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HIPAA Notice of Privacy Practices

NOTICE OF PRIVACY PRACTICES

Pediatric & Perinatal Corp.
Doing business as Pediatric & Perinatal Chiropractic Center

Effective Date: September 15, 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.

Pediatric & Perinatal Corp., doing business as Pediatric & Perinatal Chiropractic Center (“Practice,” “we,” “our,” or “us”), is committed to protecting the privacy of your health information.

This Notice of Privacy Practices (“Notice”) describes how we may use and disclose your Protected Health Information (“PHI”), your rights regarding your health information, and our legal responsibilities regarding that information.

This Notice applies to health information maintained by Pediatric & Perinatal Corp. and the healthcare professionals and workforce members acting on its behalf.

YOUR RIGHTS

When it comes to your health information, you have certain rights. This section explains those rights and some of our responsibilities to help you exercise them.

Get an Electronic or Paper Copy of Your Medical Record

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

We will provide a copy or summary of your health information as required by law, generally within the timeframe required by applicable law.

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

Certain limited information may not be available for inspection or copying when permitted or required 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 your request in certain circumstances permitted by law. If we deny the request, we will explain the reason in writing and describe any additional rights you may have.

Request Confidential Communications

You may ask us to contact you in a specific way or at a specific location.

For example, you may ask us to contact you only at a particular telephone number or address.

We will accommodate reasonable requests as required by law.

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 healthcare operations.

We are generally not required to agree to such requests unless required by law.

If you pay for a healthcare service or item completely out-of-pocket, you may ask us not to disclose information concerning that service or item to your health plan for purposes of payment or healthcare operations. We will honor such a request unless disclosure is required by law.

Get a List of Certain Disclosures

You may request an accounting of certain disclosures of your health information.

The accounting generally covers disclosures made during the period permitted by law before the date of your request. Certain disclosures, including many disclosures made for treatment, payment, or healthcare operations, may not be included.

We will provide one accounting in a 12-month period without charge. We may charge a reasonable cost-based fee for additional requests when permitted by law and will notify you of the cost in advance.

Get a Copy of This Notice

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

You may also access the current Notice on our website.

Choose Someone to Act for You

 

If you have given another person medical power of attorney or if another person is legally authorized to act on your behalf, that person may exercise your rights and make choices concerning your health information as permitted by law.

We may verify the person's authority before taking action.

For minor patients, a parent, legal guardian, or other legally authorized personal representative generally exercises the minor patient's privacy rights, subject to exceptions under applicable law.

File a Complaint

 

You may file a complaint with us if you believe your privacy rights have been violated.

You may contact:

Privacy Officer
Dr. Brienne Azzarone
Pediatric & Perinatal Corp.
d/b/a Pediatric & Perinatal Chiropractic Center

Please use the current telephone number, mailing address, or other contact information listed on our website at www.pandpchiro.com.

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

We will not retaliate against you for filing a complaint.

YOUR CHOICES

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

If you have a clear preference about how we share information in the circumstances described below, tell us what you want us to do. We will follow your instructions when required by law.

Family, Friends, and Others Involved in Your Care

You may tell us whether we may share relevant health information with family members, friends, caregivers, or other persons involved in your healthcare or payment for your care.

If you are unable to communicate your preference, such as during an emergency, we may disclose information when we determine that doing so is in your best interest and is permitted by law.

We may also disclose information when necessary to lessen a serious and imminent threat to health or safety as permitted by law.

Marketing

We will obtain your written authorization before using or disclosing your PHI for marketing purposes when authorization is required by law.

Sale of Health Information

We will obtain your written authorization before making a disclosure of PHI that constitutes a sale of PHI when authorization is required by law.

Fundraising

If we contact you for fundraising purposes where permitted by law, you may tell us not to contact you again for fundraising.

HOW WE TYPICALLY USE OR SHARE YOUR HEALTH INFORMATION

We may use and disclose your health information without your written authorization in certain circumstances permitted by law.

Treatment

We may use and share your health information to provide, coordinate, or manage your healthcare.

Example: We may share relevant information with another healthcare professional involved in your care.

Payment

We may use and disclose your health information to bill for services and obtain payment from health plans or other responsible parties.

Example: We may provide information to your health insurance company so it can process a claim for chiropractic services.

Healthcare Operations

We may use and disclose your health information for activities necessary to operate our Practice and improve the quality of care.

Example: We may use health information to review the quality of services provided, conduct staff training, perform compliance activities, or manage Practice operations.

OTHER WAYS WE MAY USE OR SHARE YOUR INFORMATION

We may also use or disclose health information when permitted or required by law for purposes including the following.

As Required by Law

We may disclose information when federal, state, or local law requires us to do so.

Public Health and Safety

We may disclose health information for certain public-health and safety activities permitted or required by law, including:

  • Preventing or controlling disease;

  • Reporting suspected abuse, neglect, or domestic violence when required or permitted by law;

  • Preventing or reducing a serious threat to health or safety;

  • Reporting adverse reactions or problems involving certain products; or

  • Other authorized public-health activities.

Health Oversight Activities

We may disclose information to authorized health-oversight agencies for activities permitted by law, such as audits, investigations, inspections, licensing, or disciplinary proceedings.

Workers' Compensation

We may disclose health information as authorized by and to the extent necessary to comply with workers' compensation laws and similar programs.

Legal Proceedings

We may disclose health information in response to certain court or administrative orders, subpoenas, discovery requests, or other lawful processes when the requirements of applicable law are satisfied.

Law Enforcement

We may disclose health information to law-enforcement officials when permitted or required by law.

Coroners, Medical Examiners, and Funeral Directors

We may disclose health information to coroners, medical examiners, and funeral directors when permitted by law.

Organ and Tissue Donation

 

When applicable, we may disclose health information to organizations involved in organ, eye, or tissue donation and transplantation as permitted by law.

Government Functions

We may disclose information for certain authorized government functions, including military, national security, protective services, and correctional activities, when permitted or required by law.

Research

We may use or disclose health information for research when the requirements of applicable law have been satisfied.

USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION

For uses and disclosures not otherwise permitted or required by law, we will obtain your written authorization.

You may revoke an authorization in writing at any time, except to the extent we have already taken action in reliance upon the authorization.

Certain uses and disclosures of psychotherapy notes, marketing communications, and sales of PHI require authorization when specified by law.

REPRODUCTIVE HEALTHCARE INFORMATION

We will comply with applicable federal and state requirements governing the use and disclosure of PHI relating to reproductive healthcare.

When required by applicable law, we will obtain any required attestation before disclosing PHI potentially related to reproductive healthcare for certain purposes.

We will not use or disclose PHI for purposes prohibited by applicable federal law.

SUBSTANCE USE DISORDER RECORDS

Certain records concerning substance use disorder treatment may receive additional protection under federal law, including 42 CFR Part 2.

To the extent Pediatric & Perinatal Corp. receives or maintains records protected by 42 CFR Part 2, those records will be used and disclosed in accordance with applicable law.

Records protected by Part 2, or testimony describing information contained in such records, generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against the individual unless authorized by the individual's written consent or pursuant to an appropriate court order after the individual has been provided notice and an opportunity to be heard, as required by applicable law.

A patient's written consent for the use or disclosure of Part 2 records for treatment, payment, and healthcare operations may permit certain subsequent uses and disclosures as allowed by HIPAA and applicable Part 2 requirements.

We will obtain specific authorization when required for uses or disclosures of protected substance use disorder records.

ELECTRONIC HEALTH INFORMATION

We may create, maintain, transmit, and receive health information electronically.

We use reasonable administrative, technical, and physical safeguards designed to protect electronic PHI in accordance with applicable law.

Electronic communications may carry privacy and security risks. We may designate particular systems, portals, applications, or other methods for secure patient communications.

Patients should avoid transmitting sensitive medical information through general Website forms or other communication methods that the Practice has not designated for confidential healthcare communications.

BUSINESS ASSOCIATES

We may engage outside individuals or companies to perform services for the Practice that involve creating, receiving, maintaining, or transmitting PHI on our behalf.

When required by HIPAA, these service providers are considered “business associates.”

We require business associates to appropriately safeguard PHI and enter into agreements required by applicable law.

OUR RESPONSIBILITIES

We are required by law to maintain the privacy and security of PHI.

 

We will notify affected individuals following a breach of unsecured PHI when notification is required by law.

We must follow the privacy practices described in the Notice that is currently in effect.

We will not use or disclose your information other than as described in this Notice unless you authorize us in writing or another use or disclosure is permitted or required by law.

If you authorize us to use or disclose your information, you may change your mind and revoke that authorization in writing, subject to limitations imposed by law.

We will make this Notice available upon request and prominently make the current Notice available through our Website as required by law.

CHANGES TO THIS NOTICE

We reserve the right to change the terms of this Notice and our privacy practices as permitted by law.

Changes may apply to health information we already maintain as well as information we receive in the future.

If we materially change this Notice, we will make the revised Notice available as required by law.

The current version will be available at our Practice locations and on our Website.

CONTACT INFORMATION

For questions concerning this Notice, our privacy practices, or your rights concerning your health information, contact:

Dr. Brienne Azzarone
HIPAA Privacy Officer

Pediatric & Perinatal Corp.
d/b/a Pediatric & Perinatal Chiropractic Center

Website: www.pandpchiro.com

Please use the Practice's current telephone number, mailing address, or other contact information provided on our Website.

Effective Date: September 15, 2026

Contact Us

Pediatric and Perinatal Chiropractic Center | Fort Myers

12731 World Plaza Ln. Bldg 83, Suite 1 

Fort Myers, FL 33907

Pediatric and Perinatal Chiropractic Center | Cape Coral

1611 Santa Barbara Blvd. Unit 170

Cape Coral, FL 33991

(239) 887-3283

info@pandpchiro.com

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