How protected health information about you may be used and disclosed by QiroFit and Ken Ycmat, D.C., and how you can get access to that information. A copy of this Notice is also provided to you at your first visit.
Effective date
June 18, 2026
Last updated
June 18, 2026
Jurisdiction
California, USA
Please review carefully
This Notice describes how medical information about you may be used and disclosed, and how you can get access to this information.
01
About This Notice
QiroFit and Ken Ycmat, D.C. (“we,” “our,” or “us”) are required by law to maintain the privacy of your protected health information (PHI), to give you this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect. PHI is information that identifies you and relates to your past, present, or future health, care, or payment for care.
This Notice applies to the care you receive in the practice. It does not describe how the qirofit.com website handles ordinary website data; for that, see our Privacy Policy. PHI is not collected through this website.
02
How We Use and Disclose Your Health Information
We may use and disclose your health information, without your additional authorization, for the following purposes:
Treatment
We use your health information to provide, coordinate, and manage your chiropractic care, rehabilitation, and related services, and to share it with other providers involved in your care — for example, sharing findings with a physician, physical therapist, or imaging facility to whom you are referred.
Payment
We use and disclose your health information to obtain payment for the services we provide — for example, to bill your insurance plan, verify coverage and benefits, or obtain prior authorization.
Health care operations
We use your health information for the business activities that support quality and operation of the practice — for example, quality review, training, scheduling, and administrative functions.
Appointment reminders and health-related communications
We may contact you to provide appointment reminders or to tell you about treatment alternatives or other health-related benefits and services that may be of interest to you.
03
Other Permitted or Required Disclosures
We may also use or disclose your health information without your authorization when permitted or required by law, including:
When required by federal, state, or local law
For public health activities, such as reporting disease or reactions to medications
To report suspected abuse, neglect, or domestic violence
For health oversight activities authorized by law, such as audits and investigations
In response to a court order, subpoena, or other lawful process
To law enforcement officials as permitted or required by law
To coroners, medical examiners, and funeral directors as permitted by law
For workers’ compensation claims as authorized by law
To avert a serious and imminent threat to health or safety
For specialized government functions, including certain military, veteran, and national security activities
04
Uses and Disclosures That Require Your Authorization
Other uses and disclosures of your health information not described in this Notice will be made only with your written authorization. This includes most uses and disclosures for marketing purposes and any sale of your health information. If you provide an authorization, you may revoke it in writing at any time, except to the extent we have already acted in reliance on it.
Certain categories of information have heightened protection under federal and California law and generally require your specific written authorization before they may be used or disclosed. These include substance use disorder treatment records protected under 42 CFR Part 2 and information related to reproductive health care. We will not use or disclose this information except as permitted or required by law.
05
Your Health Information Rights
You have the right to:
Inspect and obtain a copy of your health information that we maintain, subject to limited exceptions
Request that we amend health information you believe is incorrect or incomplete
Receive an accounting of certain disclosures of your health information
Request restrictions on certain uses and disclosures (we are not always required to agree, but we will if you have paid out of pocket in full for a service and ask us not to disclose it to your health plan)
Request that we communicate with you by alternative means or at an alternative location
Obtain a paper copy of this Notice on request, even if you have agreed to receive it electronically
Be notified following a breach of your unsecured health information
To exercise any of these rights, contact the practice using the information below. Some requests must be made in writing.
06
Our Responsibilities
We are required by law to maintain the privacy and security of your health information
We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information
We must follow the duties and privacy practices described in this Notice and give you a copy of it
We will not use or share your information other than as described here unless you tell us we can in writing
07
Changes to This Notice
We reserve the right to change this Notice and to make the revised Notice effective for health information we already have as well as any information we receive in the future. The current Notice will be posted on this page and available in the practice, with the effective date shown above.
08
Complaints
If you believe your privacy rights have been violated, you may file a complaint with the practice using the contact information below, or with the U.S. Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.
