HIPPA Policy

This notice was published and becomes effective on 9-10-2023.

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.

This Notice of Privacy Practices describes how we may use and disclose your protected health/personal information to carry out treatment, payment, or business operations and for the purposes that are permitted or required by law. It also describes our rights to access and control your protected information. Protected health/personal information is information about you, including demographic information, that may identify you and that relates to your past, present, or future, physical or mental health or condition and related healthcare services.

Use and Disclosures of Protected Health/Personal Information

You’re protected health/personal information may be used and disclosed by our medical Director, our office, staff, and others outside of our office that are involved in your care and treatment for the purpose of providing healthcare services to you to support business operations of this office, if requested by you to a finance company to pay for your care, and any other use required by law.

Treatments:

We will use and disclosure of protected health/personal information to provide, coordinate, or manage your healthcare and any related services. This includes the coordination or management of your healthcare with a third-party. For example, we would disclose your protected health/personal information, as necessary, if, as a result of our services, you require treatment by a physician. You’re protected health/personal information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you.

Payment:

You’re protected health/personal information will be used, if requested, to obtain payment for your services. For example, if you desire to finance the cost of your treatments, this may involve disclosing relevant, protected private information in order to obtain approval.

Healthcare Operations:

We may use or disclose, as needed, you’re protected health/personal information in order to support the business activities of this office. These activities include, but are not limited to, quality assessment, activities, employee, review, activities, licensing, and conducting or arranging for other business activities. In addition, we may use a sign in sheet at the front desk where you will be asked to sign your name. We may also call you by name in the waiting room when we are ready to see you. We may use or disclosure of protected health/personal information, as necessary, to contact you to remind you of your upcoming appointments.

We may use or disclose your protected health/personal information in the following situations without your authorization. These situations include, as required by law; public health issues as required by law, communicable diseases, Health oversight, abuse, or neglect, food and drug administration, requirements, legal proceedings, law-enforcement, corners, funeral directors, and organ donation, research, criminal activity, national security, workers, compensation, inmates, required, uses and disclosures. Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services, to investigate, or determine our compliance with the requirements of Section 164.500.

Other Permitted and Required Uses and Disclosures:

These will be the maid only with your consent, authorization, or opportunity to object, unless required by law.

You may revoke this authorization:

At any time you may revoke this authorization in writing, except to the extent that this office has taken an action in reliance on the use or disclosure indicated in authorization.

Your rights:

Following is a statement of your rights with respect to your protected health/personal information.

• You have the right to inspect and copy your protected health/personal information. Under federal law, however, you may not inspect or copy the following records: information complied, in reasonable anticipation of, or use in, a civil, criminal, or administrative action, or proceeding, and protected health/personal information that is subject to law, that prohibits access to protected health/personal information.
• You have the right to require a restriction of your protected health/personal information. This means you may ask us not to use or disclose any part of your protected health/personal information for the purposes of treatment or healthcare operations. You may also request that any part of your protected health/personal information not to be disclosed to family members or friends, who may be involved in your care, or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested, and to whom you want the restriction to apply. We are not required to agree to a restriction that you may request. If our medical Director believes it is in your best interest to permit use and disclosure of your protected health/personal information, you’re protected health/personal information will not be restricted. You then have the right to use another service provider.
• You have the right to request to receive confidential communications from us by alternative means, or at an alternative location. You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to except this notice alternatively, such as electronically.
• You may have the right to amend your protected health/personal information. If we deny your request for amendment, you have the right to file a statement of disagreement with us, and we may prepare a rebottle to our statement and will provide you with a copy of any such rebottles. You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health/personal information. We reserve the right to change the terms of this notice and will inform you by mail of any changes. You then have the right to object or withdraw as provided in this notice.

Complaints:

You may complain to us, or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our privacy rights have been violated by us. You may file a complaint with us, by notifying our privacy contact of your complaint. We will not retaliate against you for filing a complaint.

We are required by law, to maintain the privacy of, and provide individuals with, this notice of our legal duties and privacy practices with respect to protect health/personal information. If you have any objections to this form, please ask to speak with our HIPAA compliance officer in person, or by phone at our main phone number.

Gentle Beauty Solutions PLLC

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