Canopy Health, LLC d.b.a. Valley Chiropractic Clinic
Effective Date: November 14, 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.
Your Rights
When it comes to your health information, you have the following rights. Contact our Office Manager to exercise any of these rights or ask questions.
- Get a copy of your record. You may ask to see or obtain a copy of your paper or electronic health record and other information we maintain about you. Ask us how to do this. We will respond within the time required by law and may charge a reasonable, cost-based fee as permitted by law.
- Ask us to correct your record. You may ask to amend information you believe is incorrect or incomplete. We may deny a request in certain circumstances; if we do, we will explain our decision in writing and tell you how to respond.
- Request confidential communications. You may ask us to contact you in a particular way—such as by phone instead of text or email—or at a different address. We will accommodate reasonable requests.
- Ask us to limit uses or disclosures. You may ask us not to use or share certain information for treatment, payment, or healthcare operations. We are not required to agree to every request. However, if you pay for a healthcare item or service in full out of pocket and ask us not to share information about it with your health plan for payment or healthcare operations, we will agree unless disclosure is required by law.
- Get an accounting of certain disclosures. You may request a list of certain disclosures made during the six years before your request. This list excludes disclosures for treatment, payment, healthcare operations, disclosures made to you or authorized by you, and certain other disclosures. One accounting in a 12-month period is free; a reasonable, cost-based fee may apply to additional requests, with advance notice.
- Receive a copy of this notice. You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
- Choose someone to act for you. A person with appropriate legal authority, such as a medical power of attorney or legal guardian, may exercise your rights. We will verify that person’s authority before acting.
- File a complaint. You may complain to us or to the U.S. Department of Health and Human Services (HHS) if you believe your privacy rights have been violated. You will not be penalized or retaliated against for making a complaint.
Your Choices
- Family, friends, and others involved in your care. You may tell us whether to share information with family members, close friends, or others involved in your care or payment for your care. If you are unable to tell us your preference, we may share relevant information if, in our professional judgment, doing so is in your best interest, or as otherwise permitted by law.
- Fundraising, research, and marketing. We do not use patient information for fundraising or research, and we do not use identifiable patient stories, photographs, or testimonials for marketing as part of our current practices.
- Uses requiring written authorization. Most uses and disclosures for marketing, the sale of protected health information, and most disclosures of psychotherapy notes require your written authorization. We will obtain an authorization whenever required by law. If you give us written authorization, you may revoke it in writing at any time, except to the extent we have already acted in reliance on it or another legal exception applies.
How We Use and Disclose Health Information
We may use or disclose your protected health information as permitted or required by law, including for the following purposes:
- Treatment. We use information to provide and coordinate your care. For example, we may share relevant information with a laboratory or another healthcare professional involved in your care.
- Payment. We may use and share information to bill and receive payment for services. For example, we may provide information needed to process a claim to your health plan, workers’ compensation administrator, or other responsible payer, as applicable.
- Healthcare operations. We may use and share information to run the practice, support quality improvement, train staff, conduct administrative and billing activities, and comply with professional responsibilities. Service providers that perform functions for us may receive information subject to applicable legal requirements and agreements.
- Appointment reminders and communications. Our scheduling service, Jane, sends appointment reminders by text message and email. If you prefer a phone call or another reasonable method, contact our office. We may also contact you about care, scheduling, or our services as permitted by law.
- Other permitted or required uses. When applicable legal conditions are met, we may disclose information:
- For public health reporting and safety;
- To report suspected abuse, neglect, or domestic violence;
- For health oversight activities;
- When otherwise required by law;
- To respond to valid court orders, subpoenas, or other legal processes;
- For certain law-enforcement purposes;
- To reduce a serious threat to health or safety;
- For workers’ compensation claims;
- For certain military, veterans’, national security, or other government functions; and
- To coroners, medical examiners, funeral directors, or organ procurement organizations as permitted by law.
- DOT and occupational services. If we provide a Department of Transportation (DOT) examination or other occupational service, the information disclosed depends on the service, our role, your authorization where required, and applicable law. If DOT drug or alcohol testing is performed, specific federal confidentiality and disclosure rules may apply. Ask us which information may be shared and with whom before testing.
- Specially protected records. Certain information may have additional legal protections. If we receive or maintain substance use disorder patient records protected by 42 CFR Part 2, we will apply the restrictions that govern those records. In particular, such records generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you without your written consent or a qualifying court order and subpoena or similar legal mandate, as applicable.
- Potential for redisclosure. When we disclose your health information to a third party as permitted or required by law, that information may be subject to redisclosure by the recipient and may no longer be protected by federal HIPAA privacy regulations.
Our Responsibilities
- We are required by law to maintain the privacy and security of your protected health information, to provide you with this notice, and to follow the terms 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 information.
- We will not use or disclose your information other than as described here unless you authorize it in writing or the law otherwise permits or requires it.
- We may change the terms of this notice. A revised notice will apply to information we already maintain as well as information received in the future. The current notice will be available upon request, at our office, and on our website.
Questions, Requests, and Complaints
Office Manager
Canopy Health, LLC d.b.a. Valley Chiropractic Clinic
2203 Jordan Avenue
Juneau, AK 99801
Phone: (907) 789-9549
To submit a complaint to the clinic, call or write to the Office Manager using the contact information above. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights at https://www.hhs.gov/hipaa/filing-a-complaint/ or by calling 1-800-368-1019 (TDD 1-800-537-7697). There will be no retaliation for filing a complaint.