HIPAA Notice

Last Updated: August 26, 2025

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.

1. Our Commitment to Your Privacy

At Selfistry MD Spa, we are committed to protecting the privacy of your Protected Health Information (PHI). 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.

2. How We May Use and Disclose Your PHI

We may use and disclose your PHI for the following purposes:

For Treatment: We may use your PHI to provide, coordinate, or manage your healthcare and related services. This includes sharing information with other healthcare providers involved in your treatment.
For Payment: We may use and disclose your PHI to bill and collect payment for the services we provide. This may include disclosing information to your insurance company or to a third-party billing service.
For Healthcare Operations: We may use and disclose your PHI for the purpose of operating our business, such as for quality assessment and improvement activities, training staff, and general administration.
Appointment Reminders: We may use and disclose your PHI to contact you with appointment reminders.

3. Your Rights Regarding Your PHI

You have the following rights concerning your medical information:

Right to Access: You have the right to inspect and receive a copy of your PHI.
Right to Amend: You have the right to request an amendment to your PHI if you believe the information is incorrect or incomplete.
Right to an Accounting of Disclosures: You have the right to request a list of certain disclosures of your PHI that we have made.
Right to Request Restrictions: You have the right to request a restriction on how we use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree to the requested restriction.
Right to Confidential Communications: You have the right to request that we communicate with you about your health matters in a certain way or at a certain location. We will accommodate all reasonable requests.
Right to a Paper Copy of This Notice: You have the right to obtain a paper copy of this notice upon request.

4. Our Responsibilities

Selfistry MD Spa is required to:

Maintain the privacy of your PHI as required by law.
Provide you with this Notice of our duties and privacy practices.
Abide by the terms of this Notice currently in effect.

5. Who to Contact

If you have any questions about this notice or our privacy practices, please contact us.