Elysium Skin & Laser is committed to protecting the privacy of your personal health information (PHI). It is important that you feel safe sharing your personal health information in order to choose the best treatment plan for you. Effective April 14, 2003, federal regulations were established by the Health Insurance Portability and Accountability Act (“HIPAA”). HIPAA regulations cover health care professionals and provide national standards to:
- Give patients more control over their health information.
- Set boundaries for the use and release of health records.
- Establish safeguards that physicians, health plans, and other healthcare providers must have in place to protect the privacy of health information.
- Try to balance the need for individual privacy with the requirement for public responsibility that requires disclosures to protect public health.
- Hold violators accountable, with civil and criminal penalties.
The HIPAA regulations require that our practice provide all our patients we see after August 2005 with a Notice of Privacy Practices. The notice describes how the medical information we receive from you may be used or disclosed by our practice and your rights related to your access to this information. You are entitled to a personal copy of the notice at any time to review and keep for your records. If you have any questions about our Privacy Practices, please feel free to email us or ask. We are required by law to maintain the privacy of your PHI. We will follow the terms outlined in this Notice. We may change our Notice, at any time. Any changes will apply to all PHI. Upon your request, we will provide you with any revised Notice by:
- Posting in our office.
- If requested, making copies of the new Notice available in our office or by mail.
- Posting the revised Notice on our website.
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
- You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or a summary of your health information, usually within 30 days of your written request. We may charge a reasonable, cost-based fee.
- You can ask us to correct health information about you that you think is incorrect or incomplete. We may say “no” to your request, but we’ll tell you why in writing within 60 days.
- You can 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.
- You can 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, and we may say “no” if it would affect your care.
- If you pay for a service or health care item out-of-pocket in full, you can 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.
- You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, 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.
- You can 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 medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
- We will make sure the person has this authority and can act for you before we take any action.
File a Complaint if You Feel Your Rights Are Violated
- You can complain if you feel we have violated your rights by contacting us at (480) 840-9319.
- You can 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.