PRIVACY POLICY
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HIPAA NOTICE OF PRIVACY PRACTICES
Prime Medispa
Your Information. Your Rights. Our Responsibilities.This HIPAA Notice of Privacy Practices describes how your medical information (PHI) may be used and disclosed and how you can access this information. Please review it carefully.
What is PHI (Protected Health Information)?
Protected Health Information (PHI) includes any individually identifiable health information created, stored, transmitted, or maintained by a HIPAA-covered entity or its business associates. PHI includes information such as:
Medical histories
Treatment plans
Health records
Billing details
Identifying information tied to your health
The 18 identifiers considered PHI under HIPAA include:
Names, dates (except year), telephone numbers, geographic data, fax numbers, Social Security numbers, email addresses, medical record numbers, account numbers, health plan beneficiary numbers, certificate/license numbers, vehicle identifiers, web URLs, device identifiers, IP addresses, full-face photographs, biometric identifiers, and any other unique identifying number or code.YOUR RIGHTS
You have the right to:
Get a copy of your health and claims records
Request corrections to your health and claims records
Request confidential communications
Limit what information we use or share
Receive a list of disclosures
Receive a copy of this notice
Choose someone to act for you
File a complaint if you believe your rights were violated
YOUR CHOICES
You may choose how we share certain information in situations such as:
Communicating with family, friends, or others involved in your care
Disaster relief
Marketing communications
Requests to sell your personal information (which we do not do)
OUR USES & DISCLOSURES
We may use and share your information to:
Provide and coordinate your treatment
Run our organization
Process payments
Administer programs related to your care
Support public health and safety efforts
Conduct health-related research
Comply with state and federal law
Assist with organ/tissue donation
Assist coroners, medical examiners, or funeral directors
Manage workers’ compensation, law enforcement, and other government requests
Respond to lawsuits and legal actions
DETAILED EXPLANATION OF YOUR RIGHTS
Get a copy of your health records
You may request to view or obtain a copy of your health and claims records.
We will provide records or a summary within 30 days. A reasonable fee may apply.
Request corrections
If you believe information is incorrect or incomplete, you may request a correction.
If we cannot make the correction, we will provide a written explanation within 60 days.
Request confidential communications
You may request that we contact you by alternative means or at an alternate address.
We will accommodate reasonable requests.
Request limits on what we share
You may request restrictions on the use or disclosure of your health information.
We are not required to agree if it may affect your care.
Request a list of disclosures
You may request a list of disclosures made in the past six years, excluding those for treatment, payment, or healthcare operations.
Receive a copy of this notice
You may request a paper copy at any time.
Choose someone to act for you
Legal guardians or individuals with medical power of attorney may act on your behalf.
File a complaint
You may file a complaint if you believe your rights are violated by contacting: primemedisparvc@gmail.com
Or the U.S. Department of Health and Human Services:
200 Independence Avenue, S.W.
Washington, D.C. 20201
1-877-696-6775We will not retaliate against you for filing a complaint.
YOUR CHOICES (DETAILED)
You may choose whether we:
Share information with family or friends involved in your care
Share information during emergencies or disaster relief
If you cannot express your preference (such as unconsciousness), we may act in your best interest.
We will not share without your written permission:
Information for marketing
Sale of your information
OUR USES & DISCLOSURES (DETAILED)
Treatment
We can share information with professionals involved in your care.
Running Our Organization
We use your information to operate safely and efficiently.
Paying for Services
We may share your information with our payment processor, Vagaro, to complete transactions.
Research
We may use or share information for approved health research.
Complying with the Law
We share information when required by federal or state law.
Public Health & Safety
Including:
Preventing disease
Reporting adverse reactions
Reporting suspected abuse or neglect
Helping reduce imminent threats
Law Enforcement & Government Requests
Includes workers’ compensation, law enforcement investigations, health oversight agencies, and specialized government functions.
Legal Action
We may share information in response to court orders or subpoenas.
OUR RESPONSIBILITIES
We are required to:
Maintain the privacy and security of your PHI
Inform you promptly if a breach occurs
Follow the terms of this notice
Only share information as outlined here unless you authorize additional uses in writing
CHANGES TO THIS NOTICE
We may update this notice. Revised versions will be posted on our website: https://rvcprimemedispa.com
A printed copy will be provided upon request.
EFFECTIVE DATE
Revised: December 2025
CONTACT INFORMATION
For questions, concerns, or requests regarding this notice, contact:
Prime Medispa
📍 220 Sunrise Hwy
Rockville Centre, NY 11570
📧 primemedisparvc@gmail.com
(516) 596-8084