HIPAA Notice of Privacy Practices

RebornLyfe Luxury MedSpa is required by law to maintain the privacy of your protected health information (PHI), to provide you with notice of our legal duties and privacy practices with respect to PHI, and to notify affected individuals following a breach of unsecured PHI.

We are required to abide by the terms of the notice currently in effect. We reserve the right to change the terms of this notice and to make the new notice provisions effective for all PHI that we maintain.

Treatment: We may use and disclose your PHI to provide, coordinate, or manage your medical treatment. For example, we may share your health information with a licensed compounding pharmacy to fulfill a prescription.

Payment: We may use and disclose your PHI to obtain payment for services provided to you, including submitting claims to HSA/FSA processors.

Health Care Operations: We may use and disclose your PHI for our internal operations including quality assessment, training, compliance reviews, and business management.

As Required by Law: We will disclose your PHI when required to do so by federal, state, or local law.

Public Health Activities: We may disclose your PHI for public health activities such as reporting communicable diseases to public health authorities.

You have the following rights regarding PHI we maintain about you:

• Right to Inspect and Copy: You have the right to inspect and copy PHI that may be used to make decisions about your care.
• Right to Amend: If you believe that PHI we have about you is incorrect or incomplete, you may ask us to amend the information.
• Right to an Accounting of Disclosures: You have the right to request a list of disclosures we have made of your PHI, other than for treatment, payment, and health care operations.
• Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose about you for treatment, payment, or health care operations.
• Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
• Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.

Other uses and disclosures of your PHI not covered by this notice or permitted or required by applicable law will be made only with your written authorization. If you provide us authorization to use or disclose PHI about you, you may revoke that authorization, in writing, at any time.

The following uses and disclosures will be made only with your written authorization: (1) Most uses and disclosures of psychotherapy notes; (2) Uses and disclosures of PHI for marketing purposes; (3) Disclosures that constitute a sale of PHI.

To exercise your rights or if you believe your privacy rights have been violated, contact our Privacy Officer:

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.