HIPAA Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

IV Salt Rejuvenation is committed to protecting the privacy of your protected health information ("PHI"). We are required by law to maintain the privacy of your PHI, to provide you with this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect. All care is provided by a licensed Registered Nurse under the supervision of our Medical Director,Edward W. Pearson, MD, ABIHM.

How We May Use and Disclose Your Health Information

• Treatment — to provide, coordinate, and manage your IV therapy, including sharing information among our registered nurse and supervising Medical Director, Edward W. Pearson, MD, ABIHM.
• Payment — to obtain your deposit and payment for services.
• Health Care Operations — for quality, safety, training, and administrative purposes.
• Appointment Reminders — to contact you about scheduled or requested appointments.
• As Required by Law — when disclosure is required by federal, state, or local law.

Uses and Disclosures That Require Your Authorization

Most uses and disclosures not described in this notice will be made only with your written authorization. This includes most uses of psychotherapy notes, uses for marketing, and any sale of PHI. You may revoke an authorization in writing at any time.

Your Rights Regarding Your Health Information

• Right to Access — to inspect and obtain a copy of your health information.
• Right to Amend — to request corrections to your health information.
• Right to an Accounting of Disclosures — to receive a list of certain disclosures we have made.
• Right to Request Restrictions — to request limits on how we use or share your information.
• Right to Confidential Communications — to request that we contact you in a specific way or location.
• Right to a Paper Copy — to receive a paper copy of this notice upon request.
• Right to Be Notified of a Breach — to be notified if a breach of your unsecured PHI occurs.

Our Responsibilities

• We are required to maintain the privacy and security of your PHI.
• We will let you know promptly if a breach occurs that may have compromised your information.
• We must follow the duties and privacy practices described in this notice.

Changes to This Notice

We reserve the right to change this notice and to make the revised notice effective for health information we already have as well as any information we receive in the future.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us using the contact details below, or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.