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    1.How long has Dr. Pierce been a Chiropractor?
    2.What does he do on the first visit?
    3.Will I be able to receive an adjustment on the first visit?
    4.How long will the first visit take?
    5.Where are you located?
    6.What hours are you open?
    7.Do you accept Medicare and Medicaid?
    8.Do you accept credit cards?
    9.When will the Doctor tell me what is wrong?
    10.Where did Dr. Pierce receive his Chiropractic Degree?
    11.Does Dr. Pierce accept referrals?
    12.Do you accept new patients?
    13.I don't have insurance. Will you still see me?
    14.How much is the first visit
    15.Pierce Chiropractic Privacy Policy



    1. How long has Dr. Pierce been a Chiropractor?
    Dr. Pierce has been in Chiropractic for
    over 20 years.



    2. What does he do on the first visit?
    The first visit usually starts with an
    initial consultation with the Doctor.
    During this initial conversation the
    Doctor will be able to assess your health
    concern and determine which tests will be
    needed to accurately identify the
    problem.

    The Doctor will then perform a complete
    Orthopedic/ Neurologic Examination.
    X-Rays of the affected area will be
    performed if needed.


    3. Will I be able to receive an adjustment on the first visit?
    In emergency cases or cases in which
    there is acute pain, a treatment
    may be given on the first visit.


    4. How long will the first visit take?
    The first visit usually takes no longer
    than 30 minutes.
    Please allow approximately 10 minutes to
    complete the initial paperwork prior to
    the scheduled appointment time.


    5. Where are you located?
    We are located at 1732 S. Jackson in
    Jacksonville, Texas.
    Please click on the Map / Directions on
    the home page for detailed direction.


    6. What hours are you open?
    We are open:
    Monday 8:30 to 5:30
    Tuesday 8:30 to 5:30
    Wednesday 8:30 to 5:30
    Thursday Closed
    Friday 8:30 to 4:30
    Saturday 9:00 to 11:00


    7. Do you accept Medicare and Medicaid?
    We accept Medicaid and Medicare. We are
    in network with most major medical
    insurance companies including Blue Cross/
    Blue Sheild, United Healthcare, and Cigna.


    8. Do you accept credit cards?
    We accept Mastercard / Visa.
    We also accept Care Credit.


    9. When will the Doctor tell me what is wrong?
    After the initial visit, the office staff
    will schedule you to return to the office
    for a report of findings.
    During this report the Doctor will review
    his findings and explain all of your test
    results. At this time he will give his
    recommendations for care. There is no
    charge for this report.


    10. Where did Dr. Pierce receive his Chiropractic Degree?
    Dr. Pierce graduated with honors from Palmer
    College of Chiropractic in 1989.


    11. Does Dr. Pierce accept referrals?
    The majority of our practice comes from
    referrals from our satisfied patients.
    Dr. Pierce welcomes the oppurtunity to
    help your friends and family lead pain
    free, healthier lives.


    12. Do you accept new patients?
    We are currently accepting new patients.
    We make every attempt to work in all new
    patients the same day they contact the
    office, if possible.


    13. I don't have insurance. Will you still see me?
    We will never turn anyone away for
    financial reasons. If you are willing to
    work with us...we are willing to work
    with you.

    We offer a wide variety of financial
    options to meet any need.


    14. How much is the first visit
    The cost for the initial visit depends
    upon what needs to be done.
    The Doctor will discuss the cost with you
    before any procedures are performed.


    15. Pierce Chiropractic Privacy Policy
    THIS PRIVACY NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE READ IT CAREFULLY.

    I. We are required by law to protect the privacy of your health information.

    We call this protected health information “PHI,” and it includes individually identifiable health information that relates to your past, present, or future physical or mental health or condition, the provision of health care, or the past, present, or future payment for health care.

    We must provide you with this Joint Notice about our privacy practices and legal duties that explains how, when, and why Pierce Chiropractic and its staff may use or disclose your protected health information.

    At Pierce Chiropractic, we recognize and respect your right to confidentiality, and we maintain numerous safeguards to protect your privacy. We are required by law to abide by the terms of this Notice currently in effect. We reserve the right to change this Notice at any time and to make the revised Notice effective for all PHI we maintain. You can always obtain a copy of our most current Notice by contacting the Privacy Officer.

    II. How We May Use and Disclose Protected Health Information

    The following categories describe different ways that we may use or disclose medical information about you. For each category, we have provided examples:

    Treatment - Means the provision, coordination, or management of your health care, including consultations between doctors, nurses, and other providers regarding your care, and referrals for care from one provider to another.

    Payment - Means the activities we carry out to bill and collect for the treatment and services provided to you. For example, we may provide information to your insurance company about your medical condition to determine your current eligibility and benefits. We may also provide PHI to outside billing companies and others that process health care claims.

    III. Other Uses and Disclosures of Protected Health Information

    In addition to using and disclosing your protected health information for treatment, payment, and health care operations, we may use your information in the following ways:

    Appointment Reminders and Health-Related Benefits or Services. We may use your PHI to contact you for a medical appointment or to provide information about treatment or other health care services that may benefit you.

    Disclosures to Family, Friends, and Others. We may disclose your PHI to family, friends, and others identified by you as involved in your care or the payment of your care.

    To Avoid Harm. As permitted by law and ethical conduct, we may use or disclosed protected health information if we, in good faith, believe the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health and safety of a person or the public, or is necessary for law enforcement to identify or apprehend an individual.

    Marketing Activities. We may contact you as part of our marketing activities, as permitted by law.

    Research Purposes. In certain circumstances, we may use and disclose PHI to conduct medical research. Certain research projects require an authorization which will be made available to you prior to using your PHI.

    Law Suits & Disputes. If you are involved in a law suit or dispute, we may disclose health information about you in response to a court or administrative order. We may also disclose health information in response to a subpoena, discovery request, or other process by others involved in the dispute. We will only disclose information with assurance that efforts were made to inform you about the request or to obtain an order protecting the information requested.

    Required by Law Enforcement. We may release health information about you if asked to do so by law enforcement in response to a court order, subpoena, warrant, summons, or similar process. We also may disclose information to identify or locate a suspect, fugitive, material witness, or missing person. In addition, we may disclose information about a crime victim or about a death we believe may be the result of criminal conduct. In emergency situations, we may disclose PHI to report a crime, to help locate the victims of the crime, or to identify/describe/locate the person who committed the crime.

    Incidental Disclosures. We may make incidental uses and disclosures of your protected health information. Incidental uses and disclosures may result from otherwise permitted uses and disclosures and cannot be reasonably prevented. Having your name called aloud by a staff member in the waiting room is an example of incidental disclosure.

    IV. Special Situations

    Military Personnel. If you are a member of the armed forces, we may release PHI about you, as required by military authorities. We may also release health information about foreign military personnel to appropriate foreign military authorities.
    Worker’s Compensation. We may disclose health information about your work-related illness or injury to comply with worker’s compensation laws.

    Public Health Activities. We routinely disclose information about you for public health activities to: Report child abuse or neglect, elder abuse or neglect, when required under the law.

    Inmates. If you are an inmate of a correctional institution or under the custody of law enforcement, we may release PHI about you to the correctional facility or law enforcement officials. This would be necessary for the institution to provide you with health care; to protect your health and safety of others; or for the safety and security of the correctional institution.

    Other Uses of Your Health Information. Other uses and disclosures of protected health information not covered by this Notice or the laws that apply to us will be made only with your permission in a written authorization. You have the right to revoke the authorization at any time, provided the revocation is in writing - except if we have already taken action in reliance of your authorization.

    V. YOUR RIGHTS

    You have the following rights with respect to your protected health information:

    Right to Request Limits on Uses and Disclosures of your PHI - You have the right to request restrictions to how we use and disclose your PHI. Your request must be in writing and sent to the Privacy Officer. We will review your request but we are not required to agree to your request. If we agree to your request, we will document the restrictions and abide by them, except in emergency situations as necessary. You may not limit the uses and disclosures that we are legally required or allowed to make.

    Right to Request Confidential Communications - You have the right to request to receive confidential communications of protected health information by alternative means or at alternative locations. For example, sending information to your work address rather than to your home address, or asking to be contacted by mail rather than telephone. To request confidential communications, you must specify your instructions in writing on a form provided by request by the Privacy Officer. You must specify where and how you wish to be contacted. We will accommodate reasonable requests.

    Right to Inspect and Obtain Copies of you Protected Health Information - In most cases, you have the right to inspect and obtain copies of protected health information used to make decisions about your care, subject to applicable law. To inspect or copy your medical information, you must make a request in writing to the Director, Health Information Management. If you request copies of your health information, we may charge a fee for copying, postage, and other supplies associated with your request.

    Right to Amend your Protected Health Information - If you believe the protected PHI we have about you is incorrect or incomplete, you may request that we amend the information. To request an amendment, you must make your request in writing to the Director of Health Information Management and specify a reason that supports your request. We may deny your request subject to applicable law.

    The Right to Obtain A List of Disclosures We Have Made - You have the right to request an “accounting of disclosures” of your protected health information. Your request must be made in writing and include a time period no longer than six years (not including dates before April 14, 2003).

    There are several exceptions to the disclosures we must account for. Examples include disclosures for treatment, payment, and health care operations; those made to you; those made as a result of an authorization by you; those made for National security or intelligence purposes, and those that occurred before April 14, 2003.

    Requests for an accounting of disclosures must be made in writing to the Director of Health Information Management. The first accounting you request within a 12- month period is free. For additional accountings, we may charge you for the cost of providing it. We will notify you or the cost before processing your request so that you may withdraw or modify your request before costs are incurred.

    COMPLAINTS
    If you believe your privacy rights have been violated, you may file a complaint with Pierce Chiropractic or the Secretary of the Department of Health and Human Services.

    To file a complaint with Pierce Chiropractic, contact the Privacy Officer at the address below. We will not take action against you for filing a complaint.

    CONTACT PERSON
    If you have any questions or would like additional information about this Notice, please contact the Privacy Officer, at:

    Pierce Chiropractic
    1732 S. Jackson
    Jacksonville, Tx. 75766
    (903) 586-0808

    EFFECTIVE DATE
    This Notice is effective as of April 14, 2003



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