HIPPA Disclosure

HIPAA Privacy Disclosure

Effective Date: 09/01/2024

At Rewind Time Anti-Aging and Aesthetics LLC (“we,” “our,” or “us”), we are committed to protecting your health information and ensuring its confidentiality, security, and integrity. This HIPAA Privacy Disclosure outlines how we safeguard your personal health information (PHI) and comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

1. Your Protected Health Information (PHI)

Under HIPAA, Protected Health Information (PHI) refers to any information about your health status, medical history, mental or physical condition, or healthcare services that can be linked to you. PHI includes information such as:

  • Personal details like your name, address, and birth date.
  • Medical records, treatment plans, prescriptions, and diagnostic data.
  • Billing and payment information for healthcare services.


2. How We Use and Disclose Your PHI

We use your PHI in the following ways:

  • Treatment: To provide, coordinate, or manage your healthcare services. This may include sharing your PHI with healthcare providers involved in your care.
  • Payment: To bill and collect payment for the healthcare services provided to you.
  • Healthcare Operations: To support daily operations, such as evaluating the quality of care, conducting audits, and training healthcare staff.


We may also disclose your PHI to third parties as required or permitted by law in the following situations:

  • To comply with legal obligations: For example, in response to a court order, subpoena, or regulatory investigation.
  • Public Health and Safety: To prevent or reduce a serious threat to public health or safety.
  • Law Enforcement: To assist law enforcement in specific situations, such as locating a suspect or missing person.
  • Health Oversight: To report to government health oversight agencies authorized to monitor the healthcare system.
  • Workers’ Compensation: To comply with workers’ compensation laws and claims.


3. Your Rights Regarding Your PHI

You have several important rights regarding your PHI under HIPAA:

  • Right to Access: You have the right to request and receive copies of your PHI, including medical records, treatment plans, and billing information. You may request electronic or paper copies.
  • Right to Amend: If you believe that the PHI we have about you is incorrect or incomplete, you have the right to request an amendment.
  • Right to Restrict Use and Disclosure: You may request certain restrictions on how we use or disclose your PHI. While we will try to accommodate reasonable requests, we are not required to agree to all restrictions.
  • Right to Confidential Communications: You have the right to request that we communicate with you in a specific way or send information to a different location. We will accommodate reasonable requests.
  • Right to Accounting of Disclosures: You may request a list of certain disclosures we have made of your PHI, including disclosures made for purposes other than treatment, payment, or healthcare operations.
  • Right to Opt-Out: You have the right to opt-out of certain communications, such as marketing or promotional materials. You may also opt-out of certain sharing practices if applicable.


4. How We Protect Your PHI

We implement a variety of administrative, physical, and technical safeguards to protect your PHI. These safeguards include:

  • Encryption and Secure Transmission: All electronic communications and data transfers involving your PHI are conducted over secure, encrypted channels to ensure that your information remains confidential.
  • Access Controls: Only authorized personnel are granted access to your PHI. We limit access based on job responsibilities and provide ongoing training to our staff regarding HIPAA compliance.
  • Data Integrity: We use robust systems to maintain the accuracy and integrity of your health records, ensuring that your information is complete and up-to-date.


5. Sharing Your Information with Third Parties

We may share your PHI with third-party service providers, such as billing companies, pharmacies, or laboratories, to facilitate treatment, payment, or healthcare operations. These third parties are Business Associates under HIPAA and are required to protect your PHI in the same way we do.

We will not sell your PHI or use it for marketing purposes without your explicit written consent, unless otherwise permitted by law.

6. Breach Notification

In the event of a breach involving your PHI, we will notify you as required by HIPAA regulations. We are committed to promptly addressing any security incidents and taking corrective action to prevent further breaches.

7. Changes to This Disclosure

We may update this HIPAA Privacy Disclosure from time to time to reflect changes in our practices or legal requirements. Any updates will be posted on our Website, and the revised effective date will be indicated at the top of this document. We encourage you to review this page periodically.

8. Contact Information

If you have any questions about this HIPAA Privacy Disclosure or your rights concerning your PHI, please contact us at:

Rewind Time Anti-Aging and Aesthetics LLC
Email: [email protected]

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