Effective Date: 12/10/2024

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Deanna Carell Aesthetics & Acupuncture (“we,” “us,” “our”) is committed to protecting the privacy and security of your health information. This HIPAA Disclaimer outlines our practices in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the HITECH Act, and any other applicable federal and state laws related to health information privacy and security. Please read this document carefully to understand how we handle, use, and protect your health information.

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Understanding HIPAA and PHI (Protected Health Information)

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HIPAA establishes standards for protecting your medical information. Protected Health Information (PHI) includes any information that can identify you and relates to your past, present, or future physical or mental health, the provision of health care, or payment for health care services. Examples of PHI include, but are not limited to:

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• Your name, address, phone number, and email address

• Medical history and conditions

• Treatment plans and progress notes

• Billing and insurance information

• Diagnostic test results

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How We Use and Disclose Your PHI

 

We may use or disclose your PHI in the following ways, consistent with HIPAA regulations:

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A. For Treatment

We may use your PHI to provide, coordinate, and manage your care and treatment. This includes sharing information with other health care providers involved in your care when necessary.

B. For Payment

We may use and disclose your PHI to bill and receive payment for the treatment and services you receive. This may include providing information to your health insurance plan for coverage determinations or eligibility verification.

C. For Health Care Operations

We may use your PHI to support business activities, such as quality assessment, staff training, licensing, and accreditation activities.

D. As Required by Law

We may disclose your PHI when required to do so by federal, state, or local law, including in response to a court order, subpoena, or legal process.

E. Public Health and Safety

We may disclose PHI for public health activities, such as reporting communicable diseases, reactions to medications, or to prevent or control disease.

F. With Your Authorization

For uses beyond those listed above, we will obtain your written authorization before using or disclosing your PHI. You have the right to revoke any authorization at any time, in writing.

 

Your Rights Regarding Your PHI

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A. Right to Access and Obtain Copies

You have the right to inspect and obtain a copy of your PHI. Requests must be submitted in writing, and we may charge a reasonable fee for copies.

B. Right to Request Amendments

If you believe that the PHI we have about you is incorrect or incomplete, you may request an amendment. We may deny your request if the information was not created by us or if we believe it is accurate and complete.

C. Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your PHI for treatment, payment, or health care operations. While we will consider your request, we are not required to agree to it unless you pay out of pocket in full for a specific service and request that we not notify your health plan.

D. Right to Request Confidential Communications

You may request that we communicate with you in a specific way (e.g., only at your home phone or by mail) or send information to a different address.

E. Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures of your PHI that we have made in the past six years, excluding disclosures for treatment, payment, or health care operations.

F. Right to a Paper Copy of This Notice

You have the right to obtain a paper copy of this notice, even if you have agreed to receive it electronically.

 

Our Responsibilities

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A. Maintain Privacy

We are required by law to maintain the privacy of your PHI and to provide you with this notice of our legal duties and privacy practices.

B. Abide by the Notice

We are required to follow the terms of the current notice in effect.

C. Notification of Breach

In the event of a breach that compromises the privacy or security of your PHI, we will notify you in accordance with HIPAA regulations.

 

Changes to This Notice

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We reserve the right to change this notice at any time. Changes will apply to all PHI we currently maintain, as well as any information we receive in the future. The revised notice will be available at our office and on our website.

 

Filing a Complaint

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

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To File a Complaint with Us:

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Deanna Carell Aesthetics & Acupuncture

181 Franklin Ave - Suite 302,

Nutley, NJ, 07110
Phone: (973) 661-1652
Email: hello@deannacarell.com

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To File a Complaint with OCR:

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Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Toll-Free: 1-800-368-1019

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Contact Information

For questions about this notice or to exercise any of your rights, please contact:

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Deanna Carell Aesthetics & Acupuncture

181 Franklin Ave - Suite 302,

Nutley, NJ, 07110
Phone: (973) 661-1652
Email: hello@deannacarell.com