Curated Offerings
HIPAA Compliant Privacy Statement
The way you should be treated
Genesis Aesthetics is committed to treating our patients the way they should be treated. We are committed to safeguarding your private health information and to following state and federal privacy laws. The federal law and regulations commonly known as HIPAA (the Health Insurance Portability and Accountability Act of 1996) require that we provide you this notice of our obligations concerning health information.
This notice applies to Genesis Aesthetics affiliated entities, including pharmacies.
The following persons and entities have also agreed to use this notice: all employees, staff of and volunteers of Genesis Aesthetics affiliated entities, and providers affiliated with Reviv Lounge’s accountable care organization.
Your rights
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
REQUEST CONFIDENTIAL COMMUNICATIONS
You may ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
We will say “yes” to all reasonable requests.
ASK US TO LIMIT WHAT WE USE OR SHARE
You may ask us not to use or share certain health information for treatment, payment or our operations. We are not required to agree to your request.
If you pay for a service or health care item out-of-pocket in full, you may ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
GET A LIST OF THOSE WITH WHOM WE’VE SHARED INFORMATION
You may ask for a list (accounting) of the times we’ve shared your health information for six years before the date you ask, with whom we shared it, and why.
We will include all the disclosures except for those about treatment, payment and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
GET A COPY OF THIS PRIVACY NOTICE
You may ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
CHOOSE SOMEONE TO ACT FOR YOU
If you have given someone health care power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your health information.
We will make sure the person has this authority and may act for you before we take any action.
FILE A COMPLAINT IF YOU BELIEVE YOUR RIGHTS ARE VIOLATED
You may complain if you believe we have violated your rights by contacting us using the information at the end of this notice.
You may file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 877-696-6775, or visiting www.hhs.gov/hipaa/filing-a-complaint. We will not retaliate against you for filing a complaint.
Your choices
For certain health information, you may tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
Not to include your information in a hospital directory.
Share information with your family, close friends, or others involved in your care.
Share information in a disaster relief situation.
Not to include your information in a hospital directory.
If you are not able to tell us your preference, for example if you are unconscious, we may share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In the following situations we will not share your information unless you give us written permission:
Most sharing of psychotherapy notes
Marketing purposes
Sale of your information
Most sharing of psychotherapy notes
In the case of fundraising, we may contact you for fundraising efforts, but you may tell us not to contact you again.
Our uses and disclosures
See how we may use and disclose your health information.
TYPICAL USE
We typically use or share your health information in the following ways:
TREAT YOU
We may use your health information and share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health condition.
RUN OUR ORGANIZATION
We may use and share your health information to run our practice, improve your care and contact you when necessary.
Example: We use health information about you to manage your treatment and services.
BILL FOR YOUR SERVICES
We may use and share your health information to bill and get payment from health plans or other entities.
Example: We give information about you to your health insurance plan so it will pay for your services.
OTHER USES
We are allowed or required to share your information in other ways. We have to meet certain conditions in the law before we may share your information for these purposes. For more information, visit www.hhs.gov/ocr/privacy/hipaa/understanding/consumers.
COMPLY WITH THE LAW
We will share information about you if state or federal laws require us to do so, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
Communications with you
We may use and disclose your health information to communicate with you. We may contact you at the phone numbers and addresses you give us. For example, we may contact you concerning appointments, billing and payment, treatment, care instructions and other benefits and services. We may leave messages at your home or voicemail. We may send you text and email messages at numbers and addresses you give to us.
Our responsibilities
We are required by law to maintain the privacy and security of your protected health information.
We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
We must follow the duties and privacy practices described in this notice and give you a copy of it.
We will not use or share your information other than as described here unless you tell us we may in writing. If you tell us we may, you may change your mind at any time. Let us know in writing if you change your mind.
Electronic medical record
We store health information about our patients in an electronic medical record. The privacy obligations and health information rights set forth in this notice also apply to information stored in the joint electronic medical record.
A note on other restrictions
Please be aware that state and federal law may have more requirements than HIPAA on how we use and disclose your health information. If there are specific, more restrictive requirements, even for some of the purposes listed above, we may not disclose your health information without your written permission as required by such laws. For example, we will not disclose your HIV test results without obtaining your written permission, except as permitted by state law. We may also be required by law in some circumstances to obtain your written permission to use and disclose your information related to treatment for a mental illness, developmental disability, or alcohol or drug abuse.
Changes to this notice
We reserve the right to change the privacy practices described in this notice in the event that the practices need to be changed to reflect changes in our practices and to be in compliance with the law. We will make the new notice provisions effective for all the protected health information that we maintain. If we change our privacy practices, we will have the new notice available upon request. The notice will also be posted at the location of service and on our website, info@revivlounge.com.
Effective date and contact information
This revised notice was effective November 1, 2021. If you have questions about this notice, you may contact our Privacy Officer at genesisaesthetics22@gmail.com or call 262-384-1238