We know that going to the chiropractor may not be at the top of your “to do” list. But whether it’s been a week or 5 years since your last visit, we’re just glad you’re here.
We promise to listen to your hopes and concerns about being here and to address the issues that brought you to us in the first place. To provide care without pressure, and advice without obligation. To deliver equal doses of care and honesty, because we’re confident you’ll trust us with your spine when you know we have your best interests at heart.
We will stop at nothing to deliver an experience that is above and beyond what you thought a chiropractic clinic could be.
NuSpine Chiropractic is committed to giving you exceptional service and providing treatment that addresses both your short term and long term needs. We make it easier for you to get the care you need with our affordable pricing for both Members and Non-Members. This means you can feel confident that the price we offer you on our menus will be the price you pay. Your monthly loyalty is rewarded with our discounted Member pricing, however even without regular month to month treatment, our Non-Member pricing is affordable to all who need our care.
- Price Guarantee
Your chiropractor will provide you with a comprehensive treatment plan after assessing your overall health. After reviewing the treatment plan, you will be pointed to our menu to see the estimated cost of the doctor’s recommended treatment. The menu is backed by our affordable price guarantee. This means you can feel confident that the price you see on our menu will be the price you pay.
The Member pricing applies to all new patients for their first month of care regardless of their intentions for future care. Upon the beginning of their care they will pay the Member price for the appropriate care plan. With this purchase they will have 30 days to redeem the respective number of treatments before the remaining will expire. However, we always encourage our patients to utilize their treatments and not let them go to waste. To remain under our Member pricing option, patients must purchase their next month on, or prior to, their expiration date. Recurring payments are possible to make staying a member easier for you. Otherwise, purchases made after their set expiration date will be charged under the Non-Member pricing options.
If you have any questions related to NuSpine’s affordable pricing options, we encourage you to contact your most frequented NuSpine clinic.
- Payment Policy
The following payment policies apply:
- The Member pricing applies to all new patients for their first month of care regardless of their intentions for future care. Upon the beginning of their care they will pay the Member price for the appropriate care plan. With this purchase they will have 30 days to redeem the respective number of treatments before the remaining will expire. However, we always encourage our patients to utilize their treatments and not let them go to waste. To remain under our Member pricing option, patients must purchase their next month on, or prior to, their expiration date. Otherwise, purchases made after their set expiration date will be charged under the Non-Member pricing options.
- Payment must be made in full prior to treatment being administered.
- E-mails and verbal warnings will be provided by your most frequented clinic regarding your upcoming expiration dates in order to make you aware of when payment needs to be made in order to remain under the Member pricing options. Recurring Payment options are also available to avoid missing the date required to keep your Member pricing options
- Online or in store transactions are possible in order to make on time payments more convenient.
- Refund Policy
You may discontinue treatment at any time; provided, however, patients are responsible for the full cost of their treatment plan once a membership is purchased and the first treatment has been received.
Refunds are still redeemable by patients who made a purchase online, or otherwise, yet received NO care after the purchase.
Your refund request will be handled as follows:
- Original Form of Payment. Refunds will be processed to the original form of payment.
- Timing of Refunds. Refunds will be issued to the form of payment within 3 business days after receipt of your refund request. If you paid by credit card, it may take up to 7 business days for the credit card company to post the payment to your account.
- How to Request a Refund.
Contact your office and request a refund
Email your refund request to: firstname.lastname@example.org
Mail a refund request to:
Attn: Refund Processing
5001 O St. Ste. E
Lincoln, NE 68510
- Patient Satisfaction Inquiries
We are committed to providing you with exceptional service and care. If you feel you have an issue that cannot be resolved by your office team, please call the Patient Satisfaction Hotline at 1-402-417-0251 or email us at email@example.com
Notice of Privacy Practices
PURPOSE: THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW CAREFULLY. This notice takes effect on March1, 2007 and remain in effect until we replace it.
1. OUR PLEDGE REGARDING MEDICAL INFORMATION. The privacy of your medical information is important to us. We understand that your medical information is personal and we are committed to protecting it. We create a record of the care and services you receive at our organization. We need this record to provide you with quality care and to comply with certain legal requirements. This notice will tell you about the ways we may use and share medical information about you. We also describe your rights and certain duties we have regarding the use and disclosure of medical information.
2. OUR LEGAL DUTY Law requires us to: a. Keep your medical information private b. Give you this notice describing our legal duties, privacy practices and your rights regarding your medical information. c. Follow the terms of the notice that is now in effect. We have the right to: a. Change our privacy practices at the terms of this notice at any time, provided that the changes are permitted by law. b. Make the changes in our privacy practices and the new terms of our notice effective for all medical information that we keep, including information previously created or received before the change. Notice of Changes to Privacy Practice: Before we make an important change in our privacy practices, we will change this notice and make the new notice available upon request.
3. USE AND DISCLOSURE OF YOUR MEDICAL INFORMATION The following section describes different ways that we use and disclose medical information. For each kind of use or disclosure, we will explain what we mean and give an example. Not every use or disclosure will be listed. However, we have listed all of the different ways we are permitted to use and disclose medical information. We will not use or disclose your medical information for any purpose not listed below, without your specific written authorization. Any specific written authorization you provide may be revoked at any time by writing to us.
FOR TREATMENT: We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, or other people who are taking care of you. Example: You have an appointment to see an orthopedic surgeon regarding your low back pain. The doctor treating you may have some questions for us in order to better understand our view of you condition. When a doctor, hospital or other entity requests your records for treatment purposes, we may share medical information about you to your other health care providers to assist them in treating you.
FOR HEALTH CARE OPERATIONS: We may use and disclose your medical information for our health care operations. This might include measuring and improving quality, evaluating the performance of employees, conducting training programs and getting the accreditation, certificate, licenses and credentials we need to serve you.
ADDITIONAL USES AND DISCLOSURES: In addition to using and disclosing your medical information for treatment, payment and health care operations we may use and disclose medical information for the following purposes. Notification: Medical information to notify or help notify a. A family member. b. Your personal representatives. c. Another person responsible for your care. We will share information about your location and general condition. If you are present, we will get your permission if possible before we share or give you the opportunity to refuse permission. In case of emergency and if you are not able to give or refuse permission, we will share only the health information that is directly necessary for your health care, according to our professional judgment. We will also use our professional judgment to make decisions in your best interest about allowing someone to pick up medicine, medical supplies, x-ray or medical information for you.
Disaster Relief: Medical information with a public or private organization or person who can legally assist in disaster relief efforts.
Research in Limited Circumstances: Medical information for research purposes in limited circumstances where the research has been approved by a review board that has reviewed the research proposal and established protocols to ensure the privacy of medical information.
Funeral Director, Coroner or Medical Examiner: To help the carry out their duties, we may share the medical information of a person who has died with a coroner, medical examiner, funeral director or an organ procurement organization.
Specialized Government Functions: Subject to certain requirements, we may disclose or use health information for military personnel and veterans for national security and intelligence activities, for protective services for the President and others, for medical suitability determinations for the Department of State, for correctional institutions and other law enforcement custodial situation and for government programs providing public benefits.
Court Ordered and Judicial and Administrative Proceedings: We may disclose medical information in response to a court or administrative order, subpoena, discovery request or other lawful process under certain circumstances. Under limited circumstances, such as a court order, warrant or grand jury subpoena, we may share your medical information with law enforcement officials. We may share limited information with law enforcement officials concerning the medical information of a suspect, fugitive, material witness, crime victim or missing person. We may share the medical information of an inmate or other person in lawful custody with a law enforcement official or correctional institution under certain circumstances.
Public Health Activities: As required by law, we may disclose your medical information to public health or legal authorities charged with preventing or controlling disease, injury and disability, including child abuse or neglect. We may also disclose your medical information to persons subject to jurisdiction of the Food and Drug Administration for purposes of reporting adverse events associated with product defects or problems, to enable product recalls, repairs or replacements, to tract products or to conduct activities required by the Food and Drug Administration. We may also, when we are authorized by law to do so, notify a person who may have been exposed to a communicable disease or otherwise by at risk of contracting or spreading a disease or condition.
Victims of Abuse, Neglect, or Domestic Violence: We may disclose medical information to appropriate authorities if we reasonably believe that you’re a possible victim of abuse, neglect or domestic violence or the possible victim of other crimes. We may share your medical information, if it is necessary, to prevent a serious threat to your health or safety or the health or safety of others. We may share medical information, when necessary, to help law enforcement official capture a person who has admitted to being a part of a crime or has escaped from legal custody.
Workers Compensation: We may disclose health information when authorized and necessary to comply with laws relating to workers compensation or other similar programs.
Health Oversight Activities: We may disclose medical information to an agency providing health oversight for oversight activities authorized by law. Including audits, civil, administrative or criminal investigations or proceedings, inspections, licensure or disciplinary actions or other authorized activities.
Law Enforcement: Under certain circumstances, we may disclose health information to law enforcement officials. These circumstances include reporting required by certain laws( such as the reporting of certain types of wounds), pursuant to certain subpoenas or court orders, reporting limited information concerning identification and location at the request of a law enforcement official, reports regarding suspected victims of crimes at the request of a law enforcement official, reporting death, crimes on our premises and crimes in emergencies. Uses and/or disclosures, other than those described above, will be made only with your written authorization.
4. YOUR INDIVIDUAL RIGHTS You Have a Right to: a. Look at or get copies of your medical information. You may request that we provide copies in a format other than photocopies. We will use the format you request unless it is not practical for us to do so. You must make your request in writing. You may get the form to request access by sending a letter to the contact person listed at the end of this notice. If you request copies; we will charge you a 24 dollar service fee and the 25 cents for each addition page thereafter. Contact us using the information listed at the end of this notice for full explanation of our fee structure. b. Receive a list of all the times we or our business associate shared your medical information for purposes other than treatment, payment and health care operations and other specified exceptions. c. Request that we place additional restrictions on our use or disclosure of your medical information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in the case of an emergency). d. Request that we communicate with you about your medical information by different means or to different locations. Your request that we communicate your medical information to you by different meant or at different locations must be made in writing to the contact person listed at the end of this notice. e. Request that we change your medical information. Your request must be in writing and include the date you are requesting the change to be made to the information you would like changed and the reason for the change. We may deny your request if we did not create the information you want changed, if the information is accurate and complete, if the information would not be available for inspection or if the information is not part of the designated record set. If we deny your request, we will provide you a written explanation. You may respond with a statement of disagreement that will be added to the information you wanted changed. If we accept your request to change the information, we will make reasonable efforts to tell others, including people you name, of the change and to include the changes in any future sharing of that information. f. If you have received this notice electronically and wish to receive a paper copy, you have the right to obtain a paper copy by making a request in writing to the contact person listed at the end of this notice.
Chief Operations Officer
NuSpine Franchise Systems, Inc.
5001 O St. Lincoln, NE 68510