Effective Date:
Location: Rome, Georgia – Serving the Greater Atlanta Area
901 North Broad St NE Suite 300 Rome, GA 30161

At Rome Spine & Wellness your privacy is important to us. This Notice of Privacy Practices describes how we may use and disclose your Protected Health Information (PHI), your rights regarding that information, and our obligations under the Health Insurance Portability and Accountability Act (HIPAA) and applicable Georgia state laws.

Our Commitment to Your Privacy

We are committed to protecting your personal and medical information. We create a record of the care and services you receive at our facility to provide you with quality care and to comply with legal requirements.

How We May Use and Disclose Your Health Information

We may use and disclose your PHI for purposes including, but not limited to:

1. Treatment – To provide, coordinate, or manage your healthcare services. For example, we may share information with other healthcare providers involved in your care.
2. Payment – To obtain payment for the services we provide, including billing your insurance.
3. Healthcare Operations – For administrative, quality assessment, and improvement purposes.

Other uses and disclosures may include:

• Appointment reminders
• Treatment alternatives or health-related benefits and services
• Public health reporting (as required by law)
• Law enforcement requests and legal proceedings
• Worker’s compensation claims

Your Rights Regarding Your Health Information

You have the right to:

• Access your records – Inspect and obtain a copy of your PHI.
• Request amendments – If you believe your information is incorrect or incomplete.
• Request restrictions – Limit certain uses or disclosures of your PHI.
• Request confidential communications – Choose how and where we contact you regarding health matters.
• Receive an accounting of disclosures – A list of certain disclosures we have made of your PHI.
• Obtain a paper copy of this notice – Available upon request at any time.

Our Duties

We are legally required to:

• Maintain the privacy of your PHI.
• Provide you with this Notice of Privacy Practices.
• Abide by the terms of this notice currently in effect.
• Notify you in the event of a breach involving your unsecured PHI.

Changes to This Notice

We reserve the right to change the terms of this notice at any time. Any revised notice will apply to all PHI that we maintain. The updated notice will be posted in our office and on our website.

Questions or Complaints

If you have questions about this notice or believe your privacy rights have been violated, you may contact:

Rome Spine & Wellness
📍 901 North Broad St NE Suite 300 Rome, GA 30161
📞 (706) 842 7215
📧 admin@romespineandwellness.com

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.