Back Foundation Chiropractic

Notice of Privacy Practices
Effective Date: May 29, 2026

Back Foundation Chiropractic Abrahams, PC
Care provided by Dr. Robert Abrahams, DC
Mailing Address: 26741 Portola Parkway, Ste. 1E #636, Foothill Ranch, CA 92610-1763
Phone: (949) 229-5508

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.

1. Our Commitment to Your Privacy
Back Foundation Chiropractic Abrahams, PC is committed to protecting the privacy and security of your protected health information (“PHI”).

PHI includes information that identifies you and relates to your past, present, or future health condition, healthcare services, or payment for healthcare services.

We are required by law to:

Maintain the privacy and security of your PHI.
Provide you with this Notice of our legal duties and privacy practices.
Follow the terms of the Notice currently in effect.
Notify you promptly if a breach occurs that may have compromised the privacy or security of your unsecured PHI.
2. How We May Use and Disclose Your Health Information
We may use and disclose your PHI for treatment, payment, healthcare operations, and other purposes permitted or required by federal or California law.

Treatment: We may use and disclose your health information to provide, coordinate, or manage your chiropractic care. For example, we may use your health history, examination findings, diagnosis, treatment plan, progress notes, or other clinical information to provide care or communicate with another healthcare professional involved in your treatment.

Payment: We may use and disclose your health information to bill and collect payment for healthcare services. This may include processing payments, providing invoices or superbills, submitting Medicare claims when applicable, verifying benefits, responding to payer questions, or documenting services provided.

Healthcare Operations: We may use and disclose your health information to operate the practice. This may include quality review, compliance, documentation, recordkeeping, licensing, credentialing, auditing, legal services, technology support, training, and general practice management.

3. Other Uses and Disclosures Permitted or Required by Law
We may use or disclose PHI when permitted or required by law, including:

For public health and safety activities.
To report abuse, neglect, or domestic violence when required or permitted by law.
For health oversight activities, audits, inspections, investigations, or licensing matters.
For workers’ compensation claims or similar programs.
For certain law enforcement purposes.
In response to court or administrative orders, subpoenas, or other lawful legal processes.
To prevent or reduce a serious and imminent threat to health or safety.
For certain government functions as permitted by law.
To coroners, medical examiners, or funeral directors when applicable.
For organ or tissue donation purposes when applicable.
For research when applicable legal requirements have been satisfied.
We will limit these uses and disclosures as required by applicable federal and California law.

4. Uses and Disclosures Requiring Written Authorization
Uses or disclosures of PHI that are not otherwise permitted or required by law generally require your written authorization.

We will generally obtain your written authorization before:

Using or disclosing your PHI for marketing purposes when authorization is required by law.
Selling your PHI.
Using or disclosing psychotherapy notes, if we were ever to maintain such records, except where otherwise permitted by law.
Using or disclosing your PHI for other purposes not described in this Notice and not otherwise permitted or required by law.
You may revoke an authorization in writing at any time. Revocation will not affect uses or disclosures already made in reliance upon your prior authorization.

5. Your Rights Regarding Your Health Information
Right to Inspect and Receive a Copy: You may ask to inspect or receive an electronic or paper copy of your medical record and other health information maintained by the practice. We will respond within the time required by law. A reasonable, cost-based fee may be charged when permitted by law.

Right to Request an Amendment: You may ask us to correct or amend health information that you believe is inaccurate or incomplete. We may deny a request in circumstances permitted by law, but we will explain the denial as required by law.

Right to Request Restrictions: You may ask us to restrict how we use or disclose certain health information for treatment, payment, or healthcare operations. We are generally not required to agree to every requested restriction.

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

Right to Request Confidential Communications: You may ask us to contact you in a particular way or at a particular location. We will accommodate reasonable requests.

Right to Receive an Accounting of Disclosures: You may request an accounting of certain disclosures of your PHI made during the six years before the date of your request. Certain disclosures, including many disclosures for treatment, payment, and healthcare operations, are excluded by law. One accounting during a 12-month period will be provided without charge; reasonable charges may apply to additional requests as permitted by law.

Right to Receive a Copy of This Notice: You may request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

Right to Choose Someone to Act for You: A legally authorized personal representative, such as an individual holding appropriate medical power of attorney or a legal guardian, may exercise your rights when permitted by law. We may verify that person's authority before taking action.

Right to File a Complaint: You may file a complaint if you believe your privacy rights have been violated. We will not retaliate against you for making a complaint.

6. Your Choices
In certain situations, you may tell us your preferences regarding how we share your health information, including sharing information with:

Family members, close friends, caregivers, or others involved in your care.
Individuals involved in payment for your care.
Disaster relief organizations when applicable.
If you are unable to tell us your preference, such as during an emergency or when you are incapacitated, we may share information when permitted by law and when we believe doing so is in your best interest.

We will not use or disclose your PHI for marketing, sell your PHI, or disclose most psychotherapy notes without written authorization when authorization is required by law.

Back Foundation Chiropractic Abrahams, PC does not currently use PHI for fundraising activities.

7. Substance Use Disorder Records
To the extent that Back Foundation Chiropractic Abrahams, PC receives or maintains substance use disorder patient records that are protected by 42 CFR Part 2, those records receive additional federal protections.

Such Part 2 information generally may not be used or disclosed in civil, criminal, administrative, or legislative investigations or proceedings against you unless you provide written consent or the disclosure is authorized by an appropriate court order and subpoena as required by law.

8. Our Duties
We are required by law to maintain the privacy and security of your PHI.

We must follow the duties and privacy practices described in this Notice and provide you with a copy upon request.

We will notify you promptly if a breach occurs that may have compromised the privacy or security of your unsecured PHI.

We will not use or disclose your health information other than as described in this Notice unless you authorize us to do so in writing or the use or disclosure is otherwise permitted or required by law.

We may change the terms of this Notice. Changes may apply to information we already maintain as well as information received in the future. The current Notice will be available at the office, upon request, and on our website.

9. Business Associates
We may disclose PHI to business associates that perform services on behalf of the practice when permitted by law.

When required by HIPAA, our business associates are contractually required to appropriately safeguard PHI and use or disclose it only as permitted by law and their agreements with the practice.

10. Electronic Communications and Website Forms
Email, text messaging, general website contact forms, and other electronic communications may not always be fully secure.

Please do not submit PHI, urgent medical concerns, emergency information, or highly sensitive information through the general website contact form. The general contact form is intended for administrative communication.

Clinical information should be provided through appropriate patient intake forms, clinical documentation systems, or other practice-approved workflows.

If you are experiencing a medical emergency, call 911 or seek emergency medical care immediately.

11. Questions or Complaints
For questions about this Notice or to file a privacy complaint with the practice, contact:

Privacy Officer
Back Foundation Chiropractic Abrahams, PC
Phone: (949) 229-5508
Email: [email protected]
Mailing Address: 26741 Portola Parkway, Ste. 1E #636, Foothill Ranch, CA 92610-1763

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

U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: hhs.gov/hipaa/filing-a-complaint

We will not retaliate against you for filing a complaint.

12. Effective Date
This Notice is effective as of May 29, 2026.