NOTICE OF PRIVACY PRACTICES

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Strategic Health Chiropractic & Massage, PLLC
1200 112th Ave. NE, Suite C180
Bellevue, WA 98004
(425) 467-5955

Privacy Officer: Cindy Su
Email: info@strategichealthclinic.com
Effective Date: October 9, 2026

 

Your Information. Your Rights. Our Responsibilities.

This notice describes how medical information about you may be used and disclosed, how you can obtain access to this information, and your rights regarding your protected health information.

 

Please review it carefully.

 

Your Rights

You have certain rights regarding the health information we maintain about you.

 

Get a Copy of Your Medical Record

You may ask to inspect or receive an electronic or paper copy of your medical record and other health information we maintain about you.

We will respond to your request within the time required by applicable law. Washington law generally requires health care providers to make requested records available within 15 working days, subject to limited circumstances that may permit additional time.

We may charge a reasonable, cost-based fee as permitted by law.

 

Ask Us to Correct Your Medical Record

If you believe health information we maintain about you is incorrect or incomplete, you may ask us to amend it.

We may deny a request in certain circumstances. If we do, we will explain the reason in writing and advise you of any rights you have to submit additional information or dispute the decision.

 

Request Confidential Communications

You may ask us to communicate with you in a particular way or at a particular location. For example, you may ask us to contact you only at a particular telephone number or to mail correspondence to a different address.

We will accommodate reasonable requests.

 

Ask Us to Limit What We Use or Share

You may ask us not to use or disclose certain health information for treatment, payment, or health care operations.

We generally are not required to agree to these requests, although we will consider them carefully.

If you pay in full out-of-pocket for a specific health care service or item and request that we not disclose information about that service to your health plan for payment or health care operations, we will honor that request unless disclosure is otherwise required by law. This right is included in the current HHS model notice.

 

Receive an Accounting of Certain Disclosures

You may request an accounting of certain disclosures of your health information made during the six years before the date of your request.

The accounting generally does not include disclosures made for treatment, payment, health care operations, disclosures made directly to you, disclosures you authorized, or certain other disclosures excluded by law.

We will provide one accounting during any 12-month period without charge. We may charge a reasonable, cost-based fee for additional requests during the same 12-month period.

 

Get a Copy of This Notice

You may request a paper copy of this Notice of Privacy Practices at any time, even if you previously agreed to receive it electronically.

 

Choose Someone to Act for You

If another person has legal authority to act on your behalf, such as a legal guardian, health care representative, or person holding an appropriate power of attorney, that person may exercise your rights regarding your health information.

We may verify that the person has appropriate authority before acting on a request.

 

Receive Notice of Certain Breaches

You have the right to be notified if a breach of unsecured protected health information occurs that may have compromised the privacy or security of your information.

 

File a Complaint

If you believe your privacy rights have been violated, you may contact:

Cindy Su, Privacy Officer
Strategic Health Chiropractic & Massage, PLLC
1200 112th Ave. NE, Suite C180
Bellevue, WA 98004
(425) 467-5955
info@strategichealthclinic.com

 

You may also file a complaint with the:

U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
1-877-696-6775

 

Complaints may also be submitted through the HHS Office for Civil Rights complaint process.

We will not retaliate against you for filing a complaint.

 

Your Choices

For certain types of health information, you may tell us your preferences about what information we share.

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Family Members and Others Involved in Your Care

You may tell us whether we may share information with a family member, close friend, caregiver, or another person involved in your care or payment for your care.

If you are unable to tell us your preference—for example because of incapacity or an emergency—we may share limited information when, in our professional judgment, doing so is in your best interest and is permitted by law.

Washington law also permits certain disclosures to individuals involved in a patient’s care when specified conditions are met.

 

Disaster Relief

We may share information with organizations assisting in disaster relief when permitted by law so that family members or others responsible for you may be notified of your location or general condition.

 

Marketing and Sale of Health Information

We generally will not use your protected health information for marketing purposes or sell your protected health information without your written authorization when authorization is required by law.

Most uses or disclosures of psychotherapy notes, if applicable, also require written authorization.

 

Fundraising

If we use protected health information to contact you regarding fundraising, you have the right to tell us not to contact you again for that purpose.

 

How We Typically Use or Share Your Health Information

Treatment

We may use your health information and share it with other health care professionals involved in your treatment.

For example, we may provide relevant information to another physician, physical therapist, imaging facility, or other provider involved in your care.

Payment

We may use and disclose health information to bill for services and obtain payment from you, health plans, automobile insurers, workers’ compensation programs, or other entities responsible for payment.

For example, we may provide appropriate information to your insurance company so that a claim for services can be processed.

Health Care Operations

We may use and disclose your health information as necessary to operate our practice and improve the care and services we provide.

For example, we may use health information to evaluate quality of care, conduct clinical review, train staff, perform administrative activities, manage our practice, or coordinate services.

We may also provide necessary health information to business associates who perform services on our behalf, such as billing, technology, records storage, or other administrative services. Business associates that receive protected health information are required to protect it as required by applicable law and contract.

Appointment Reminders and Health-Related Communications

We may use your health information to contact you about appointments, scheduling, treatment alternatives, follow-up care, or health-related services that may be relevant to you.

 

Other Uses and Disclosures Permitted or Required by Law

Under certain circumstances, we may use or disclose health information without your written authorization when permitted or required by law.

These circumstances may include public-health activities; reporting suspected abuse, neglect, or domestic violence; preventing or reducing a serious and imminent threat to health or safety; health oversight activities; certain research activities; organ and tissue donation; disclosures to coroners, medical examiners, or funeral directors; workers’ compensation matters; certain law-enforcement or government requests; military or national-security functions; and responses to court orders, administrative orders, subpoenas, or other lawful legal processes.

We will comply with the requirements and limitations that apply to any such disclosure. The current HHS model identifies these categories as permitted uses and disclosures under appropriate circumstances.

 

Workers’ Compensation

We may use or disclose health information as authorized or required for workers’ compensation programs, including Washington State Department of Labor & Industries claims and self-insured employer claims.

We will limit such disclosures to information that is permitted or required by applicable law.

 

Legal Proceedings

We may disclose health information in response to a valid court or administrative order or other lawful legal process.

Washington law imposes additional requirements governing certain subpoenas, discovery requests, and compulsory legal processes for patient health information, and we will comply with those requirements.

 

Substance Use Disorder Records — 42 CFR Part 2

Federal law provides additional protections for certain substance use disorder patient records governed by 42 CFR Part 2.

To the extent that we receive, maintain, or otherwise hold records protected by Part 2, additional restrictions may apply.

In particular, information contained in Part 2-protected records generally may not be used or disclosed in a civil, criminal, administrative, or legislative investigation or proceeding against you unless permitted by your written consent or authorized through the court process required by federal law.

If Part 2-protected information is used in fundraising communications, you will receive appropriate notice and an opportunity to opt out as required by law.

HHS requires HIPAA covered health care providers to include applicable Part 2 information in their Notice of Privacy Practices beginning February 16, 2026.

 

Washington State Privacy Protections

In addition to HIPAA, Strategic Health Chiropractic & Massage, PLLC is subject to applicable Washington laws governing health care information.

Washington law generally prohibits a health care provider from disclosing a patient’s health care information without authorization unless another provision of law permits or requires the disclosure.

Where Washington law provides greater protection for your health information than federal law, we will follow the law that provides the greater protection.

Certain categories of health information may be subject to additional confidentiality requirements under state or federal law.

 

Uses and Disclosures Requiring Written Authorization

Uses or disclosures of protected health information that are not permitted by this notice or otherwise allowed or required by law generally will be made only with your written authorization.

If you provide written authorization, you may revoke it in writing at any time.

Revocation will not affect uses or disclosures already made in reliance on your authorization before we received your revocation.

 

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.

We must provide you with notice of our legal duties and privacy practices and follow the terms of the Notice of Privacy Practices currently in effect.

We will notify you as required by law if a breach occurs that may have compromised the privacy or security of your protected health information.

We will not use or disclose your health information except as described in this notice, as authorized by you, or as otherwise permitted or required by law.

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Changes to This Notice

We may change the terms of this Notice of Privacy Practices and make the revised notice applicable to health information we already maintain as well as information we receive in the future.

If we make a material change, the revised notice will contain a new effective date.

The current notice will be available:

At our office
Strategic Health Chiropractic & Massage, PLLC
1200 112th Ave. NE, Suite C180
Bellevue, WA 98004

On our website

Upon request