Cancellation Policy
To provide the highest quality care and maintain appointment availability for all patients, we require at least 24 hours' notice for any appointment cancellation or rescheduling. Appointments canceled or rescheduled with less than 24 hours' notice will be subject to a charge equal to 25% of the appointment cost.
Patients who do not arrive for a scheduled appointment and do not provide notice ("no-show") will be charged 50% of the appointment cost. Cancellation and no-show fees are the patient's responsibility and are not billable to insurance.
Late Arrivals
Patients arriving more than 15 minutes late may be asked to reschedule their appointment. In such cases, a late cancellation fee may apply.
Emergencies
We understand that unforeseen emergencies occur. Fees may be waived at the sole discretion of the practice in cases of illness, family emergency, severe weather, or other extenuating circumstances.
Credit Card on File
A valid credit card must be kept securely on file to reserve appointments. By scheduling an appointment, you authorize the practice to charge applicable cancellation or no-show fees in accordance with this policy. Credit card information is provided with the initial intake paperwork.
Additional Time Charges
Our practice charges based on the time and complexity of care provided rather than on procedures performed. Appointment fees are based on the scheduled visit length. If additional provider time is required beyond the allotted appointment time, additional charges may apply at a rate of $250 per hour, billed in increments proportional to the additional time spent. Any such charges will be reflected on your account and are the patient's responsibility.
Payment Due at Time of Service
As a cash-pay practice, payment is due in full at the time services are rendered unless other arrangements have been made in advance. We accept major credit cards, debit cards, HSA/FSA cards, and other payment methods as offered by the practice. Patients are responsible for all fees associated with their care, including any applicable charges for additional provider time, administrative services, or missed appointments.
Outstanding Balances
Any outstanding balance must be paid promptly upon receipt of an invoice or billing statement. The practice reserves the right to decline scheduling future appointments, withhold non-urgent administrative services, or require prepayment for future services until outstanding balances have been satisfied. Patients remain responsible for all unpaid charges incurred for services provided.
The information provided on this website is intended solely for educational and informational purposes and should not be construed as medical advice, diagnosis, or treatment. Information presented on this website is not a substitute for professional medical evaluation or care.
Accessing or using this website, submitting a contact form, sending an email, or communicating with the practice through this website does not establish a physician-patient relationship. A physician-patient relationship is formed only after the practice has accepted an individual as a patient and all applicable intake and consent requirements have been completed.
While we strive to provide accurate and current information, we make no guarantees regarding the completeness, accuracy, or timeliness of any content on this website. Reliance on any information provided by this website is solely at the user's own risk.
If you are experiencing a medical emergency, call 911 or seek immediate emergency medical attention.
Effective Date: 07/07/2026
Your privacy is important to us. This Privacy Policy describes how our practice collects, uses, discloses, and safeguards information obtained through our website and in the course of providing healthcare services. By using our website, you agree to the practices described in this policy.
Information We Collect
We may collect personal information that you voluntarily provide, including:
- Name
- Email address
- Telephone number
- Mailing address
- Information submitted through contact forms
- Appointment requests
- Information you provide when communicating with our practice
We may also automatically collect certain technical information when you visit our website, including:
- IP address
- Browser type and version
- Device type
- Operating system
- Pages visited
- Date and time of website access
- Referring websites
- Usage and navigation data
How We Use Your Information
We may use information collected through our website or practice operations to:
- Respond to inquiries and requests
- Schedule appointments
- Communicate with you regarding services
- Improve our website and patient experience
- Analyze website performance and usage
- Maintain business records
- Comply with legal and regulatory obligations
- Protect the security and integrity of our systems
Cookies and Tracking Technologies
Our website uses cookies and similar technologies to improve website functionality and analyze website performance. Cookies are small files placed on your device that help websites recognize returning visitors, remember preferences, and improve user experience. You may disable cookies through your browser settings; however, some portions of the website may not function properly if cookies are disabled.
Website Analytics
To better understand how visitors interact with our website, we utilize third-party analytics services.
Google Analytics
Google Analytics collects information regarding website traffic and visitor behavior, including page views, visit duration, browser type, device information, and general geographic information. This information is used to improve website performance and user experience. Google may process collected information in accordance with its own privacy practices.
Microsoft Clarity
We use Microsoft Clarity to better understand how visitors interact with our website. Clarity may collect information relating to user interactions including clicks, scrolling activity, navigation behavior, session recordings, device information, and usage patterns. This information is used solely to improve website functionality, performance, and user experience.By using this website, you consent to the collection and processing of usage information through these analytics services.
Protected Health Information (PHI)
If you become a patient of the practice, certain information you provide may constitute Protected Health Information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA). The collection, use, storage, and disclosure of PHI are governed by our Notice of Privacy Practices and applicable federal and state laws. Nothing in this Privacy Policy limits your rights under HIPAA.
Website Communications
Communications submitted through website forms, email, or text messaging may not always be fully secure methods of communication.Patients should avoid transmitting highly sensitive medical information through standard website forms unless specifically instructed to do so. If you have urgent medical concerns, please contact emergency services or seek immediate medical attention.Submission of information through this website does not establish a physician-patient relationship.
How We Share Information
We do not sell, rent, or trade personal information. We may disclose information:
- To service providers who assist in operating our business or website
- To technology vendors that support our systems
- To comply with legal obligations, court orders, or government requests
- To protect the rights, safety, and security of our patients, staff, or practice
- As otherwise permitted or required by law
- Any disclosure of Protected Health Information is conducted in accordance with HIPAA and applicable state laws.
Data Security
We maintain reasonable administrative, technical, and physical safeguards designed to protect personal information from unauthorized access, use, alteration, or disclosure. While we strive to protect your information, no method of data transmission over the internet or electronic storage system can be guaranteed to be completely secure.
Third-Party Websites
Our website may contain links to third-party websites for your convenience. We are not responsible for the privacy practices, content, or security of any third-party website. Users should review the privacy policies of those websites independently.
Changes to This Privacy Policy
We reserve the right to modify this Privacy Policy at any time. Any updates will be posted on this page with a revised effective date. Continued use of the website following any changes constitutes acceptance of the revised policy.
Your Information. Your Rights. Our Responsibilities.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Your Rights
You have the right to:
- Get a copy of your paper or electronic medical record
- Correct your paper or electronic medical record
- Request confidential communication
- Ask us to limit the information we share
- Get a list of those with whom we’ve shared your information
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint if you believe your privacy rights have been violated
Your Choices
You have some choices in the way that we use and share information as we:
- Tell family and friends about your condition
- Provide disaster relief
Our Uses and Disclosures
We may use and share your information as we:
- Treat you
- Run our organization
- Bill for your services
- Help with public health and safety issues
- Do research
- Comply with the law
- Respond to organ and tissue donation requests
- Work with a medical examiner or funeral director
- Address workers’ compensation, law enforcement, and other government requests
- Respond to lawsuits and legal actions
To the extent that we have your substance use disorder patient records, subject to 42 CFR part 2, we will not share that information for investigations or legal proceedings against you without (1) your written consent or (2) a court order and a subpoena.
Your Rights
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your medical record
- You can ask to see or get an electronic or paper copy of your medical record and other health information - we have about you. Ask us how to do this.
- We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your medical record
- You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
- We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential communications
- You can ask us to contact you in a specific way (for example, home, office, or cell phone) or to send mail to a different address.
- We will say “yes” to all reasonable requests.
Ask us to limit what we use or share
- You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no,” for example, if it could affect your care. If we agree to your request, we may still share this information in the event that you need emergency treatment.
- If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
Get a list of those with whom we’ve shared information
- You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
- We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice
- You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone to act for you
- If someone has authority to act as your personal representative, such as if someone has your medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
- We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
- You can complain if you feel we have violated your rights by contacting us using the information at the end of this notice.
- You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting https://www.hhs.gov/hipaa/filing-a-complaint/index.html.
- We will not retaliate against you for filing a complaint.
Your Choices
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
- Share information with your family, close friends, or others involved in your care or payment for your care
- Share information in a disaster relief situation
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
We do not sell your personal or protected health information. We will not use or disclose your protected health information for marketing purposes that require authorization unless you give us written permission.
Our Uses and Disclosures
How do we typically use or share your health information?
We typically use or share your health information in the following ways:
- Treat you
We can use your health information and share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health condition.
- Run our organization
We can use and share your health information to run our practice, improve your care, and contact you when necessary. We may contact you by phone, text message, email, or through a patient portal according to your communication preferences and as permitted by law.
Example: We use health information about you to manage your treatment and services.
- Bill for your services
We are generally a cash-pay practice. We may use and share your health information as needed to process payment and, when applicable, to bill Medicare for covered chiropractic services.
Example: When Medicare billing applies to a covered chiropractic service, we may provide the information needed to submit and process the claim.
How else can we use or share your health information?
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.
In all cases, including those listed below, if we have substance use disorder patient records about you, subject to 42 CFR part 2, we cannot use or share information in those records in civil, criminal, administrative, or legislative investigations or proceedings against you without (1) your consent or (2) a court order and a subpoena.
Help with public health and safety issues
We can share health information about you for certain situations such as:
- Preventing disease
- Helping with product recalls
- Reporting adverse reactions to medications
- Reporting suspected abuse, neglect, or domestic violence
- Preventing or reducing a serious threat to anyone’s health or safety
Do research
We can use or share your information for health research.
Comply with the law
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
When Idaho or other applicable law provides greater privacy protection than HIPAA, we will follow the more protective law.
Respond to organ and tissue donation requests
We can share health information about you with organ procurement organizations.
Work with a medical examiner or funeral director
We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
Address workers’ compensation, law enforcement, and other government requests
We can use or share health information about you:
- For workers’ compensation claims
- For law enforcement purposes or with a law enforcement official
- With health oversight agencies for activities authorized by law
- For special government functions such as military, national security, and presidential protective services
Respond to lawsuits and legal actions
We can share health information about you in response to a court or administrative order, or in response to a subpoena.
Our Responsibilities
- We are required by law to maintain the privacy and security of your protected 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 in this notice unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The current notice will be available upon request, in our office, and on our website at www.naturallyefficient.com.
Our policies are designed to help us provide high-quality, personalized care while respecting the time and needs of all patients. They are not intended to take advantage of patients, but rather to create clear expectations and ensure that we can continue to offer attentive, professional medical services to everyone we serve.
We understand that every situation is unique. If you have any questions about these policies or how they may apply to your specific circumstances, please contact our office. We are always happy to discuss our policies, provide clarification, and work with patients whenever possible. Your understanding and cooperation are greatly appreciated and help us provide the best possible care.
