Patient Rights & Privacy Policy

If you do not have health insurance or choose not to use it for a service, you can ask for a Good Faith Estimate of expected charges before scheduling care.

If you ask before scheduling, the estimate is due within 3 business days. For scheduled services, federal rules generally require it within 1 business day when scheduled 3–9 business days ahead, or within 3 business days when scheduled 10 or more business days ahead. The federal rule does not require an estimate for services scheduled less than 3 business days ahead. If our bill is at least $400 more than our estimate for the same service, you may be able to dispute it.

An estimate is not a bill and may not include services from other providers.

For an estimate or questions, contact the office where you receive care. Please do not include health details in a general email.

Effective October 22, 2026. This notice describes how Khan Chiropractic may use and share your health information and your rights. It applies to our Chicago and Arlington Heights offices.

Your rights

You may ask to inspect or get a copy of your health records, request a correction, request confidential communications, ask us to limit certain uses or disclosures, and request a list of certain disclosures. You may ask for a paper copy of this notice and choose someone legally authorized to act for you. Some requests may be denied as allowed by law. If you pay for a service in full out of pocket, you may ask us not to share information about it with your health plan for payment or health care operations, unless the law requires it.

How we use and share information

We may use and share your health information to treat you, operate our practice, and receive payment for care. We may also use or share it when permitted or required by law, such as for public health, health oversight, workers’ compensation, law enforcement, or legal proceedings.

We will obtain your written permission for uses that require authorization under the HIPAA Privacy Rule. You may revoke an authorization in writing, except where we have already relied on it.

Our responsibilities and complaints

We are required to protect the privacy of your health information, provide this notice, follow the privacy practices described here, and notify you if a breach compromises your information. We may change this notice; the current notice will be available at our offices and on this page.

For records requests, privacy questions, or to file a complaint with Khan Chiropractic, contact either office and ask for the person handling privacy matters:

• 5842 W Irving Park Rd, Chicago, IL 60634 · (773) 283-3636
• 23 N Wilke Rd, Arlington Heights, IL 60005 · (847) 255-3330

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

Khan Chiropractic is committed to providing care without discrimination. If you need language assistance or an accessible way to communicate, contact either office for help and information about available assistance.

HHS provides information about language access and civil rights. For additional information about the clinic’s policies or available translated notices, please contact the office.