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At
Aesthetic Medical Consultants, Inc, we take the issue of your personal
privacy very seriously. We pledge to never make available to any third party
your personal, private, medical, and/or any other information. We will never
rent or sell your email address to anyone, including other newsletter
publishers or advertising partners.
Health and
medical websites have a particular responsibility to protect the privacy and
confidentiality of their users. As a user of health and medical-related websites,
you have a right to use such sites with the confidence that your personal,
private, medical, and/or any other information is not being tracked,
collected, otherwise aggregated, or disclosed without your expressed written
consent.
The
preservation of your personal privacy and confidentiality is a foremost
priority of Aesthetic Medical Consultants, Inc.
Data that
is NON-USER SPECIFIC ONLY may be collected and used to present site visitors
with content, articles and ads that may be more relevant, and thus, of
greater interest and use to them.
Otherwise,
Aesthetic Medical Consultants, Inc. will ONLY collect names, email addresses
and other personal, private and/or medical information that is VOLUNTARILY
provided by the visitor. This information will be saved, and will be used for
the purposes of communicating with those who have provided this information
voluntarily. Communications may include special offers, news and information
updates, other resources, promotions and "Correspondence" as defined
in the "Terms and Conditions" section of this site. If at any time
you choose not to receive email communication or Correspondence from
Aesthetic Medical Consultants, Inc., you may send an email to unsubscribe@amcmedspa.com and you
will be immediately removed from all future mailings and Correspondence.
As Required
by the Privacy Regulations Created as a Result of the Health Insurance
Portability and Accountability Act of 1996 (HIPAA)
THIS NOTICE
DESCRIBES HOW HEALTH INFORMATION ABOUT YOU (AS A PATIENT OF THIS PRACTICE)
MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO YOUR INDIVIDUALLY
IDENTIFIABLE HEALTH INFORMATION.
PLEASE
REVIEW THIS NOTICE CAREFULLY.
A.
OUR COMMITMENT TO YOUR PRIVACY
Our practice is dedicated to maintaining the privacy of your
Individually Identifiable Health Information (IIHI). In conducting our
business, we will create records regarding you and the treatment and services
we provide to you. We are required by law to maintain the confidentiality of
health information that identifies you. We also are required by law to
provide you with this notice of our legal duties and the privacy practices
that we maintain in our practice concerning your IIHI. By federal and state
law, we must follow the terms of the notice of privacy practices that we have
in effect at the time.
We realize that these laws are complicated, but we must
provide you with the following important information:
- How we may use and disclose
your IIHI
- Your privacy rights in your
IIHI
- Our obligations concerning
the use and disclosure of your IIHI
The terms of this notice apply to all records containing your
IIHI that are created or retained by our practice. We reserve the right to
revise or amend this Notice of Privacy Practices. Any revision or amendment
to this notice will be effective for all of your records that our practice
has created or maintained in the past, and for any of your records that we
may create or maintain in the future. Our practice will post a copy of our
current Notice in our offices in a visible location at all times, and you may
request a copy of our most current Notice at any time.
B.
IF YOU HAVE QUESTIONS ABOUT THIS NOTICE,
PLEASE CONTACT:
Practice Administrator at Aesthetic Medical Consultants, Inc.,
921 Main Street, Redwood City, CA 94063, (650) 361-1717, facsimile
(650) 361-1799. WE MAY USE AND DISCLOSE YOUR INDIVIDUALLY
IDENTIFIABLE HEALTH INFORMATION (IIHI) IN THE FOLLOWING WAYS
The following categories describe the different ways in which
we may use and disclose your IIHI.
1.
Treatment. Our practice may
use your IIHI to treat you. For example, we may ask you to have laboratory
tests (such as blood or urine tests), and we may use the results to help us
reach a diagnosis. We might use your IIHI in order to write a prescription
for you, or we might disclose your IIHI to a pharmacy when we order a
prescription for you. Many of the people who work for our practice -
including, but not limited to, our doctors and nurses - may use or disclose
your IIHI in order to treat you or to assist others in your treatment.
Additionally, we may disclose your IIHI to others who may assist in your
care, such as your spouse, children or parents.
Finally, we may also disclose your IIHI to other health care
providers for purposes related to your treatment.
2.
Payment. Our practice may
use and disclose your IIHI in order to bill and collect payment for the
services and items you may receive from us. For example, we may contact your
health insurer to certify that you are eligible for benefits (and for what
range of benefits), and we may provide your insurer with details regarding
your treatment to determine if your insurer will cover, or pay for, your
treatment. We also may use and disclose your IIHI to obtain payment from
third parties that may be responsible for such costs, such as family members.
Also, we may use your IIHI to bill you directly for services and items. We
may disclose your IIHI to other health care providers and entities to assist
in their billing and collection efforts.
3.
Health Care Operations. Our practice may
use and disclose your IIHI to operate our business. As examples of the ways
in which we may use and disclose your information for our operations, our
practice may use your IIHI to evaluate the quality of care you received from
us, or to conduct cost-management and business planning activities for our
practice. We may disclose your IIHI to other health care providers and
entities to assist in their health care operations.
4.
Treatment Options. Our practice may
use and disclose your IIHI to inform you of potential treatment options or
alternatives.
5.
Disclosures Required By Law. Our practice will
use and disclose your IIHI when we are required to do so by federal, state or
local law.
C.
USE AND DISCLOSURE OF YOUR IIHI IN CERTAIN
SPECIAL CIRCUMSTANCES
The following categories describe unique scenarios in which we
may use or disclose your identifiable health information:
0.
Public Health Risks. Our practice may
disclose your IIHI to public health authorities that are authorized by law to
collect information for the purpose of:
- Maintaining vital records,
such as births and deaths
- Reporting child abuse or
neglect
- Preventing or controlling
disease, injury or disability
- Notifying a person
regarding potential exposure to a communicable disease
- Notifying a person
regarding a potential risk for spreading or contracting a disease or
condition
- Reporting reactions to
drugs or problems with products or devices
- Notifying individuals if a
product or device they may be using has been recalled
- Notifying appropriate
government agency(ies) and authority(ies) regarding the potential abuse or neglect of
an adult patient (including domestic violence); however, we will only
disclose this information if the patient agrees or we are required or
authorized by law to disclose this information
- Notifying your employer
under limited circumstances related primarily to workplace injury or
illness or medical surveillance.
1.
Health Oversight Activities. Our practice may
disclose your IIHI to a health oversight agency for activities authorized by
law. Oversight activities can include, for example, investigations,
inspections, audits, surveys, licensure and disciplinary actions; civil,
administrative, and criminal procedures or actions; or other activities
necessary for the government to monitor government programs, compliance with
civil rights laws and the health care system in general.
2.
Lawsuits and Similar Proceedings. Our practice may
use and disclose your IIHI in response to a court or administrative order, if
you are involved in a lawsuit or similar proceeding. We also may disclose
your IIHI in response to a discovery request, subpoena, or other lawful
process by another party involved in the dispute, but only if we have made an
effort to inform you of the request or to obtain an order protecting the
information the party has requested.
3.
Law Enforcement. We may release IIHI
if asked to do so by a law enforcement official:
- Regarding a crime victim in
certain situations, if we are unable to obtain the person's agreement
- Concerning a death we
believe has resulted from criminal conduct
- Regarding criminal conduct
at our offices
- In response to a warrant,
summons, court order, subpoena or similar legal process
- To identify/locate a
suspect, material witness, fugitive or missing person
- In an emergency, to report
a crime (including the location or victim(s) of the crime, or the
description, identity or location of the perpetrator)
4.
Serious Threats to Health or Safety. Our practice may
use and disclose your IIHI when necessary to reduce or prevent a serious
threat to your health and safety or the health and safety of another
individual or the public. Under these circumstances, we will only make
disclosures to a person or organization able to help prevent the threat.
5.
Military. Our practice may
disclose your IIHI if you are a member of U.S. or foreign military forces
(including veterans) and if required by the appropriate authorities.
6.
National Security. Our practice may
disclose your IIHI to federal officials for intelligence and national
security activities authorized by law. We also may disclose your IIHI to
federal officials in order to protect the President, other officials or
foreign heads of state, or to conduct investigations.
7.
Inmates. Our practice may
disclose your IIHI to correctional institutions or law enforcement officials
if you are an inmate or under the custody of a law enforcement official.
Disclosure for these purposes would be necessary: (a) for the institution to
provide health care services to you, (b) for the safety and security of the
institution, and/or (c) to protect your health and safety or the health and
safety of other individuals.
8.
Workers' Compensation. Our practice may
release your IIHI for workers' compensation and similar programs.
D.
YOUR RIGHTS REGARDING YOUR IIHI
You have the following rights regarding the IIHI that we
maintain about you:
0.
Confidential Communications. You have the right
to request that our practice communicate with you about your health and
related issues in a particular manner or at a certain location. For instance,
you may ask that we contact you at home, rather than work. In order to
request a type of confidential communication, you must make a written request
to the HIPAA Compliance Officer specifying the requested method of contact,
or the location where you wish to be contacted. Our practice will accommodate
reasonable requests.
You do not need to give a reason for your request.
1.
Requesting Restrictions. You have the right
to request a restriction in our use or disclosure of your IIHI for treatment,
payment or health care operations. Additionally, you have the right to
request that we restrict our disclosure of your IIHI to only certain
individuals involved in your care or the payment for your care, such as
family members and friends. We are
not required to agree to your request; however, if we do
agree, we are bound by our agreement except when otherwise required by law,
in emergencies, or when the information is necessary to treat you. In order
to request a restriction in our use or disclosure of your IIHI, you must make
your request in writing to the HIPAA Compliance Officer. Your request must
describe in a clear and concise fashion:
- The information you wish
restricted;
- Whether you are requesting
to limit our practice's use, disclosure or both;
- to whom you want the limits
to apply.
2.
Inspection and Copies. You have the right
to inspect and obtain a copy of the IIHI that may be used to make decisions
about you, including patient medical records and billing records, but not
including psychotherapy notes. You must submit your request in writing to the
HIPAA Compliance Officer in order to inspect and/or obtain a copy of your
IIHI. Our practice may charge a fee for the costs of copying, mailing, labor
and supplies associated with your request. Our practice may deny your request
to inspect and/or copy in certain limited circumstances; however, you may
request a review of our denial. Another licensed health care professional
chosen by us will conduct reviews.
3.
Amendment. You may ask us to
amend your health information if you believe it is incorrect or incomplete,
and you may request an amendment for as long as the information is kept by or
for our practice. To request an amendment, your request must be made in
writing and submitted to the HIPAA Compliance Officer. You must provide us
with a reason that supports your request for amendment. Our practice will
deny your request if you fail to submit your request (and the reason
supporting your request) in writing. Also, we may deny your request if you
ask us to amend information that is in our opinion: (a) accurate and
complete; (b) not part of the IIHI kept by or for the practice; (c) not part
of the IIHI which you would be permitted to inspect and copy; or (d) not
created by our practice, unless the individual or entity that created the
information is not available to amend the information.
4.
Accounting of Disclosures. All of our patients
have the right to request an "accounting of disclosures." An
"accounting of disclosures" is a list of certain non-routine
disclosures our practice has made of your IIHI for non-treatment, non-payment
or non-operations purposes. Use of your IIHI as part of the routine patient
care in our practice is not required to be documented. For example, the
doctor sharing information with the nurse; or the billing department using
your information to file your insurance claim. In order to obtain an
accounting of disclosures, you must submit your request in writing to the
HIPAA Compliance Officer. All requests for an "accounting of
disclosures" must state a time period, which may not be longer than six
(6) years from the date of disclosure and may not include dates before April
14, 2003. The first list you request within a 12-month period is free of
charge, but our practice may charge you for additional lists within the same
12-month period. Our practice will notify you of the costs involved with
additional requests, and you may withdraw your request before you incur any
costs.
5.
Right to a Paper Copy of This Notice. You are entitled to
receive a paper copy of our notice of privacy practices. You may ask us to
give you a copy of this notice at any time. To obtain a paper copy of this
notice, contact the HIPAA Compliance Officer.
6.
Right to File a Complaint. If you believe your
privacy rights have been violated, you may file a complaint with our practice
or with the Secretary of the Department of Health and Human Services. To file
a complaint with our practice, contact the HIPAA Compliance Officer. All
complaints must be submitted in writing. You will not be penalized for filing a complaint.
Right
to Provide an Authorization for Other Uses and Disclosures. Our practice will
obtain your written authorization for uses and disclosures that are not
identified by this notice or permitted by applicable law. Any authorization
you provide to us regarding the use and disclosure of your IIHI may be
revoked at any time in writing. After you revoke your authorization, we will
no longer use or disclose your IIHI for the reasons described in the authorization.
Please note, we are required to retain records of
your care.
If you have
any questions regarding the privacy policy of Aesthetic Medical Consultants,
Inc., please feel free to contact us directly at info@amcmedspa.com
Sincerely,
Aesthetic
Medical Consultants, Inc.
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