Signed in as:
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Signed in as:
filler@godaddy.com
Notice of Privacy Practices (HIPAA Privacy Policy)
Effective Date: Insert Date Here
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.
Our Commitment to Your Privacy
Practice Name is committed to protecting your health information. We create a record of the care and services you receive here, and we are required by law to maintain the privacy of your protected health information (PHI), provide you with this notice, and abide by its terms.
How We May Use and Disclose Protected Health Information
• Treatment: Your PHI may be used or disclosed to provide medical treatment or services.
• Payment: Your PHI may be used to obtain payment for treatment and services.
• Healthcare Operations: Your PHI may be used for operations such as quality assessment, training, and administrative purposes.
• As Required by Law: Your PHI may be disclosed when required by federal, state, or local law.
• With Authorization: Other uses and disclosures will be made only with your written authorization, which you may revoke at any time.
Your Rights Regarding Your Protected Health Information
• Right to Inspect and Copy: You can request to review or obtain copies of your medical records.
• Right to Amend: You can request corrections to your medical information.
• Right to an Accounting of Disclosures: You can request a list of disclosures made outside of treatment, payment, and healthcare operations.
• Right to Request Restrictions: You can request restrictions on certain uses or disclosures.
• Right to Request Confidential Communications: You can request that communications be sent in a certain manner or to a certain location.
• Right to a Paper Copy: You may request a paper copy of this notice at any time.
Safeguards and Security
We use physical, administrative, and technical safeguards to protect your information. If there is a data breach affecting your PHI, you will be notified as required by law.
Changes to This Policy
We reserve the right to change this policy at any time. Changes will apply to all PHI we hold and will be posted at our office and on our website.
Questions or Complaints
If you have questions, believe your privacy rights have been violated, or wish to file a complaint, contact our Privacy Officer:
Privacy Officer: Matthew Johnston
Phone: (760)703-5750
Email: mjohston@recover-law.com
You may also file a complaint with the Secretary of Health and Human Services; you will not be penalized for filing a complaint.
SuperNatural beauty & Aesthetics
13350 BIG BASIN WAY SUITE J BOULDER CREEK, CA 95006
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