This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
We are required by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) to maintain the privacy of your PHI and to provide you with this Notice of our legal duties and privacy practices.
We are required by law to:
We may use and disclose your PHI to provide, coordinate, or manage your care and related services. This may include sharing information with other healthcare professionals involved in your treatment.
We may use and disclose your PHI to bill and receive payment for services provided to you.
We may use and disclose your PHI for business and administrative operations, such as quality assessment, staff training, licensing, and compliance activities.
We may use your PHI to contact you with appointment reminders by phone, email, or text message.
We may contact you about treatment alternatives, wellness services, or other health-related benefits that may be of interest to you.
We may disclose PHI to family members, friends, or others involved in your care or payment for your care, unless you object.
We may share PHI with third-party service providers that help us operate our practice, such as scheduling platforms, payment processors, and IT providers. These partners are required to protect your information.
We may disclose PHI when required by federal, state, or local law.
We may disclose PHI for public health purposes, to prevent serious threats to health or safety, or to report abuse, neglect, or domestic violence as required by law.
We may disclose PHI in response to court orders, subpoenas, warrants, or other lawful processes.
In limited circumstances, PHI may be used for research purposes in compliance with legal requirements.
You have the right to:
Inspect and Receive Copies
You may request access to or copies of your medical and billing records.
Request Amendments
You may request corrections to your PHI if you believe it is inaccurate or incomplete.
Request an Accounting of Disclosures
You may request a list of certain disclosures we have made of your PHI.
Request Restrictions
You may request limitations on how we use or disclose your PHI. While we are not required to agree, we will consider all requests.
Request Confidential Communications
You may request that we contact you in a specific way (for example, only at work or only by mail).
Receive a Paper Copy of This Notice
You may request a paper copy of this Notice at any time.
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
To file a complaint or ask questions about this Notice, contact:
Platinum Sculpt
1945 Scottsville Rd, Suite A1
Bowling Green, KY 42104
Email: info@platinumsculpt.com
You may also file a complaint with the U.S. Department of Health and Human Services at:
www.hhs.gov/hipaa/filing-a-complaint
We reserve the right to change this Notice and to make the revised Notice effective for all PHI we maintain. Updated Notices will be posted on our website.
