Notice of Privacy Practices

Nexus Chiropractic, P.C. d/b/a Rockaway Chiropractic

Effective Date: October 30, 2026

Your Information. Your Rights. Our Responsibilities.

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.

At Rockaway Chiropractic, protecting your health information is an important part of providing quality care. We respect your privacy and are committed to maintaining the confidentiality and security of your medical records.

This Notice of Privacy Practices explains how Nexus Chiropractic, P.C., doing business as Rockaway Chiropractic, may use or disclose your protected health information (PHI), your rights regarding that information, and our responsibilities under federal and New York State law.

This notice applies to chiropractic services provided by Nexus Chiropractic, P.C. at both Rockaway Chiropractic locations:

Brooklyn Office
381 Rockaway Avenue
Brooklyn, NY 11212
Phone: (718) 522-3400

Queens Village Office
97-08 Springfield Boulevard
Queens Village, NY 11429
Phone: (347) 774-2777

Medical, orthopedic, physical therapy, and other healthcare services provided by independent licensed professionals or separate professional entities are not automatically covered by this notice. Those providers may maintain their own privacy practices and notices.

1. Your Rights

You have certain rights regarding your health information. We are responsible for helping you understand and exercise those rights.

Access Your Medical Records

You have the right to inspect or request an electronic or paper copy of your medical records and other health information we maintain about you, subject to applicable legal exceptions.

• You may request access to your records by contacting our office.
• Under HIPAA, we generally provide copies within 30 days of your request, subject to permitted extensions.
• Under New York Public Health Law Section 18, qualifying patients who submit a written request generally must be given an opportunity to inspect their records within 10 days.
• We may charge a reasonable, cost-based fee when permitted by law.
• We will not deny access solely because you have an unpaid medical bill.
• Additional New York protections and fee restrictions may apply, including for certain government-benefit-related requests.

Request Corrections to Your Records

You may ask us to correct information in your medical record that you believe is inaccurate or incomplete.

If we deny your request, we will explain our decision in writing, generally within 60 days, subject to extensions permitted by law.

Request Confidential Communications

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

For example, you may request that we contact you only through your mobile telephone or send correspondence to a particular mailing address.

We will accommodate reasonable requests.

Request Restrictions on Information Sharing

You may ask us to limit how we use or disclose your health information for treatment, payment, or healthcare operations.

We are not always required to agree to a requested restriction. If we agree, we will follow it except in circumstances permitted or required by law, including certain emergency treatment situations.

Services Paid Out of Pocket

If you pay in full out of pocket for a healthcare service or item, you may request that we not disclose information about that service or item to your health plan for payment or healthcare operations.

We must honor that request unless disclosure is required by law.

Request an Accounting of Disclosures

You may request a list of certain disclosures of your health information made during the six years before your request.

This accounting generally excludes disclosures for treatment, payment, healthcare operations, and certain other disclosures excluded by law.

We will provide one accounting during a 12-month period at no charge. Additional requests may be subject to a reasonable, cost-based fee.

Receive a Copy of This Notice

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

Designate a Personal Representative

If someone has legal authority to act on your behalf, such as a legal guardian or authorized personal representative, that person may exercise your privacy rights as permitted by law.

We will verify the person's authority before disclosing protected information.

Special rules may apply to minors and certain confidential healthcare services.

File a Privacy Complaint

If you believe your privacy rights have been violated, you may file a complaint with our designated privacy contact:

Dr. Hamed Radpasand
Privacy Contact
Rockaway Chiropractic
381 Rockaway Avenue
Brooklyn, NY 11212
Phone: (718) 522-3400

You may also file a complaint with the 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

File a HIPAA Complaint with HHS

We will not retaliate against you for filing a complaint or exercising your privacy rights.

2. Your Choices About Sharing Information

In certain situations, you have choices regarding how we share your health information.

Family Members and Others Involved in Your Care

You may tell us whether you want your health information shared with family members, close friends, or others involved in your care or payment for your care.

We will respect your preferences as required by law.

If you cannot communicate your wishes, such as during a medical emergency, we may share relevant information when permitted by law and when we believe doing so is in your best interest.

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

Marketing and Sale of Health Information

We will obtain your written authorization before using or disclosing your protected health information for marketing purposes when required by HIPAA.

We will not sell your protected health information without the written authorization required by law.

Certain communications related to treatment, appointment reminders, and healthcare services may be permitted without separate marketing authorization.

Psychotherapy Notes

Most uses and disclosures of psychotherapy notes require written authorization, subject to limited legal exceptions.

Nexus Chiropractic, P.C. does not ordinarily create or maintain psychotherapy notes as part of chiropractic treatment.

Fundraising

If we conduct fundraising activities using health information as permitted by law, you may request not to receive further fundraising communications.

Additional notice and choice requirements apply to fundraising communications involving substance-use-disorder records protected under 42 CFR Part 2.

3. How We Use and Disclose Your Health Information

We may use or disclose your protected health information without separate written HIPAA authorization for certain purposes permitted by law.

The three most common purposes are treatment, payment, and healthcare operations.

Treatment

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

For example, your chiropractor may review your medical history, examination findings, diagnostic imaging, or previous treatment records to develop an appropriate treatment plan.

When appropriate and permitted by law, we may share relevant information with other healthcare professionals involved in your care, including physicians, physical therapists, and diagnostic specialists.

Additional consent will be obtained when required by applicable law.

Payment and Insurance Billing

We may use or share your health information to obtain payment for services and process insurance claims.

Depending on your treatment and insurance coverage, this may involve:

• Commercial health insurance plans
• New York no-fault automobile insurance carriers
• Workers' compensation insurers and claim administrators
• Other legally authorized payers and billing representatives

For example, we may submit information regarding your diagnosis, examination findings, treatment, and medical necessity to an insurance carrier when permitted or required for claim processing.

All disclosures remain subject to applicable federal and state privacy requirements.

Healthcare Operations

We may use and disclose health information to operate our practice, improve patient care, and manage administrative activities.

These activities may include:

• Scheduling appointments and communicating with patients
• Maintaining and managing medical records
• Reviewing the quality of care
• Conducting billing reviews and audits
• Training staff
• Evaluating practice performance
• Performing compliance and quality assurance activities

We may also share information with service providers who perform functions on our behalf, subject to applicable privacy safeguards and business associate agreements when required.

4. Other Permitted or Required Disclosures

Federal and state laws permit or require certain additional uses and disclosures of health information.

We will comply with applicable conditions and limitations before making these disclosures.

Public Health and Safety

We may share health information when permitted or required for activities such as:

• Preventing or controlling disease
• Reporting certain public health conditions
• Reporting adverse reactions to medications or medical products
• Responding to medical product recalls
• Reporting suspected abuse, neglect, or domestic violence when authorized or required by law
• Preventing or reducing a serious threat to health or safety

Compliance with Laws and Regulations

We may disclose health information when required by federal, state, or local law, including disclosures to authorized government agencies responsible for healthcare oversight and enforcement.

Health Oversight Activities

We may disclose information to authorized oversight agencies for audits, investigations, inspections, licensing reviews, and other legally permitted activities.

Workers' Compensation Claims

We may disclose information related to work-related injuries or illnesses as authorized or required under applicable workers' compensation laws.

These disclosures may support claim processing, medical necessity determinations, and other authorized activities.

No-Fault Automobile Insurance Claims

We may disclose relevant health information to no-fault insurance carriers or their authorized representatives for claim processing, reimbursement, and medical necessity review when permitted by law.

Certain disclosures may require additional documentation or patient authorization.

Legal Proceedings and Personal Injury Matters

We may disclose protected health information in response to a valid court or administrative order, subpoena, or other lawful legal process, subject to applicable legal safeguards.

When communicating with attorneys or other representatives involved in a personal injury matter, we will obtain your authorization when required or otherwise confirm a lawful basis for disclosure.

A request from an attorney does not automatically authorize release of your entire medical record.

Records subject to heightened confidentiality requirements may require additional consent or legal authority.

Law Enforcement and Government Functions

We may disclose protected health information for law enforcement purposes or certain government functions only when permitted or required by law.

Research

We may use or disclose health information for research when applicable legal requirements are satisfied, including obtaining authorization or an appropriate waiver when required.

Organ Donation and Medical Examiners

We may disclose health information to organ procurement organizations, coroners, medical examiners, or funeral directors when permitted or required by law.

5. Special Protections for Substance Use Disorder Records

Certain substance-use-disorder treatment records receive additional confidentiality protections under federal regulations, including 42 CFR Part 2.

These protections may apply if we receive or maintain records originating from a substance-use-disorder treatment program covered by Part 2.

We will handle these records in accordance with applicable federal confidentiality requirements.

Restrictions on Legal Proceedings

We will not use or disclose Part 2-protected records in civil, criminal, administrative, or legislative investigations or proceedings against you unless you provide the consent required by law or disclosure is authorized through an appropriate court order accompanied by a subpoena or other legal mandate as required by Part 2.

Treatment, Payment, and Healthcare Operations

Where permitted under Part 2, a patient may authorize certain uses and disclosures of Part 2 records for treatment, payment, and healthcare operations.

Further uses and disclosures by HIPAA-covered recipients may be permitted under HIPAA. However, the additional restrictions on using Part 2 records in legal proceedings against a patient continue to apply.

Your Rights Regarding These Records

You may exercise applicable privacy rights concerning Part 2-protected records, including filing a complaint if you believe the records were used or disclosed improperly.

We will comply with additional consent, notice, and confidentiality requirements applicable to these records.

6. Additional Privacy Protections Under New York Law

New York State law provides additional confidentiality protections for certain categories of health information.

Where New York law provides greater privacy protection than HIPAA, we will follow the more protective requirements.

Confidential HIV-Related Information

Information protected under New York Public Health Law Article 27-F is subject to additional confidentiality requirements.

We will not disclose confidential HIV-related information except with legally sufficient consent or as otherwise authorized or required by law.

Mental Health and Other Sensitive Records

Certain mental health records and other sensitive health information may be subject to additional confidentiality restrictions under federal or New York law.

Where these restrictions apply, we will obtain any required authorization or establish another lawful basis before disclosure.

Medical Record Access

New York Public Health Law Section 18 provides additional rights concerning access to medical records.

We will process patient requests to inspect or obtain copies of their records in accordance with both New York law and HIPAA.

7. Our Responsibilities

We are required by law to protect the privacy and security of your protected health information.

Our responsibilities include:

• Maintaining appropriate safeguards to protect patient information
• Following the duties and privacy practices described in this notice
• Providing patients with access to this notice
• Respecting patient privacy rights under applicable laws
• Notifying affected individuals of breaches of unsecured protected health information as required by law
• Limiting uses and disclosures to those permitted or required by law

When a use or disclosure requires your written authorization, we will obtain that authorization before proceeding.

You may revoke your authorization in writing at any time, except to the extent we have already relied on it or another legal exception applies.

8. Changes to This Notice

We reserve the right to revise this Notice of Privacy Practices and make the revised terms applicable to protected health information we already maintain, as permitted by law.

When material changes are made, we will update the notice and make the current version available:

• At both Rockaway Chiropractic office locations
• Upon request from our privacy contact
• On our website

9. Contact Information

If you have questions about this notice, wish to exercise your privacy rights, or have concerns regarding the handling of your health information, please contact:

Dr. Hamed Radpasand
Privacy Contact
Nexus Chiropractic, P.C. d/b/a Rockaway Chiropractic

Brooklyn Office
381 Rockaway Avenue
Brooklyn, NY 11212
Phone: (718) 522-3400

Queens Village Office
97-08 Springfield Boulevard
Queens Village, NY 11429
Phone: (347) 774-2777

Website: rockawaychirony.com

For questions about independently provided medical, physical therapy, orthopedic, or other professional services, please contact the responsible healthcare provider or professional entity regarding its privacy practices.

For information about the collection and use of information through our website, including cookies and online inquiries, please review our Website Privacy Policy.