HIPAA Compliance

HIPAA Notice of Privacy Practices

Heaps of Relief Chiropractic and Massage

Effective Date

_______May 11, 2026_______

Our Legal Duty

Heaps of Relief Chiropractic and Massage is required by applicable federal and Washington State law to maintain the privacy of your protected health information (PHI). We are also required to provide you with this Notice describing our legal duties and privacy practices concerning your PHI.

Uses and Disclosures of Protected Health Information

Your protected health information may be used and disclosed for treatment, payment, and healthcare operations. Examples include coordinating care, submitting insurance claims, scheduling appointments, massage therapy documentation, chiropractic treatment documentation, and internal quality improvement activities.

Appointment Reminders and Communications

We may contact you by phone, voicemail, text message, email, or mail regarding appointments, follow-up care, billing matters, wellness recommendations, or treatment options.

Uses Requiring Authorization

Certain uses and disclosures of your PHI require your written authorization, including most marketing uses and disclosures not otherwise permitted by law.

Your Rights

You have the right to inspect and copy your records, request amendments, request restrictions, request confidential communications, receive an accounting of disclosures, and obtain a paper copy of this Notice.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

Contact Information

Privacy Officer: __Brady Heaps__________________
Clinic Name:   Heaps of Relief Chiropractic and Massage__
Phone: _509-639-1052_________________________
Address: _21802 E Indiana Ave 106 Liberty Lake, WA 99016

Acknowledgment of Receipt

I acknowledge that I have received or been offered a copy of this HIPAA Notice of Privacy Practices.

Patient Name: ____________________________________

Signature: _______________________________________

Date: ___________________________________________