This Privacy Notice explains how your Protected Health Information (PHI) may be used and disclosed, as well as your rights regarding this information. Please review it carefully.

What is Protected Health Information (PHI)?

PHI refers to any identifiable health information related to your healthcare or payment for healthcare services, maintained or transmitted by a covered entity (such as a healthcare provider or insurer) or their business associates. Examples of PHI include health records, medical histories, lab results, and billing information that contain identifiers such as:

  • Names
  • Dates (other than year)
  • Telephone numbers
  • Geographic data
  • Email addresses
  • Social Security numbers
  • Medical record numbers
  • Biometric identifiers (e.g., fingerprints, retinal scans)
  • Full-face photographs
  • And other unique identifying numbers or codes

For a full list of identifiers, visit the U.S. Department of Health and Human Services website.

Your Rights

You have certain rights concerning your health information, including the ability to:

  • Access Your Records: Request and obtain a copy of your health or claims records.
  • Correct Errors: Ask us to amend any inaccurate or incomplete information.
  • Request Confidential Communication: Specify how and where we contact you about your healthcare.
  • Limit Information Sharing: Request restrictions on how your information is used or disclosed.
  • Request an Accounting of Disclosures: Obtain a list of when, why, and with whom your information was shared.
  • Obtain a Copy of This Notice: Request a paper copy of this Privacy Notice at any time.
  • Choose a Representative: Designate someone to make decisions on your behalf regarding your health information.
  • File a Complaint: Report concerns about how your health information is handled without fear of retaliation.

Your Choices

In certain situations, you can decide how your information is used or shared. For example, you may:

  • Allow us to share information with family or close friends involved in your care.
  • Permit or decline sharing information for disaster relief efforts.
  • Opt out of sharing information for marketing purposes or selling your data.

If you are unable to express your preferences (e.g., unconscious), we may act in your best interest or share information to prevent harm.

How We Use and Disclose Your Information

We may use or share your information as follows:

Primary Uses and Disclosures

  • Treatment: Share information with healthcare providers involved in your care.
  • Payment: Process payment for healthcare services you receive.
  • Operations: Use information to improve our services and operations.

Other Permitted Uses

We may share your information for purposes such as:

  • Public health and safety initiatives.
  • Research activities (with legal safeguards in place).
  • Compliance with state or federal laws.
  • Responding to organ donation requests or working with medical examiners.
  • Addressing workers’ compensation claims or law enforcement inquiries.

For additional details, visit HIPAA Guidance for Consumers.

Our Responsibilities

We are required by law to:

  • Protect the privacy and security of your health information.
  • Notify you promptly if a breach occurs involving your information.
  • Follow the terms of this Privacy Notice and provide you with a copy upon request.
  • Obtain your written permission before using or sharing your information in ways not described in this notice.

Filing a Complaint

If you believe your privacy rights have been violated, you may:

  • Contact us at info@miraclefacemedspanyc.com.
  • File a complaint with the U.S. Department of Health and Human Services at:
    200 Independence Avenue, S.W., Washington, D.C. 20201
    Call 1-877-696-6775 or visit HHS Complaints.

We will not retaliate against you for filing a complaint.

Changes to This Notice

We may update this Privacy Notice from time to time. Changes will apply to all existing and future health information. You can request a copy of the updated notice at any time.

For questions or concerns, please contact:
MiracleFace MedSpa
211 East 43rd St, suite 716,
New York, NY 10017
info@miraclefacemedspanyc.com

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