HIPAA Notice of Privacy Practices
Effective date: November 4, 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 responsibilities
Birch Pain & Spine Group is required by law to protect the privacy of your health information, give you this notice, follow the terms of the notice currently in effect, and tell you if a breach affects your information.
How we may use and share your health information
- Treatment. To care for you and coordinate your care with other health professionals.
- Payment. To bill and get paid for services, including from your insurance when it applies.
- Health care operations. To run our clinic, improve quality and train staff.
- Reminders and communication. To contact you about appointments, results and treatment options.
- Service providers. With companies that help us operate and sign a contract to protect your information.
Other uses the law allows or requires
- When the law requires it, including to the U.S. Department of Health and Human Services.
- Public health activities, such as reporting disease or reactions to medications.
- Reports of abuse, neglect or domestic violence.
- Audits and other health oversight activities.
- Court and administrative proceedings, and lawful requests from law enforcement.
- Preventing a serious threat to health or safety.
- Workers' compensation, coroners, approved research and special government functions.
Your choices
You can tell us whether to share information with family or friends involved in your care, or in a disaster relief situation. If you are unable to tell us your preference, we may share it when we believe it is in your best interest.
Uses that need your written permission
We need your written permission to use your information for marketing, to sell it, and for most uses of psychotherapy notes. Any other use not described in this notice also needs your permission. You can take it back in writing at any time, except for what we have already done in reliance on it.
Your rights
- See or get a copy of your record, including in electronic form.
- Ask us to correct your record if you think it is wrong or incomplete.
- Ask us to contact you in a certain way or at a certain place.
- Ask us to limit what we use or share. If you pay for a service in full out of pocket, you can ask us not to share that information with your insurer.
- Get a list of the times we have shared your information.
- Get a paper copy of this notice at any time.
- Choose someone to act for you.
Complaints
If you believe your rights have been violated, you can file a complaint with our clinic using the contact details below, or with the U.S. Department of Health and Human Services Office for Civil Rights: 200 Independence Avenue SW, Washington, DC 20201, 1-877-696-6775, hhs.gov/ocr/complaints. We will not retaliate against you for filing a complaint.
Changes to this notice
We may change this notice, and the changes will apply to all the information we have about you. The current version will always be on this page and available at our clinic.
Contact
To use any of these rights or ask a question, contact our Privacy Officer:
Birch Pain & Spine Group
227 East 11th Street
Tracy, CA 95376
Phone: (209) 830-1799
Email: marketing@birchpainandspinegroup.com