ProActiv Health
Chesterfield, Missouri
Phone: (636) 777-8115

Effective Date: January 1st, 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.

Our Commitment to Your Privacy

ProActiv Health is required by federal law (HIPAA – the Health Insurance Portability and Accountability Act) to maintain the privacy of your Protected Health Information (PHI) and to provide you with this Notice explaining our legal duties and privacy practices.

Protected Health Information includes information about your health condition, treatment, services provided, and payment for those services.

We are required to:

- Maintain the privacy and security of your health information

- Provide you with this notice of our legal duties and privacy practices

- Follow the terms of this notice currently in effect

- Notify you if a breach occurs that may have compromised your information

How We May Use and Disclose Your Health Information

We may use and disclose your health information without written authorization for the following purposes:

1. Treatment

We may use your health information to provide, coordinate, or manage your chiropractic care.

Examples include:

- discussing your condition with you

- reviewing imaging or exam findings

- referring you to another healthcare provider

- communicating with other providers involved in your care

2. Payment

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

Examples include:

- billing insurance companies

- verifying coverage

- providing documentation required for reimbursement

3. Healthcare Operations

We may use your information for normal office operations such as:

- quality improvement

- staff training

- business management

- licensing and accreditation requirements

Additional Uses Permitted by Law

We may disclose health information when required or permitted by law, including:

- Public health reporting

- Preventing serious threats to health or safety

- Workers’ compensation claims

- Legal proceedings or court orders

- Law enforcement requests

- Government oversight activities

Communications

We may contact you regarding:

- appointment reminders

- scheduling

- office information

- care-related communication

We may contact you by phone, voicemail, text message, email, or mail using the contact information you provide.

Please note: standard messaging (email or SMS) may not be a fully secure method of communication.

Uses Requiring Your Authorization

We will not use or disclose your health information for the following without your written authorization:

- Marketing unrelated to your care

- Sale of your health information

- Most disclosures of psychotherapy notes (if applicable)

You may revoke authorization at any time in writing.

Your Patient Rights

You have the following rights regarding your health information:

Right to Access

You may request a copy of your health records.

Right to Amend

You may request correction of inaccurate or incomplete information.

Right to Restrict Use

You may request limits on how we use or share your information. We are not always required to agree but will consider all requests.

Right to Confidential Communication

You may request that we contact you at a specific phone number, address, or method.

Right to an Accounting of Disclosures

You may request a list of certain disclosures we have made of your health information.

Right to a Paper Copy

You may request a printed copy of this Notice at any time.

Website and Electronic Communication

Information submitted through website forms, chat, or email is intended for general communication and scheduling purposes only. Patients should not transmit sensitive medical details through website messaging systems.

For secure or detailed medical communication, please contact our office directly.

Changes to This Notice

We reserve the right to update this Notice of Privacy Practices at any time. Any revisions will apply to all information we maintain. The most current version will always be available at our office and on our website.

Questions or Complaints

If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health & Human Services.

You will not be penalized for filing a complaint.

Contact:

ProActiv Health
Chesterfield, Missouri
Phone: (636) 777-8115

You may also contact:

U.S. Department of Health & Human Services Office for Civil Rights
https://www.hhs.gov/ocr/privacy/hipaa/complaints/