You have the right to:
• Request an electronic or paper copy of your medical records.
• Ask us to correct information you believe is incorrect or incomplete.
• Request confidential communication or ask us to contact you in a specific way.
• Ask us to limit certain uses or disclosures of your health information.
• Request a list of certain disclosures of your health information.
• Receive a copy of this Notice of Privacy Practices.
• Choose someone with legal authority to act on your behalf.
• File a complaint if you believe your privacy rights have been violated.
RAPHA Chiropractic & Acupuncture, PLLC may use or disclose your protected health information as permitted or required by law.
Treatment
We may use and share your health information with health care professionals involved in your treatment and coordination of care.
Payment
We may use and share your information for billing, insurance, payment, and related activities.
Health Care Operations
We may use and share your information to operate our clinic, manage your care, improve our services, and conduct necessary business activities.
Public Health, Safety, and Legal Requirements
We may use or disclose your information when permitted or required by law for public health, safety, regulatory, law enforcement, workers’ compensation, or other legal purposes.
For uses or disclosures that require your authorization, we will obtain your written permission. You may revoke that authorization in writing as permitted by law.
In certain situations, you may tell us your preferences regarding how we share information with family members, friends, or others involved in your care.
We will not sell your protected health information or use it for purposes requiring your authorization without your written permission.
Certain health information may receive additional protection under federal or state law.
If RAPHA receives substance use disorder patient records protected under 42 CFR Part 2, we will use and disclose those records only as permitted by applicable law.
RAPHA Chiropractic & Acupuncture, PLLC is required by law to protect the privacy and security of your protected health information.
We will:
• Maintain the privacy and security of your health information.
• Notify you as required by law if a breach occurs that may compromise your information.
• Follow the privacy practices described in this notice.
• Provide you with a copy of this notice upon request.
We will not use or share your information other than as described in this notice unless permitted or required by law or authorized by you in writing.
If you have questions about this notice or believe your privacy rights have been violated, please contact:
RAPHA Chiropractic & Acupuncture, PLLC
3608 Preston Road, Suite 227
Plano, TX 75093
Email: drkim@raphachiroacu.com
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
RAPHA Chiropractic & Acupuncture, PLLC will not retaliate against you for filing a complaint.
We may change the terms of this Notice of Privacy Practices as permitted by law. Any revised notice will apply to the health information we maintain and will be available at our clinic, on our website, and upon request.
Effective Date: October 3, 2026
