Notice of Privacy Practices

Effective Date: 09/2026

Rejuvaline MedSpa is committed to protecting the privacy of your health information. This Notice of Privacy Practices describes how we may use and disclose your protected health information (“PHI”), your rights regarding your health information, and our responsibilities under applicable privacy laws, including the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”).

Please review this notice carefully. If you have questions about this notice or your privacy rights, please contact us using the information provided at the end of this document.

Your Rights Regarding Your Health Information

You have certain rights regarding the health information we maintain about you. These rights may include:

Right to Inspect and Obtain a Copy
You may request to inspect or obtain a copy of your health information, subject to applicable legal limitations.

Right to Request an Amendment
You may request that we correct or amend health information that you believe is inaccurate or incomplete. We may deny a request in certain circumstances as permitted by law.

Right to Request Restrictions
You may request restrictions on how we use or disclose your health information. We are not required to agree to every restriction request, except where required by applicable law.

Right to Request Confidential Communications
You may request that we communicate with you about your health information by a particular method or at a particular location. We will accommodate reasonable requests when required by law.

Right to an Accounting of Certain Disclosures
You may request a list of certain disclosures of your health information made by us, subject to applicable legal exceptions.

Right to a Paper Copy of This Notice
You may request a paper copy of this Notice of Privacy Practices at any time.

How We May Use and Disclose Your Health Information

We may use or disclose your PHI without your written authorization when permitted or required by law, including for the following purposes:

Treatment
We may use and disclose health information to provide, coordinate, or manage your care and services.

Payment
We may use and disclose health information as necessary to process payments and obtain payment for services provided.

Healthcare Operations
We may use and disclose health information for activities necessary to operate our practice, including quality assessment, staff activities, scheduling, business administration, and improving the services we provide.

Appointment Reminders and Communications
We may use your contact information to remind you about appointments and communicate with you regarding services, treatment, account matters, or other healthcare-related information.

As Required by Law
We may disclose health information when required by federal, state, or local law.

Public Health and Safety
We may disclose health information when permitted by law for certain public health activities or to prevent or address serious threats to health or safety.

Business Associates
We may share PHI with third-party vendors and service providers that perform services on our behalf and require access to PHI. Where required, these parties are subject to appropriate agreements and privacy and security obligations.

Legal Proceedings and Law Enforcement
We may disclose PHI when permitted or required by applicable law in response to legal proceedings, law enforcement requests, court orders, or other lawful processes.

Uses and Disclosures Requiring Your Authorization

Certain uses and disclosures of your PHI may require your written authorization under applicable law.

For example, we generally will obtain your written authorization before using or disclosing your PHI for purposes that require authorization under HIPAA, including certain uses of psychotherapy notes, certain marketing activities, or other uses where authorization is required.

You may revoke an authorization in writing at any time, except to the extent we have already relied upon it.

Our Responsibilities

Rejuvaline MedSpa is required by law to:

• Maintain the privacy of your PHI.

• Provide you with this Notice of Privacy Practices describing our legal duties and privacy practices.

• Follow the terms of the notice currently in effect.

• Notify affected individuals following a breach of unsecured PHI when required by law.

We reserve the right to change our privacy practices and this notice. If we make a material change, we will update the notice and make the revised notice available as required by law.

Questions or Complaints

If you believe your privacy rights have been violated, you may submit a complaint to Rejuvaline MedSpa using the contact information below. You will not be retaliated against for filing a complaint.

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

 Privacy Contact

Rejuvaline MedSpa
Phone: 305-266-0006
Email: info@rejuvalinemedspa.com