Privacy Policy - Back 2 U

Notice of Privacy Practices

Effective Date: September 12, 2026

Practice Legal Name: Back 2 U Mobile Chiropractic

Practice Address: 13956 US Highway 87 S, Adkins, Texas 78101

Privacy Officer: Dr. Lisa Monsivais DC

Phone: 210-471-9661

Email: drlisamonsivais@gmail.com

Your Health Information. Your Rights. Our Responsibilities.

This Notice describes how health information about you may be used and disclosed and how you may obtain access to that information. Please review it carefully.

Back 2 U is committed to protecting the privacy and security of your health information. We are required by applicable law to maintain the privacy of protected health information, provide you with this Notice, follow the terms of the Notice currently in effect, and notify you as required if a breach compromises the privacy or security of your unsecured protected health information.

For purposes of this Notice, “health information” includes information that identifies you and relates to your past, present, or future physical or mental health, condition, health-care services, or payment for health-care services.

Your Rights

Get a Copy of Your Medical Record

You may ask to inspect or receive a paper or electronic copy of your medical record and other health information we maintain about you.

Submit your request in writing to our Privacy Officer. We will respond within the time required by law. We may charge a reasonable, cost-based fee where permitted by law.

Ask Us to Correct Your Medical Record

If you believe health information we maintain about you is incorrect or incomplete, you may ask us to amend it.

Your request must be in writing and should explain the reason for the requested change. We may deny the request in certain circumstances, but we will provide a written response as required by law.

Request Confidential Communications

You may ask us to contact you in a particular way or at a particular location, such as by phone only, at a specific mailing address, or through a patient portal. We will accommodate reasonable requests.

Ask Us to Limit Certain Uses or Disclosures

You may ask us not to use or disclose certain information for treatment, payment, or health-care operations. We are not required to agree to every request. If we agree, we will comply unless the information is needed for emergency treatment or another law permits or requires disclosure.

If you pay for a health-care item or service in full out of pocket, you may request that we not disclose information about that service to your health plan for payment or health-care operations. We will honor that request unless disclosure is required by law.

Receive an Accounting of Certain Disclosures

You may request a list of certain disclosures of your health information made during the six years before your request, subject to legal exceptions. The first accounting in a 12-month period is provided without charge. We may charge a reasonable, cost-based fee for additional requests.

Get a Copy of This Notice

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

Choose Someone to Act for You

If you have given someone legal authority to act for you, such as a legal guardian or an individual with valid medical power of attorney, that person may exercise your privacy rights. We will verify the person’s authority before acting on a request.

File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with Back 2 U by contacting the Privacy Officer listed above.

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.

Your Choices

For certain health information, you may tell us your preferences about whether we share information with family members, close friends, or others involved in your care or payment for your care.

If you are unable to tell us your preference, such as in an emergency, we may share information when we reasonably believe it is in your best interest or when necessary to reduce a serious and imminent threat to health or safety, as permitted by law.

Except as otherwise permitted or required by law, we will obtain your written authorization before using or disclosing your health information for:

• Marketing purposes;
• The sale of your health information;
• Uses or disclosures not otherwise described in this Notice; and
• Any other circumstance where written authorization is required.

You may revoke an authorization in writing at any time. Revocation will not affect actions already taken in reliance on the authorization.

How We May Use and Disclose Your Health Information

We may use or disclose your health information for the following purposes:

Treatment

We may use or disclose your health information to provide, coordinate, or manage your chiropractic care and related health-care services.

For example, we may discuss your condition or treatment plan with another health-care professional involved in your care, or make a referral when appropriate.

Payment

We may use or disclose health information to bill for services and obtain payment from you, your health plan, a responsible party, or another payer.

For example, we may send information about services provided, diagnoses, and treatment to your insurer so that your claim can be processed.

Health-Care Operations

We may use or disclose health information to operate and improve our practice, evaluate care quality, conduct training, manage business operations, and contact you when necessary.

For example, we may use information to assess the quality of care provided by the practice or to verify appointment information.

Appointment Reminders and Health-Related Services

We may contact you for appointment reminders, follow-up communications, billing matters, and information about treatment alternatives or health-related services that may be relevant to your care, as permitted by law.

You may request a preferred method of communication by contacting our Privacy Officer.

Persons Involved in Your Care or Payment

Unless you object, we may share relevant information with a family member, friend, personal representative, or another person you identify as involved in your care or payment for care, when permitted by law.

As Required by Law

We may use or disclose health information when federal, state, or local law requires us to do so.

Public Health and Safety

We may disclose health information for public-health and safety purposes as permitted or required by law, including reporting suspected abuse, neglect, or domestic violence; preventing or reducing a serious threat to health or safety; and reporting adverse events where required.

Health Oversight, Legal Proceedings, and Government Requests

We may disclose health information to health oversight agencies, in response to lawful court or administrative orders, for certain law-enforcement purposes, for workers’ compensation matters, and for other governmental functions when permitted or required by law.

Coroners, Medical Examiners, and Funeral Directors

We may disclose health information to a coroner, medical examiner, or funeral director when permitted by law.

Texas Chiropractic Record Confidentiality

Chiropractic communications and records are confidential under Texas law. Back 2 U will not release your chiropractic records without your written authorization unless a specific state or federal law permits or requires the release.

When written authorization is required, it must be completed and signed by you or your legally authorized representative. We may release only the information reasonably necessary for the authorized purpose, subject to applicable law.

Our Responsibilities

Back 2 U will:

• Maintain the privacy and security of your protected health information;
• Follow the privacy practices described in this Notice;
• Provide you with this Notice and make it available upon request;
• Use reasonable safeguards to protect your information;
• Use or disclose only the minimum necessary information when that standard applies;
• Require appropriate privacy protections from vendors or service providers that handle protected health information on our behalf; and
• Notify you as required by law if a breach affects your unsecured protected health information.

Website, Online Forms, and Electronic Communications

If you use our website, online forms, patient portal, email, text messaging, or other electronic communications, we may collect information you submit to schedule appointments, request information, make payments, access services, or communicate with us.

Do not send urgent medical concerns or sensitive health information by ordinary email or text message unless we have specifically provided a secure method for doing so. Electronic communications may carry privacy and security risks.

Our website may use essential technical tools, such as cookies or similar technologies, to operate properly and understand website usage. We do not sell protected health information.

If we use third-party services that have access to protected health information on our behalf, we will use appropriate agreements and safeguards as required by law.

Changes to This Notice

We may change the terms of this Notice. Any revised Notice will apply to all health information we maintain. The updated Notice will be available at our office, upon request, and on our website, if we maintain one.

Questions or Complaints

For questions, requests, or complaints about this Notice or our privacy practices, contact: