Forever Young Spa

Privacy Policy 

Patient Rights and Responsibilities

 

We keep patient information secured and follow HIPAA standards.  

We are committed to serving you with compassion, care, and respect.  As one of our valued patients, you are entitled to the following:

 

You have the right:

 

To be treated with respect and dignity.

To know the names and professional status of the person(s) serving you.

To privacy and confidentiality.

To receive accurate information about your health-related concerns.

To know the effectiveness and potential side-effects of all forms of treatment.

To participate in choosing the form of treatment best suited to your skin.

To receive education and counseling about treatments.

To review your medical record with your clinician.

To amend your records.

To receive any information about potential services or related services.

 

You have the responsibility:

 

To seek medical attention promptly, and to provide useful feedback.

To be honest about your medical history.

To be honest about your sun exposure.

To ask questions about anything you do not understand.

To follow health advice and instructions.

To report any significant changes in your health.

To respect clinical policies.

To show up to appointments or cancel 24 hours in advance.

 

I authorize Forever Young Spa to perform the treatment or procedure recommended.  I acknowledge no guarantee, either expressed or implied, has been made to me regarding the outcome of any treatment or process.

 

I fully understand that it is impossible for anyone to make a guarantee regarding the outcome of any medical treatments or procedures.

 

I understand I am financially responsible for all procedures due when services are rendered, and for any appointment I fail to attend without 24 hours notice.

 

I will express if I authorize the release of information to a licensed physician of the facility’s choosing for the purpose of professional interpretation and establishment of their recommendations.