HIPAA PRIVACYSTATEMENT
Who is covered by this notice: This notice applies to our medical facility and any programs associated with Hermosa Heights Aesthetics & Wellness Management.
Our commitment to your privacy: We understand that your medical information is personal and we are dedicated to safeguarding it. We create and maintain records of the care and services you receive at our facility, which are necessary for quality care and legal compliance. This notice applies to all your records.
We are obligated by law to:
- Maintain the privacy of your Protected Health Information (PHI)
- Provide you with this notice about our legal duties and privacy practices
- Follow the terms of the notice currently in effect
Changes to this notice
We reserve the right to modify this notice. Any changes will apply to existing and future medical information. We will make the current notice available at our facility and on our website: [email protected]. You will also receive a copy of the current notice when you visit our facility for treatment.
Complaints
If you believe that your privacy rights have been violated, you can file a complaint with our facility or directly with the United States Department of Health and Human Services: Office for Civil Rights, located at 200 Independence Avenue, S.W., Washington D.C. 20201. Toll-Free: (877) 696-6775. You can also visit www.hhs.gov/ocr/privacy/hipaa/complaints/ for more information. To file a complaint with our facility, please submit a written complaint within 180 days of the suspected violation to [email protected]. Please include as much detail as possible about the incident.
Use and disclosure of your medical information:
Your rights regarding your medical information:
Right to inspect and copy: You have the right to review and receive a copy of your medical information maintained by our facility. To request access, please submit a written request to [email protected] or to our address provided. We may charge a reasonable fee for copying and associated supplies.
Right to amend: If you believe that your medical information is incorrect or incomplete, you may request an amendment. Your request must be made in writing, explaining the reason, and submitted to [email protected] or our address provided. We may deny your request under certain circumstances.
Right to accounting of disclosures: You have the right to request a list of disclosures we have made of your medical information. Your request should be in writing, specifying the desired time period, and sent to [email protected] or our address provided. Additional accountings may incur a fee.
Right to request confidential communications: You have the right to request confidential communication regarding your medical matters. To make this request, please submit it in writing to [email protected] or our address provided, specifying the desired communication method.
Right to request restrictions: You have the right to request restrictions on the use or disclosure of your medical information for treatment, payment, or healthcare operations. We are not obligated to agree to your request, except in certain circumstances. To request restrictions, please submit your written request to [email protected] or our address provided.
Right to a copy of this notice: You have the right to request a paper copy of this notice at any time. To obtain a copy, please submit your request in writing to [email protected] or our address provided.