Effective Date: 12/07/2025
Melvin Ball Chiropractic
4300 Paces Ferry Rd, Suite 500, Atlanta, GA 30339

 

Your Privacy Rights

This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information (PHI).

• We will notify you promptly if a breach occurs that may have compromised your information.

• We must follow the duties and privacy practices described in this notice.

How We May Use and Disclose Information

We may use and share your information:

• For treatment: To provide, coordinate, or manage your healthcare and related services.

• For payment: To bill and collect payment from you, your insurance company, or a third party.

• For healthcare operations: To improve quality of care, train staff, and manage our practice.

• As required by law: To comply with public health reporting, law enforcement, or court orders.

Other Uses and Disclosures

We will not use or share your information for marketing, fundraising, or sale of data without your written authorization. If you authorize such use, you may revoke it at any time in writing.

Your Rights

You have the right to:

• Access: Request a copy of your medical records.

• Amend: Request corrections to your health information.

• Restrict: Ask us not to use or share certain information.

• Confidential Communication: Request that we contact you in a specific way (e.g., phone, email).

• Accounting of Disclosures: Request a list of times we shared your information.

• Receive a Paper Copy: You may request a printed copy of this notice at any time.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

• Melvin Ball Chiropractic Privacy Officer: Dr. Shatillia McFarlin Melvin Ball, DC, MBAHCM

• U.S. Department of Health and Human Services, Office for Civil Rights

You will not be retaliated against for filing a complaint.

Contact Information

For questions or to exercise your rights, contact:
4300 Paces Ferry Rd, Suite 500, Atlanta, GA 30339
770-322-4625
drball@melvinballchiropractic.com