Notice of Privacy Practices
Last updated: September 1, 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.
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.
Our Duties
How We May Use and Disclose PHI
Treatment:
We may use and disclose your PHI to provide, coordinate, or manage your chiropractic care and related services.
Payment:
We may use and disclose PHI so that treatment and services you receive may be billed to and payment may be collected from you, an insurance company, or a third party.
Healthcare Operations:
We may use and disclose PHI for healthcare operations necessary to run our practice and ensure all patients receive quality care.
Your Rights Regarding PHI
- Right to inspect and copy your PHI
- Right to request an amendment to your PHI
- Right to an accounting of disclosures
- Right to request restrictions on uses and disclosures
- Right to request confidential communications
- Right to a paper copy of this notice
- Right to file a complaint with us or with the Secretary of HHS
Contact Our Privacy Officer
Suite 101, 7685 103rd St, Jacksonville, FL 32210
Phone: (904) 877-9694 | Fax: (904) 877-1841 | Email: info@gracespine.com
Final Notice of Privacy Practices text should be reviewed and approved by legal counsel, including applicable 2026 updates.