PRIVACY POLICY
NOTICE OF PRIVACY PRACTICES
This notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.
OUR COMMITMENT TO YOUR PRIVACY
At Queen City Aesthetics, we are committed to protecting the privacy and security of your protected health information ("PHI") in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
This Notice applies to all records of your care created or maintained by Queen City Aesthetics.
CONTACT INFORMATION
Privacy Contact
Privacy Officer:
Queen City Aesthetics
6691 Transit Rd.
Williamsville, NY 14221
Phone: (716) 202-8122
Email: queencityaesthetics17@gmail.com
Website: https//www.queencityaesthetics.com/
YOUR RIGHTS
You have the right to:
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Obtain a copy of your paper or electronic medical record
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Request corrections to your medical record
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Request confidential communications
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Ask us to limit certain uses or disclosures
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Receive an accounting of disclosure
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Obtain a copy of this notice
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Designate someone to act on your behalf
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File a complain if you believe your privacy rights have been violated
We will not retaliate against you for filing a complaint.
HOW WE MAY USE AND DISCLOSE YOUR INFORMATION
We may use and disclose your protected health information for purposes including:
Treatment
To provide aesthetic, wellness, skincare, injectable, laser, weight loss, and other medical aesthetic services.
Payment
To obtain payment for services rendered when applicable.
Health Care Operations
To operate and improve our practice, maintain records, conduct quality assessments, and communicate with you regarding your care.
APPOINTMENT REMINDERS & COMMUNICATIONS
We may contact you by:
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Phone call
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Voicemail
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Text message
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Email
For:
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Appointment reminders
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Scheduling changes
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Follow-up care
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Billing communications
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Treatment- related communications
ELECTRONIC COMMUNICATIONS
If you choose to communicate with us electronically, there may be some risk that information could be accessed by unauthorized individuals despite reasonable safeguards
By providing your phone number or email address, you consent to communication through these methods unless you request otherwise.
CLINICAL PHOTOGRAPHY
QueenCity Aesthetics may take clinical photographs before, during, or after treatment as part of your medical record and treatment documentation.
these phorographs are proteted health information
We will not use your images for marketing, advertising, website content, social media, or promotional purposes without your seperate written authorization
MARKETING & SALE OF INFORMATION
Queen City Aesthetics:
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Does not sell patient information.
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Will not use or disclose your protected health information for marketing purposes without your written authorization where required by law
OUT- OF- POCKET PAYMENTS
If you pay for a service entirely out- of- pocket, you may request that we not disclose information related to that service to your health insurer. We will honor reasonable requests as required by law.
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HOW WE PROTECT YOUR INFORMATION
We are required by law:
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Maintain the privacy and security of your protected health information
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Provide you with this notice
APPOINTMEMT REMINDERS & COMMUNICATIONS
We may contact you by:
-
Phone call
-
Voicemail
-
Text message
-
Email
for:
-
Appointment reminders
-
Scheduling changes
-
Follow-up care
-
Billing communications
-
Treatment- related communications
HOW WE PROTECT YOUR INFORMATION
We are required by law to:
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Maintain the privacy and security of your protected health information
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Provide you with this Notice
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Notify you if a breach occurs that may compromise your information
Follow the privacy practices described in this Notice
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OTHER PERMITTED DISCLOSURES
We may disclose your information when permitted or required by law, including:
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Public health reporting
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Health oversight activities
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Law enforcement requests
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Court orders or subpoenas
Preventing serious threats to health or safety
YOUR CHOICES
You may choose whether we share information with:
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Family members
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Friends involved in your care
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Individuals assisting with payment for your care
You may also request restrictions on certain disclosures.
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ACCESS TO YOUR RECORDS
You may request:
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A paper copy of your medical record
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An electronic copy of your medical record
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Corrections to inaccurate information
Requests may be submitted to our Privacy Officer.
COMPLAINTS
If you believe your privacy rights have been violated, you may contact:
Queen City Aesthetics Privacy Officer:
Phone: (716) 202-8122
Email: queencityaesthetics17@gmail.com
You may also 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.
CHANGES TO THIS NOTICE
Queen City Aesthetics reserves the right to change the terms of this Notice. Updated versions will be available:
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In our office
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Upon request
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On our website
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OFFICE LOCATION
Williamsville Location
6691 Transit Rd.
Williamsville, NY 14221
Phone: (716) 202-8122
Email: queencityaesthetics@gmail.com