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HIPAA Notice of Privacy Practices

Effective Date: March 1, 2024

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

Maison Vera Aesthetics is committed to protecting your health information. We are required by law to maintain the privacy of your protected health information (PHI) and to provide you with notice of our legal duties and privacy practices with respect to your PHI.

Uses and Disclosures of Your Health Information

We may use and disclose your health information for the following purposes:

  • Treatment: We may use your health information to provide you with medical treatment and services. We may also disclose your health information to other healthcare providers involved in your care.
  • Payment: We may use and disclose your health information to obtain payment for services we provide to you.
  • Healthcare Operations: We may use and disclose your health information for our healthcare operations, including quality improvement activities and staff training.
  • As Required by Law: We may use or disclose your health information when required to do so by federal, state, or local law.

Your Rights

You have the following rights regarding your health information:

  • Right to Access: You have the right to inspect and obtain a copy of your health information.
  • Right to Amend: You have the right to request that we amend your health information if you believe it is incorrect or incomplete.
  • Right to Accounting: You have the right to request an accounting of certain disclosures of your health information.
  • Right to Restrictions: You have the right to request restrictions on certain uses and disclosures of your health information.
  • Right to Confidential Communications: You have the right to request that we communicate with you about your health information in a specific way or at a specific location.
  • Right to Paper Copy: You have the right to obtain a paper copy of this notice upon request.

Our Responsibilities

  • We are required by law to maintain the privacy of your health information
  • We must provide you with this notice of our legal duties and privacy practices
  • We must follow the terms of this notice
  • We will notify you if a breach occurs that compromises your health information

Changes to This Notice

We reserve the right to change this notice at any time. Any changes will apply to health information we already have about you, as well as any information we receive in the future. We will post a copy of the current notice at our practice and on our website.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.

Contact Information

For questions about this notice or to exercise your rights, please contact our Privacy Officer:

Maison Vera Aesthetics

Attn: Privacy Officer
123 Broad Street
Red Bank, NJ 07701
Phone: (732) 555-0123
Email: privacy@maisonvera.com