Privacy Statement

Section 1- Use of Personal Information: What does Harvest do with your personal information?

The information that you provide when interacting with is collected by Harvest Chiropractic. The information we collect includes your name, address, and email address.

When you enter and use our website, we collect your internet protocol (IP) address automatically so that we can learn about your operating system and browser.

With your permission, we may send you emails about our business, news, updates, and local events Harvest Chiropractic is participating in/associated with. Your consent is provided when you provide us with your email address when interacting with

Section 2- Consent: How does Harvest Chiropractic get my consent?

When you provide Harvest Chiropractic with personal information in order to complete a transaction, verify a credit card for payments, place an order, order a delivery/pick-up, return an order, or fill out forms like New Patient Paperwork you consent, and we imply that you provide consent, to our collecting and using your information for these specific reasons only.

In order for us to use your personal information for a secondary reason like marketing for Harvest Chiropractic, we will either a) ask you directly with a form to sign for your consent, or b) provide you with an opportunity to say no on a form.

If you decide after consenting to our use of your personal information, you can opt-out and withdraw your consent. This can include any and all uses of your personal information such as Harvest Chiropractic contacting you, continued collection, use, or disclosure of your information. You can do this by contacting us by phone, email, by mail, or in person which you can find here.

Section 3- Disclosure: In what scenario do you disclose my personal information?

We may disclose your personal information if we are required by law or by a person of the law to do so or if you violate our Terms of Service that would require lawful intervention.

Section 4- Third Party Services: What personal information, if any, do you provide to third parties?

The third party providers used by Harvest Chiropractic, in general, will only collect, use, and disclose your information to the degree necessary in order that they can perform the services they provide to Harvest Chiropractic.

Because certain third party service providers like payment services and other payment processors have their own privacy policies for information we are required to provide to them for your purchase-related transactions, we recommend that you also read their policies so you can better understand how your personal information will be handled by the providers Harvest Chiropractic utilizes.

Please remember that providers used by Harvest Chiropractic may be located in or have their businesses located in a different state or jurisdiction than either you or Harvest Chiropractic. Know that if you elect to proceed with any transactions or other business interactions that involves a third party service provider to Harvest Chiropractic, your personal information may become subject to the laws of the jurisdiction(s) in which that third party service provider or its facilities are located. An example of this would be if you lived in another country and your transaction is process by a payment gateway located in the United States, then your personal information used in completing that transaction may be subject to disclosure under United States legislation, including the Patriot Act.

Once you have left Harvest Chiropractic's website or are redirected to another third party website or page, you are no longer governed by Harvest Chiropractic's Privacy Policy and/or our Terms of Service.

When you click on a link that is available on our website, you me be directed away from our website. We do not assume responsibility for the privacy policies of other sites and recommend that you read their privacy and terms of service statements.

Section 5- Security: How is my personal information protected?

To make sure that your personal information is protected, Harvest Chiropractic takes reasonable precautions and follow industry best practices so that your information is not inappropriately lost, misused, disclosed, destroyed, or accessed.

If at any time you provide us with credit card or other personal payment/financial information, the information is encrypted utilizing the most current safety measures available. At this time we use secure socket layer technology, also known as SSL, and stored with AES-256 encryption. Although no method across the internet or through electronic storage is 100% secure, we follow all PCI-DSS requirements and implement additional accepted industry standards that fit with our security practices.

Cookies- The following is a list of cookies that we use, so that you can choose if you want to opt-out of cookies if you so choose.

Section 6- Age of Consent:

By utilizing and interacting with, you are confirming that you are at least the age of the majority in your state or province in which you reside, or that you are the age of majority in your state or province of residence and you have given us your consent to allow any of your minor dependents that are a part of your household. Harvest Chiropractic's preference is that you are at least 18 years of age or older, and if someone is under 18 years of age, that they are interacting with our website with someone who is of age or with a legal guardian.

Section 7: Changes to this Privacy Policy

Harvest Chiropractic reserves the right to modify this privacy policy at any time. Because of this, we ask and recommend that you refer back to this privacy policy page frequently to be aware of any changes. Any changes and/or clarifications will take effect immediately upon their posting on Harvest Chiropractic's website. If any changes are made, notification to you will occur on this page when it has been updated so that you can be aware of what, how, and under what circumstances we collect your personal information, and under what circumstance, if any, that we disclose your information.

If for any reason that Harvest Chiropractic's website is merged or acquired with another company, it is possible that your personal information may be transferred to the new owners so that Harvest Chiropractic can continue to serve you.

Section 8: Questions or Concerns

If you have any questions or concerns, want to access, correct, delete, or amend any of your personal information that we have collected about you, register a complain, or want more information contact our Privacy Compliance Officer with our email you can find here, with a subject line: (Re: Privacy Compliance Officer), or by mail.


The information that is contained in is for general information only, and the information is provided there-within is kept up to date and correct to the best of our abilities. However, we make no promises, warranties, or representations of any kind, that is expressed or implied, about the accuracy, completeness, suitability, reliability, or availability with respect to or the information, products, services, or related graphics that are contained on or within for any purpose. Therefore, any reliance you place on such information found in this privacy statement is strictly at your own risk.

In no situation or event will Harvest Chiropractic be liable for any damage or loss, including but not limited to, consequential or indirect loss or damage whatsoever that arises from a loss of profits or data arising as a result of, or in connection with, the use and interaction with

While interacting with, you may be able to link to other websites which are in no form or fashion under the control of We in no way have control over the availability, content, nature, or opinions of those sites that may somehow be linked to Any links included or embedded within our website does not necessarily imply a recommendation and/or endorsement of the views there-within the sites or the opinions within them.

While Harvest Chiropractic makes every effort to keep running smoothly, efficiently, and consistently, we take no responsibility nor will we be responsible for, being unavailable due to technical issues beyond our control for any length of time.

Health Disclaimer

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Hipaa Privacy Policy


Harvest Chiropractic - 110 Grand Avenue, Suite 4, Sun Prairie, WI 53590

Kasi Schroeder, D.C. - (608) 318-3602

Effective Date: 1-1-18


We understand the importance of privacy and are committed to maintaining the confidentiality of your medical information. We make a record of the medical care we provide and may receive such records from others. We use these records to provide or enable other health care providers to provide quality medical care, to obtain payment for services provided to you as allowed by your health plan and to enable us to meet our professional and legal obligations to operate this medical practice properly. We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information. This notice describes how we may use and disclose your medical information. It also describes your rights and our legal obligations with respect to your medical information. If you have any questions about this Notice, please contact our Privacy Officer listed above.


  1. How This Medical Practice May Use or Disclose Your Health Information

  2. When This Medical Practice May Not Use or Disclose Your Health Information

  3. Your Health Information Rights

  4. Right to Request Special Privacy Protections

  5. Right to Request Confidential Communications

  6. Right to Inspect and Copy

  7. Right to Amend or Supplement

  8. Right to an Accounting of Disclosures

  9. Right to a Paper or Electronic Copy of this Notice

  10. Changes to this Notice of Privacy Practices

  11. Complaints

A. How This Medical Practice May Use or Disclose Your Health Information

This medical practice collects health information about you and stores it in a chart and on a computer. This is your medical record. The medical record is the property of this medical practice, but the information in the medical record belongs to you. The law permits us to use or disclose your health information for the following purposes:

  1. Treatment. We use medical information about you to provide your medical care. We disclose medical information to our employees and others who are involved in providing the care you need. For example, we may share your medical information with other physicians or other health care providers who will provide services that we do not provide. Or we may share this information with a pharmacist who needs it to dispense a prescription to you, or a laboratory that performs a test. We may also disclose medical information to members of your family or others who can help you when you are sick or injured, or after you die.

  2. Payment. We use and disclose medical information about you to obtain payment for the services we provide. For example, we give your health plan the information it requires before it will pay us. We may also disclose information to other health care providers to assist them in obtaining payment for services they have provided to you.

  3. Health Care Operations. We may use and disclose medical information about you to operate this medical practice. For example, we may use and disclose this information to review and improve the quality of care we provide, or the competence and qualifications of our professional staff. Or we may use and disclose this information to get your health plan to authorize services or referrals. We may also use and disclose this information as necessary for medical reviews, legal services and audits, including fraud and abuse detection and compliance programs and business planning and management. We may also share your medical information with our "business associates," such as our billing service, that perform administrative services for us. We have a written contract with each of these business associates that contains terms requiring them and their subcontractors to protect the confidentiality and security of your protected health information. We may also share your information with other health care providers, health care clearinghouses or health plans that have a relationship with you, when they request this information to help them with their quality assessment and improvement activities, their patient-safety activities, their population-based efforts to improve health or reduce health care costs, their protocol development, case management or care-coordination activities, their review of competence, qualifications and performance of health care professionals, their training programs, their accreditation, certification or licensing activities, or their health care fraud and abuse detection and compliance efforts. We may also share medical information about you with the other health care providers, health care clearinghouses and health plans that participate with us in "organized health care arrangements" (OHCAs) for any of the OHCAs' health care operations. OHCAs include hospitals, physician organizations, health plans, and other entities which collectively provide health care services. A listing of the OHCAs we participate in is available from the Privacy Official.

  4. Appointment Reminders. We may use and disclose medical information to contact and remind you about appointments. If you are not home, we may leave this information on your answering machine or in a message left with the person answering the phone.

  5. Sign In Sheet. We may use and disclose medical information about you by having you sign in when you arrive at our office. We may also call out your name when we are ready to see you.

  6. Notification and Communication With Family. We may disclose your health information to notify or assist in notifying a family member, your personal representative or another person responsible for your care about your location, your general condition or, unless you had instructed us otherwise, in the event of your death. In the event of a disaster, we may disclose information to a relief organization so that they may coordinate these notification efforts. We may also disclose information to someone who is involved with your care or helps pay for your care. If you are able and available to agree or object, we will give you the opportunity to object prior to making these disclosures, although we may disclose this information in a disaster even over your objection if we believe it is necessary to respond to the emergency circumstances. If you are unable or unavailable to agree or object, our health professionals will use their best judgment in communication with your family and others.

  7. Marketing. Provided we do not receive any payment for making these communications, we may contact you to give you information about products or services related to your treatment, case management or care coordination, or to direct or recommend other treatments, therapies, health care providers or settings of care that may be of interest to you. We may similarly describe products or services provided by this practice and tell you which health plans this practice participates in. We may also encourage you to maintain a healthy lifestyle and get recommended tests, participate in a disease management program, provide you with small gifts, tell you about government sponsored health programs or encourage you to purchase a product or service when we see you, for which we may be paid. Finally, we may receive compensation which covers our cost of reminding you to take and refill your medication, or otherwise communicate about a drug or biologic that is currently prescribed for you. We will not otherwise use or disclose your medical information for marketing purposes or accept any payment for other marketing communications without your prior written authorization. The authorization will disclose whether we receive any compensation for any marketing activity you authorize, and we will stop any future marketing activity to the extent you revoke that authorization.

  8. Sale of Health Information. We will not sell your health information without your prior written authorization. The authorization will disclose that we will receive compensation for your health information if you authorize us to sell it, and we will stop any future sales of your information to the extent that you revoke that authorization.Required by Law. As required by law, we will use and disclose your health information, but we will limit our use or disclosure to the relevant requirements of the law. When the law requires us to report abuse, neglect or domestic violence, or respond to judicial or administrative proceedings, or to law enforcement officials, we will further comply with the requirement set forth below concerning those activities.

  9. Public Health. We may, and are sometimes required by law, to disclose your health information to public health authorities for purposes related to: preventing or controlling disease, injury or disability; reporting child, elder or dependent adult abuse or neglect; reporting domestic violence; reporting to the Food and Drug Administration problems with products and reactions to medications; and reporting disease or infection exposure. When we report suspected elder or dependent adult abuse or domestic violence, we will inform you or your personal representative promptly unless in our best professional judgment, we believe the notification would place you at risk of serious harm or would require informing a personal representative we believe is responsible for the abuse or harm.

  10. Health Oversight Activities. We may, and are sometimes required by law, to disclose your health information to health oversight agencies during the course of audits, investigations, inspections, licensure and other proceedings, subject to the limitations imposed by law.

  11. Judicial and Administrative Proceedings. We may, and are sometimes required by law, to disclose your health information in the course of any administrative or judicial proceeding to the extent expressly authorized by a court or administrative order. We may also disclose information about you in response to a subpoena, discovery request or other lawful process if reasonable efforts have been made to notify you of the request and you have not objected, or if your objections have been resolved by a court or administrative order.

  12. Law Enforcement. We may, and are sometimes required by law, to disclose your health information to a law enforcement official for purposes such as identifying or locating a suspect, fugitive, material witness or missing person, complying with a court order, warrant, grand jury subpoena and other law enforcement purposes.

  13. Coroners. We may, and are often required by law, to disclose your health information to coroners in connection with their investigations of deaths.

  14. Organ or Tissue Donation. We may disclose your health information to organizations involved in procuring, banking or transplanting organs and tissues.

  15. Public Safety. We may, and are sometimes required by law, to disclose your health information to appropriate persons in order to prevent or lessen a serious and imminent threat to the health or safety of a particular person or the general public.

  16. Proof of Immunization. We will disclose proof of immunization to a school that is required to have it before admitting a student where you have agreed to the disclosure on behalf of yourself or your dependent.

  17. Specialized Government Functions. We may disclose your health information for military or national security purposes or to correctional institutions or law enforcement officers that have you in their lawful custody.

  18. Workers’ Compensation. We may disclose your health information as necessary to comply with workers’ compensation laws. For example, to the extent your care is covered by workers' compensation, we will make periodic reports to your employer about your condition. We are also required by law to report cases of occupational injury or occupational illness to the employer or workers' compensation insurer.

  19. Change of Ownership. In the event that this medical practice is sold or merged with another organization, your health information/record will become the property of the new owner, although you will maintain the right to request that copies of your health information be transferred to another physician or medical group.

  20. Breach Notification. In the case of a breach of unsecured protected health information, we will notify you as required by law. If you have provided us with a current e-mail address, we may use e-mail to communicate information related to the breach. In some circumstances our business associate may provide the notification. We may also provide notification by other methods as appropriate.

B. When This Medical Practice May Not Use or Disclose Your Health Information
Except as described in this Notice of Privacy Practices, this medical practice will, consistent with its legal obligations, not use or disclose health information which identifies you without your written authorization. If you do authorize this medical practice to use or disclose your health information for another purpose, you may revoke your authorization in writing at any time.

C. Your Health Information Rights

  1. Right to Request Special Privacy Protections. You have the right to request restrictions on certain uses and disclosures of your health information by a written request specifying what information you want to limit, and what limitations on our use or disclosure of that information you wish to have imposed. If you tell us not to disclose information to your commercial health plan concerning health care items or services for which you paid for in full out-of-pocket, we will abide by your request, unless we must disclose the information for treatment or legal reasons. We reserve the right to accept or reject any other request, and will notify you of our decision.

  2. Right to Request Confidential Communications. You have the right to request that you receive your health information in a specific way or at a specific location. For example, you may ask that we send information to a particular e-mail account or to your work address. We will comply with all reasonable requests submitted in writing which specify how or where you wish to receive these communications.

  3. Right to Inspect and Copy. You have the right to inspect and copy your health information, with limited exceptions. To access your medical information, you must submit a written request detailing what information you want access to, whether you want to inspect it or get a copy of it, and if you want a copy, your preferred form and format. We will provide copies in your requested form and format if it is readily producible, or we will provide you with an alternative format you find acceptable, or if we can’t agree and we maintain the record in an electronic format, your choice of a readable electronic or hardcopy format. We will also send a copy to any other person you designate in writing. We will charge a reasonable fee which covers our costs for labor, supplies, postage, and if requested and agreed to in advance, the cost of preparing an explanation or summary. We may deny your request under limited circumstances. If we deny your request to access your child's records or the records of an incapacitated adult you are representing because we believe allowing access would be reasonably likely to cause substantial harm to the patient, you will have a right to appeal our decision. If we deny your request to access your psychotherapy notes, you will have the right to have them transferred to another mental health professional.

  4. Right to Amend or Supplement. You have a right to request that we amend your health information that you believe is incorrect or incomplete. You must make a request to amend in writing, and include the reasons you believe the information is inaccurate or incomplete. We are not required to change your health information, and will provide you with information about this medical practice's denial and how you can disagree with the denial. We may deny your request if we do not have the information, if we did not create the information (unless the person or entity that created the information is no longer available to make the amendment), if you would not be permitted to inspect or copy the information at issue, or if the information is accurate and complete as is. If we deny your request, you may submit a written statement of your disagreement with that decision, and we may, in turn, prepare a written rebuttal. All information related to any request to amend will be maintained and disclosed in conjunction with any subsequent disclosure of the disputed information.

  5. Right to an Accounting of Disclosures. You have a right to receive an accounting of disclosures of your health information made by this medical practice, except that this medical practice does not have to account for the disclosures provided to you or pursuant to your written authorization, or as described in paragraphs 1 (treatment), 2 (payment), 3 (health care operations), 6 (notification and communication with family) and 18 (specialized government functions) of Section A of this Notice of Privacy Practices or disclosures for purposes of research or public health which exclude direct patient identifiers, or which are incident to a use or disclosure otherwise permitted or authorized by law, or the disclosures to a health oversight agency or law enforcement official to the extent this medical practice has received notice from that agency or official that providing this accounting would be reasonably likely to impede their activities.

  6. Right to a Paper or Electronic Copy of this Notice. You have a right to notice of our legal duties and privacy practices with respect to your health information, including a right to a paper copy of this Notice of Privacy Practices, even if you have previously requested its receipt by e-mail.

If you would like to have a more detailed explanation of these rights or if you would like to exercise one or more of these rights, contact our Privacy Officer listed at the top of this Notice of Privacy Practices.

D. Changes to this Notice of Privacy Practices
We reserve the right to amend this Notice of Privacy Practices at any time in the future. Until such amendment is made, we are required by law to comply with the terms of this Notice currently in effect. After an amendment is made, the revised Notice of Privacy Protections will apply to all protected health information that we maintain, regardless of when it was created or received. We will keep a copy of the current notice posted in our reception area, and a copy will be available at each appointment. We will also post the current notice on our website.

E. Complaints

Complaints about this Notice of Privacy Practices or how this medical practice handles your health information should be directed to our Privacy Officer listed at the top of this Notice of Privacy Practices.
If you are not satisfied with the manner in which this office handles a complaint, you may submit a formal complaint to:

The complaint form may be found at You will not be penalized in any way for filing a complaint.