Notice of Privacy Practices

Thomsen Chiropractic, LLC
Riley Thomsen, D.C.
715 S E St, Broken Bow, NE 68822
Phone: 308-293-6340 | Email: [email protected]

Effective Date: March 15, 2025

Your Health Information Rights & Our Privacy Responsibilities

This notice explains how your health information may be used, shared, and protected, and how you can access it. Please review it carefully. Thomsen Chiropractic is committed to safeguarding your protected health information (PHI) in accordance with HIPAA and applicable state law.

How We May Use and Share Your Information

We may use or disclose your PHI for the following purposes without additional authorization:

1. Treatment, Payment, and Healthcare Operations

• Treatment: To coordinate or manage your care with other providers.
• Payment: To bill and receive payment from insurance or third-party payers.
• Healthcare Operations: For administrative functions like quality assessment and training.

2. Other Permitted or Required Disclosures

• Business Associates: To companies providing services like billing, under strict agreements.
• Legal Requirements: For law enforcement, court orders, or as required by public health law.
• Emergencies or Communication Barriers: If you are unable to communicate, we may act in your best interest.
• Family or Friends: When directly involved in your care or payment, unless you object.
• Marketing & Fundraising: Only with your written authorization, with opt-out options.
• Breach Notification: We will notify you if a breach of unsecured PHI occurs.
• Research, Military, National Security, Organ Donation, and Workers’ Compensation: As permitted by law.

Your Rights

You have the right to:

• Access and Copy Your Records: Request paper or digital copies.
• Request Restrictions: Limit disclosures, especially if you pay fully out-of-pocket.
• Confidential Communications: Request contact at a different address or phone.
• Amend Your Records: Request corrections to your health information.
• Accounting of Disclosures: Ask for a list of disclosures made in the past 6 years.
• Revoke Authorizations: Cancel previously granted permissions at any time.
• Receive a Paper Copy: Ask for a printed copy of this notice at any time.
• File a Complaint: If you believe your privacy rights have been violated, contact us or the U.S. Department of Health and Human Services.

Our Responsibilities

• We are required by law to maintain the privacy of your PHI.
• We will notify you in the event of a breach of unsecured health information.
• We must follow the terms of this notice and update it when necessary.
• We will not use or share your information without your written authorization, except as described above.

Contact Us

For questions, complaints, or to exercise your rights, contact:

Privacy Officer: Riley Thomsen, D.C.

Phone: 308-293-6340 | Email: [email protected] (include “Privacy Policy” in subject line)

Website Privacy Policy

Website Privacy Policy

At Thomsen Chiropractic, we value your privacy. We collect limited personal information (such as your name, email address, and phone number) only if you voluntarily submit it through forms on this website.

We use this information solely to respond to your inquiries or schedule appointments. We do not sell, rent, or share your information with third parties except as required to provide services or comply with law.

By using this website, you consent to this privacy policy.

If you have questions about our privacy practices, please contact us at 308-293-6340 or [email protected].

Website Terms of Use

Website Terms of Use

By using the website of Thomsen Chiropractic, you agree to the following terms:

• All content provided on this site is for informational purposes only and is not medical advice.
• Visiting this website or contacting us through it does not create a doctor-patient relationship.
• We are not responsible for the content of any external sites linked from this website.

If you do not agree to these terms, please do not use this website.

Website Accessibility Statement

Website Accessibility Statement

Thomsen Chiropractic is committed to ensuring digital accessibility for people with disabilities.

We are continually improving the user experience for everyone and applying relevant accessibility standards.

If you experience any difficulty accessing content on this website, please contact us at 308-293-6340 or [email protected], and we will make every effort to assist you.