• Notify affected individuals following a breach of unsecured protected health information
This notice describes how we may use and disclose your medical information and explains your rights regarding that information.
If you have questions about this Notice, please contact our Privacy Officer listed above.
TABLE OF CONTENTS
How This Medical Practice May Use or Disclose Your Health Information
When This Medical Practice May Not Use or Disclose Your Health Information
Your Health Information Rights
Right to Request Special Privacy Protections
Right to Request Confidential Communications
Right to Inspect and Copy
Right to Amend or Supplement
Right to an Accounting of Disclosures
Right to a Paper or Electronic Copy of this Notice
Changes to this Notice of Privacy Practices
Complaints
A. How This Medical Practice May Use or Disclose Your Health Information
This medical practice collects health information about you and stores it in a chart and/or electronic record system. While the physical record is the property of this medical practice, the information contained in the record belongs to you.
The law permits us to use or disclose your health information for the following purposes.
Treatment
We use medical information about you to provide your care. We may disclose medical information to physicians, health care professionals, technicians, or other personnel involved in your care.
For example, we may share information with another doctor or health care provider if a referral or consultation is needed.
Payment
We may use and disclose medical information about you to obtain payment for services provided to you.
For example, we may submit necessary information to your insurance company or health plan to receive payment for the care you receive. We may also disclose information to other providers involved in your care to assist them in obtaining payment.
Health Care Operations
We may use and disclose your health information for health care operations necessary to run this practice.
Examples include:
• Quality assessment and improvement activities
• Professional education and training
• Licensing or credentialing activities
• Compliance programs and audits
• Business planning and management
We may share information with business associates who perform services on our behalf (such as billing services or electronic health record providers). These business associates are required to protect your information through written agreements.
Appointment Reminders
We may contact you to remind you about appointments for care.
Incidental Disclosures
During the normal course of operations, limited disclosures may occur, such as calling your name in the waiting room or asking you to sign in upon arrival. These incidental disclosures are permitted under HIPAA as part of routine office operations.
Communication with Family or Caregivers
With your permission, or when appropriate using professional judgment, we may disclose relevant health information to a family member, personal representative, or another person involved in your care or payment for your care.
Marketing
We may communicate with you about treatment options, health-related benefits, services, or care coordination that may be of interest to you. We will not receive payment for marketing communications without your written authorization.
Sale of Health Information
We will not sell your protected health information without your written authorization.
Required by Law
We may disclose your health information when required by federal, state, or local law.
Public Health
We may disclose your health information to public health authorities for purposes such as preventing disease, reporting abuse or neglect, or reporting adverse reactions to medications or medical devices.
Health Oversight Activities
We may disclose health information to government agencies authorized to conduct inspections, audits, investigations, or licensure activities.
Judicial or Administrative Proceedings
We may disclose health information in response to a court order, subpoena, or lawful process as permitted by law.
Law Enforcement
We may disclose health information to law enforcement officials when required by law or in response to legal processes.
Workers' Compensation
We may disclose your health information as authorized by workers' compensation laws.
Public Safety
We may disclose health information to prevent or lessen a serious threat to the health or safety of a person or the public.
Change of Ownership
If this practice is sold or merged with another organization, your health information may become part of the transferred records, although you maintain the right to request transfer of your records to another provider.
Breach Notification
In the event of a breach of unsecured protected health information, we will notify affected individuals as required by law.
B. When This Medical Practice May Not Use or Disclose Your Health Information
Except as described in this Notice, we will not use or disclose your health information without your written authorization.
If you authorize us to use or disclose your information, you may revoke that authorization in writing at any time.
C. Your Health Information Rights
You have the following rights regarding your health information.
Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your health information. While we are not required to agree to most requests, we will comply with requests to restrict disclosure to a health plan if you pay for the service in full out-of-pocket.
Right to Request Confidential Communications
You may request that we communicate with you in a specific way or at a specific location. We will accommodate reasonable requests.
Right to Inspect and Copy
You have the right to inspect and obtain copies of your health information. Requests must be made in writing. A reasonable fee may apply for copying and mailing.
Right to Amend
You may request that we amend your medical information if you believe it is incorrect or incomplete. Requests must be made in writing.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures of your health information made by this practice.
Right to 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.
D. Changes to This Notice
We reserve the right to change this Notice of Privacy Practices at any time. Any changes will apply to all health information we maintain.
A current copy of this notice will be posted in our office and available upon request.
E. Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Privacy Officer
Watts Wellness Chiropractic
217 Arrowhead Blvd
Jonesboro, GA 30236
Phone: (678) 931-9901
You may also file a complaint with:
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/hipaa
You will not be penalized or retaliated against for filing a complaint.
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