Notice of Privacy Practices

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.

Our Pledge Regarding Health Information

B&B Laser & Med Spa is committed to protecting health information about you. We are required by law to maintain the privacy of Protected Health Information (PHI), provide you with this Notice of our legal duties and privacy practices, and follow the terms of the Notice currently in effect.

How We Use and Disclose Your Health Information

• Treatment. We use PHI to provide and coordinate the services you receive at our spa.
• Payment. We use PHI to bill and obtain payment from you, an insurer, or another responsible party.
• Health Care Operations. We use PHI to evaluate the quality of our services, train staff, and conduct other operational activities.
• As Required by Law. We will disclose PHI when required by federal, state, or local law.

Your Rights

• Inspect and obtain a copy of your PHI.
• Request amendment of your PHI if you believe it is incorrect or incomplete.
• Request an accounting of disclosures of your PHI.
• Request restrictions on certain uses and disclosures of your PHI.
• Request confidential communications by alternative means or at alternative locations.
• Receive a paper copy of this Notice.
• File a complaint with us or with the U.S. Department of Health and Human Services if you believe your privacy rights have been violated.

Changes to this Notice

We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have about you as well as any information we receive in the future.

This page is provided as a general template. It does not constitute legal advice. We recommend reviewing it with qualified legal counsel before publishing in production.