What is the required form for all notices and communications under the Healthsource Chiropractic HIPAA Agreement?
Healthsource_Chiropractic Franchise · 2025 FDDAnswer from 2025 FDD Document
The undersigned, being a HealthSource Chiropractic franchisee, acknowledges and agrees to use the HIPAA forms and other items supplied by HSC as it pertains to marketing to patients, including, without limitation, patient authorization forms, the Electronic Sign-In Procedures, the HSWorx Electronic Opt In methods and HIPAA's Business Associate Agreement between HSC and my franchise. I agree to comply with all requirements and specifications relating to HIPAA. I acknowledge and agree that I must obtain patient authorization or consent before the patient will be subject to marketing by me, HS Worx or any other entity.
I understand that I must sign, date and return this marketing agreement and that I must use the forms identified-above in my franchise immediately.
Source: Item 23 — Receipts (FDD pages 77–282)
What This Means (2025 FDD)
According to the 2025 Healthsource Chiropractic FDD, franchisees must use the HIPAA forms supplied by HSC (Healthsource Chiropractic) as it pertains to marketing to patients. This includes patient authorization forms, Electronic Sign-In Procedures, the HSWorx Electronic Opt-In methods, and HIPAA's Business Associate Agreement between HSC and the franchise.
This means that as a Healthsource Chiropractic franchisee, you are obligated to use the specific forms and procedures provided by the franchisor for all marketing activities that involve patient information. This is to ensure compliance with HIPAA regulations and to protect patient privacy. The franchisee must obtain patient authorization or consent before subjecting the patient to marketing by the franchisee, HS Worx, or any other entity.
The franchisee is required to sign, date, and return the marketing agreement, indicating their responsibility for adhering to these guidelines. Furthermore, the franchisee must immediately implement the identified forms in their franchise operations. This requirement highlights the importance of adhering to Healthsource Chiropractic's standards for handling patient information and marketing practices to maintain legal and ethical compliance.