
HIPAA & Privacy
Quiet Point Acupuncture Values Your Privacy
HIPAA Notice of Privacy Practices & Patient Privacy Policy
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Effective Date: February 8, 2026
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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.
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1. Our Commitment to Your Privacy
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Quiet Point Acupuncture PLLC is committed to protecting the privacy and confidentiality of your health information. We are required by law to maintain the privacy of your Protected Health Information (PHI) and to provide you with this Notice of our legal duties and privacy practices in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
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2. What Is Protected Health Information (PHI)?
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PHI includes information that identifies you and relates to your past, present, or future physical or mental health condition, healthcare services provided to you, or payment for those services. This may include:
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Intake forms and health histories
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Treatment notes and diagnoses
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Appointment records
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Billing and payment information
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Communications related to your care
3. How We May Use and Disclose Your PHI
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We may use and disclose your PHI without your written authorization for the following purposes:
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A. Treatment
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To provide, coordinate, or manage your acupuncture and related healthcare services, including consultations, treatment planning, referrals, and continuity of care.
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B. Payment
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To bill and collect payment for services rendered, including submitting claims, verifying benefits, and responding to billing inquiries.
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C. Healthcare Operations
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For business operations such as quality assessment, record keeping, licensing, compliance, audits, and administrative activities.
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4. Other Permitted Uses and Disclosures
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We may also disclose your PHI without authorization when required or permitted by law, including:
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Public health reporting
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Health oversight activities
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Legal proceedings or court orders
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Law enforcement requests
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To avert a serious threat to health or safety
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Workers’ compensation claims
5. Uses and Disclosures Requiring Your Written Authorization
We will obtain your written authorization before using or disclosing your PHI for purposes not described in this Notice, including:
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Marketing communications
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Release of records to third parties not involved in your care
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Use of PHI for reasons other than treatment, payment, or operations
You may revoke your authorization in writing at any time, except to the extent we have already relied on it.
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6. Your Rights Regarding Your Health Information
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You have the right to:
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Access
Request to inspect or obtain a copy of your health records.
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Amend
Request corrections to your medical records if you believe they are incorrect or incomplete.
Accounting of Disclosures
Request a list of certain disclosures we have made of your PHI.
Request Restrictions
Ask us to limit how your PHI is used or disclosed. While we are not required to agree, we will comply when legally required.
Confidential Communications
Request that we contact you in a specific way or at a specific location (e.g., phone, email, mailing address).
Obtain a Copy of This Notice
You may request a paper or electronic copy of this Notice at any time.
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7. Our Responsibilities
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We are required to:
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Maintain the privacy and security of your PHI
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Notify you if a breach occurs that may compromise your information
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Follow the terms of this Notice
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Use the minimum necessary information when possible
8. Changes to This Notice
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We reserve the right to change this Notice at any time. Any changes will apply to all PHI we maintain. Updated versions will be available in our office and/or on our website.
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9. Complaints
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If you believe your privacy rights have been violated, you may file a complaint with:
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Quiet Point Acupuncture PLLC
Privacy Officer: Lindsey Wyatt
Phone: (248) 318-8615
Email: Contact@QuietPointAcupuncture.com
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You may also file a complaint with the U.S. Department of Health and Human Services. Filing a complaint will not affect your care in any way.
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10. Contact Information
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If you have any questions about this Notice or our privacy practices, please contact:
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Quiet Point Acupuncture PLLC
23650 Woodward Ave Suite 108
Pleasant Ridge, MI 48069
Phone: (248) 318-8615
Email: Contact@QuietPointAcupuncture.com
