PRIVACY STATEMENT

​​We care deeply about the integrity of your private and Protected Health Information and are happy to clarify or discuss our policies regarding such information with you. This notice describes how medical information about you may be used and disclosed
and how you can get access to this information. Please review this. You are welcome to a printed copy upon request.

Uses and Disclosure
We use health care information about you for treatment, for administrative purposes, and to evaluate the quality of care you receive. Continuity of care is part of treatment, and your records may be shared between providers. We may use or disclose identifiable health information about you without your permission in a limited number of situations. Beyond those, however, we will ask for your written permission before using or disclosing any identifiable health information about you.

Your Rights
In most cases, you have the right to see and/or obtain a copy of health information about you. If you request copies, we will charge a nominal processing fee. You also have the right to receive a list of certain types of disclosures of your information that we have made. If you believe the information in your record is inaccurate, you have the right to request that we correct the existing information.

Our Legal Duty
We are required by law to protect the privacy of your information, provide this notice about our information practices, follow the information practices described in this notice, and seek your acknowledgement of receipt of this notice. Before we make a significant change in our policies, we will change our notice and post the new notice in our waiting area. You can also request a copy of this notice at any time. For more information about our privacy practices, contact the persons listed below.
Complaints: If you are concerned that we have violated your privacy rights, or you disagree with a decision we made about access to your records, you may contact the owners of this practice listed below. We can also provide you with an address to send

a written complaint to the US Department of Health and Human Services. If you have questions or complaints, please contact: eternalaestheticslaser@gmail.com

Uses and Disclosures of Protected Health Information
Following are examples of the types of uses and disclosures of your protected health information that we are permitted to make. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures. 

● Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your treatment with us. For example, we may provide your information to a physician for a referral to ensure the physician has
enough information to treat you or make a diagnosis.
● HealthCare Operations: We may use or disclose, as needed, your information in order to support our business activities. For example, we may show your image to our laser company to demonstrate the effectiveness of treatment or to question results of treatment and gain additional education to improve our services.
● Business Associates: We may share your information with a business associate that performs activities for us (floral delivery, record archiving). We will obtain a written contract with the associate to protect your information. 

● Marketing: We may use your information to provide you information about our services, products, and upcoming events. You may contact us to request we remove you from our mailing list.

Written Authorization
Other uses and disclosures of your Protected Health Information will be made only with your written authorization, unless otherwise permitted, or required by law as described below. You may revoke your authorization, at any time, in writing. Note: Exceptional disclosures of personal information are recorded in a table called Disclosures. Requests for access, amendment, or accounting of disclosures are recorded in a table called Requests. Business Associate contracts are recorded in a separate table designated Business Associates. Privacy Training will be recorded in a separate table designated Staff HIPAA Training.

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Opportunity to Object
We may use and disclose your protected health information in the instances described below. You retain the opportunity to object to our disclosure in these circumstances. If you are not present or able to object, then we may, using professional judgment,
determine whether a disclosure is in your best interest. 

● Emergency: In an emergency, we will provide a family member, relative, or close friend, your information using professional judgment that you would agree with.
● Communication Barrier: We may use your information if we have attempted to get acknowledgement from you but have been unable to do so because of significant communication barriers and we determine, using professional judgment, that you would agree.

Without Opportunity to Object
We may use or disclose your information in the following situations without your authorization or opportunity to object.
Public health: Disclosure to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections.
Abuse or Neglect: Disclosure to an appropriate authority to report child abuse or neglect or domestic violence.
Food and Drug Administration: Disclosure as required by law to track products.
Legal Proceedings: Disclosure in the course of legal proceedings.
Law Enforcement: Disclosure for law enforcement purposes to prevent or prosecute a crime.
Compliance: Disclosure to the Department of Health and Human Services to investigate our compliance. In general, we may use or disclose your protected health information as required by law and limited to the relevant requirements of the law.

You have the right to:
● Inspect and copy your protected health information. However, we may refuse to provide access to certain information for a civil or criminal proceeding.
● Request a restriction of your protected health information. You may ask us not to use or disclose certain parts of your information. You may also request that information not be shared with family members or friends who may be involved in your care. Your written request must state specific restrictions and to whom you want the restriction to apply. We are not required to agree to a restriction, but if we do agree, then we must act accordingly. 
● Request to receive confidential communication from us by alternative means or alternative location. We will accommodate reasonable requests.
● Ask us to amend our information. You may request an amendment of your information. If we deny your request for amendment, you have the right to file a statement of disagreement with us.
● Receive an accounting of certain disclosures we may have made. This right applies to disclosures for purposes other than treatment or healthcare operations. It excludes disclosures we may have made to family members or friends involved in your care or for notification purposes. You have the right to receive specific information regarding these disclosures. The right to receive
this information is subject to certain exceptions, restrictions and limitations.
● Obtain a paper copy of this notice from us. Upon request.

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Use of Cookies

The Web site uses “cookies” to help this Practice personalize your online experience. A cookie is a text file that is placed on your hard disk by a Web page server. Cookies cannot be used to run programs or deliver viruses to your computer. Cookies are uniquely assigned to you, and can only be read by a web server in the domain that issued the cookie to you.

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Contact Information

Please contact us by phone at 209.380.2214 or by email at eternalaestheticslaser@gmail.com

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