HIPAA Notice of Privacy Practices
Advantage Chiropractic 17047 W. Greenfield Ave. New Berlin, WI 53151 Privacy Officer: Dr. Evan Norum Phone: 262-505-5610
Effective Date: February 23, 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
At Advantage Chiropractic, we understand that your medical information is personal. We are committed to protecting the confidentiality of your health records. We create a record of the care and services you receive to provide quality care and comply with legal requirements. This notice applies to all of the records of your care generated by our New Berlin practice.
We are required by law to:
Ensure that medical information that identifies you is kept private.
Provide you with this notice of our legal duties and privacy practices.
Follow the terms of the notice that is currently in effect.
Notify you following a breach of unsecured protected health information.
How We May Use and Disclose Your Health Information
The following categories describe different ways that we use and disclose medical information.
1. For Treatment We may use medical information about you to provide, coordinate, or manage your chiropractic care and any related services. We may disclose medical information about you to other doctors, nurses, technicians, or other personnel who are involved in taking care of you. For example, we may share information with a specialist to whom you have been referred to ensure they have the necessary information to diagnose or treat you.
2. For Payment We may use and disclose medical information about you so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company, or a third party. For example, we may need to give your health plan information about the care you received so they will pay us or reimburse you for the treatment.
3. For Healthcare Operations We may use and disclose medical information about you for our internal clinical operations. These uses and disclosures are necessary to run the practice and make sure that all of our patients receive quality care. For example, we may use medical information to review our treatment and services and to evaluate the performance of our staff.
4. Appointment Reminders and Sign-In Sheets We may use and disclose medical information to contact you as a reminder that you have an appointment. We may also use a sign-in sheet at the registration desk where you will be asked to sign your name. We may also call your name in the waiting area when the doctor is ready to see you.
5. Individuals Involved in Your Care Unless you object, we may disclose to a family member, relative, or close personal friend medical information relevant to that person’s involvement in your care or payment related to your care.
6. As Required by Law We will disclose medical information about you when required to do so by federal, state, or local law, such as for public health activities, reports of abuse or neglect, or in response to a court order.
Your Rights Regarding Your Health Information
Right to Inspect and Copy: You have the right to inspect and receive a copy of your medical and billing records. You must submit your request in writing to our Privacy Officer.
Right to Amend: If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by our practice.
Right to an Accounting of Disclosures: You have the right to request an “accounting of disclosures.” This is a list of certain disclosures we made of your medical information for purposes other than treatment, payment, or healthcare operations.
Right to Request Restrictions: You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or healthcare operations. We are not required to agree to your request unless you are asking us to restrict disclosures to a health plan for payment or healthcare operations and the information pertains solely to a healthcare item or service for which you have paid out-of-pocket in full.
Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint with our practice, contact the Privacy Officer listed at the top of this notice. All complaints must be submitted in writing. You will not be penalized for filing a complaint.