Protecting your health information is one of our highest priorities.

Your trust means everything to us. We believe excellent healthcare includes protecting your personal information with the same care and professionalism we provide during every visit. This Notice explains how your health information may be used, how it is protected, and the rights you have under federal law.

Notice of Privacy Practices

33/18 Chiropractic & Wellness

Effective Date: July 21, 2026

THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED, AS WELL AS HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

At 33/18 Chiropractic & Wellness, we understand that your health information is personal. We are committed to protecting your privacy and maintaining the confidentiality of your medical records in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and other applicable federal and state laws.

This Notice explains:

• How we may use and disclose your Protected Health Information (PHI)
• Your rights regarding your medical information
• Our responsibilities for safeguarding your information
• How to contact us if you have questions or concerns

Our Commitment to Your Privacy

We create and maintain records of the care and services you receive to provide you with high-quality healthcare and comply with legal requirements.

We are required by law to:

• Maintain the privacy of your Protected Health Information (PHI)
• Provide you with this Notice of our legal duties and privacy practices
• Follow the terms of this Notice currently in effect
• Notify you if a breach occurs that may have compromised the privacy or security of your health information

How We May Use and Disclose Your Health Information

The following are examples of how we may use or disclose your health information without your written authorization.

Treatment

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

Examples include:

• Reviewing your health history
• Documenting examinations and treatment
• Coordinating care with another healthcare provider (with your permission when required)

Payment

Although 33/18 Chiropractic & Wellness is primarily a cash-based practice, we may use or disclose information necessary to:

• Process payments
• Verify payment information
• Provide receipts or statements
• Respond to payment disputes

If we participate with any insurance programs in the future, your information may be shared as necessary to obtain payment.

Healthcare Operations

We may use your information for activities necessary to operate our practice, including:

• Quality improvement
• Staff training
• Business management
• Licensing and accreditation
• Legal compliance
• Audits
• Risk management

Appointment Reminders

We may contact you regarding:

• Upcoming appointments
• Changes in scheduling
• Follow-up visits
• Wellness reminders

We may contact you by:

• Telephone
• Text message
• Email
• Postal mail

Please let us know if you prefer a specific method of communication.

Electronic Communication and Digital Services

To better serve our patients, 33/18 Chiropractic & Wellness utilizes a variety of electronic communication methods. While we take reasonable precautions to protect your privacy, no method of electronic communication or data transmission can be guaranteed to be completely secure.

Email Communication

If you choose to communicate with us by email, please understand that standard email may not be a secure method of transmitting sensitive health information.

We recommend that you avoid sending confidential medical information through unsecured email unless specifically requested by our office.

Text Messages

With your consent, we may send text messages regarding:

• Appointment reminders
• Appointment confirmations
• Scheduling changes
• Limited practice-related communications

Text messaging is intended for convenience and should not be used to communicate urgent medical concerns.

You may opt out of text communications at any time by notifying our office.

Telephone and Voicemail

We may contact you by telephone regarding your care. If we are unable to reach you directly, we may leave a limited voicemail containing appointment or scheduling information unless you instruct us otherwise.

Online Forms and Appointment Requests

Information submitted through our website, including contact forms, appointment requests, and patient intake forms, is used only for the purpose of responding to your inquiry, scheduling care, or providing healthcare services.

Submitting a form through our website does not establish a doctor-patient relationship until you have been evaluated by one of our providers.

Electronic Health Records

33/18 Chiropractic & Wellness maintains patient records using secure electronic systems designed to protect the confidentiality, integrity, and availability of your Protected Health Information.

Access to your medical record is limited to authorized personnel who require the information to perform their job responsibilities or as otherwise permitted by law.

Patient Forms and Digital Documents

You may choose to complete certain registration forms, health history questionnaires, consent forms, or other documents electronically. These records become part of your permanent medical record and are protected under HIPAA.

Telehealth Services

Should 33/18 Chiropractic & Wellness offer telehealth or virtual consultations in the future, those services will be conducted using platforms selected to help protect the privacy and security of your health information. Patients will receive additional information regarding privacy protections and consent requirements before participating in any telehealth services.

Social Media

While we encourage you to follow 33/18 Chiropractic & Wellness on social media, please do not use social media platforms to communicate personal medical information or seek medical advice.

For your privacy, we will never discuss your healthcare or acknowledge that you are a patient through social media without your written permission.

Website Analytics and Cookies

Our website may use cookies and analytics services to better understand how visitors use our website and to improve the overall user experience.

These technologies collect general website usage information and do not access your medical records or Protected Health Information.

Emergency Communications

Electronic communication should never be used for medical emergencies.

If you believe you are experiencing a medical emergency, call 911 immediately or go to the nearest emergency department.

Individuals Involved in Your Care

Unless you object, we may share relevant information with:

• Your spouse
• Family members
• Caregivers
• Someone you identify as being involved in your care

We will only disclose information necessary to assist with your care or payment.

As Required by Law

We may disclose your health information when required by federal, state, or local law.

Examples include:

• Public health reporting
• Court orders
• Subpoenas
• Law enforcement requests
• Workers’ compensation claims
• Health oversight agencies

Public Health Activities

We may disclose information to:

• Prevent or control disease
• Report abuse or neglect
• Report adverse reactions to medications
• Report certain communicable diseases
• Comply with FDA reporting requirements

Health and Safety

We may disclose information when necessary to prevent or lessen a serious threat to your health or the safety of another person.

Research

Your information may be used for approved research only when permitted by law and appropriate privacy protections are in place.

Marketing

We will never sell your medical information.

We will not use your Protected Health Information for marketing purposes without your written authorization except where permitted by law.

Your Rights Regarding Your Health Information

You have the right to:

Inspect and Receive Copies

You may inspect or obtain a copy of your medical record, subject to limited legal exceptions.

Request Corrections

If you believe information in your medical record is inaccurate or incomplete, you may request an amendment.

Request Confidential Communications

You may request that we communicate with you:

• At a different phone number
• At a different mailing address
• By a preferred communication method

We will accommodate reasonable requests whenever possible.

Request Restrictions

You may request limitations on how your information is used or disclosed.

While we are not required to agree to every request, we will comply when required by law.

Receive an Accounting of Disclosures

You have the right to receive a list of certain disclosures made outside of treatment, payment, and healthcare operations.

Receive a Paper Copy

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

Our Responsibilities

33/18 Chiropractic & Wellness is required to:

• Protect the privacy of your health information
• Provide this Notice
• Follow the practices described in this Notice
• Notify affected individuals if a reportable breach occurs

Other Uses and Disclosures

Any use or disclosure of your Protected Health Information not described in this Notice will only occur with your written authorization unless otherwise permitted or required by law.

You may revoke your authorization at any time in writing. Revocation will not affect actions already taken based upon your previous authorization.

Changes to This Notice

We reserve the right to change this Notice at any time.

Updated versions will be posted in our office and on our website, and the revised Notice will apply to all Protected Health Information maintained by our practice.

Questions or Complaints

If you have questions about this Notice or believe your privacy rights have been violated, please contact us.

Privacy Officer
33/18 Chiropractic & Wellness

1 Wellness Blvd., Suite 114

Irmo, SC 29063

Phone: (803) 730-4344

Email: radley@3318chiropractic.com

You may also file a complaint with:

U.S. Department of Health and Human Services
Office for Civil Rights

You will not be penalized or retaliated against for filing a complaint.

Additional information is available at:
https://www.hhs.gov/hipaa

Acknowledgment

Patients are asked to acknowledge that they have received a copy of this Notice of Privacy Practices. Your acknowledgment does not mean you agree with the Notice; it simply confirms that you have been offered a copy.