Privacy policy.
NOTICE OF PRIVACY PRACTICES
THIS NOTICE EXPLAINS HOW WE PROTECT AND USE YOUR MEDICAL INFORMATION, INCLUDING YOUR RIGHTS TO ACCESS AND CONTROL IT. PLEASE REVIEW CAREFULLY. PLEASE REVIEW IT CAREFULLY.**
UNDERSTANDING YOUR HEALTH RECORD/INFORMATION
This notice describes the practices of Zap Beauty Bar and its staff (collectively, "Practice"), and that of any physician or provider with staff privileges with respect to your protected health information created while you are a patient at Practice. Practice, physicians with staff privileges, and personnel authorized to have access to your medical chart are subject to this notice. In addition, Practice and physicians with staff privileges may share medical information with each other for treatment, payment, or health care operations described in this notice.
We create a record of the care and services you receive at Practice. We understand that medical information about you and your health is personal. At Zap Beauty Bar, we prioritize confidentiality and are dedicated to protecting your medical information to build and maintain your trust. This notice applies to all records of your care at Practice.
This notice will tell you about the ways in which we may use and disclose medical information about you. It also describes your rights and certain obligations we have regarding the use and disclosure of medical information.
YOUR HEALTH INFORMATION RIGHTS
Although your health record is the physical property of Practice, the information belongs to you. You have the right to:
Request a restriction on certain uses and disclosures of your information for treatment, payment, and health care operations, and as to disclosures permitted to persons, including family members involved with your care and as provided by law. However, we are not required by law to agree to a requested restriction unless the request relates to a restriction on disclosures to your health insurer regarding health care items or services for which you have paid out of pocket and in full.
Obtain a paper copy of this notice of information practices.
Inspect and request a copy of your health record as provided by law.
Request that we amend your health record as provided by law. We will notify you if we are unable to grant your request to amend your health record.
Obtain an accounting of disclosures of your health information as provided by law.
Request communication of your health information by alternative means or at alternative locations. We will accommodate reasonable requests.
You may exercise your rights set forth in this notice by providing a written request to:
Zap Beauty Bar or by sending an email to zapbeautybar@gmail.com or completing the online form at https://zapbeautybar.squarespace.com/config/ 5807 Argerian Dr Suite 101, Wesley Chapel, FL 33545
OUR RESPONSIBILITIES
In addition to the responsibilities set forth above, we are also required to:
Maintain the privacy of your health information.
Subject to certain exceptions under the law, provide notice of any unauthorized acquisition, access, use, or disclosure of your protected health information, to the extent it was not otherwise secured.
Provide you with a notice as to our legal duties and privacy practices with respect to information we maintain about you.
Abide by the terms of this notice.
Notify you if we are unable to agree to a requested restriction on certain uses and disclosures.
We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain, including information created or received before the change. Should such changes occur, we will notify you by making the revised notice available upon request at Practice and on our website and email. Should our information practices change, we are not required to notify you, but we will have the revised notice available upon your request at Practice.
USES & DISCLOSURES OF MEDICAL INFORMATION THAT DO NOT REQUIRE YOUR AUTHORIZATION
The following categories describe different ways that we may use and disclose medical information without your authorization. All the ways we are permitted to use and disclose information without your authorization should fall within one of the categories below:
Treatment:
We may disclose medical information about you to doctors, nurses, technicians, medical students, or other personnel involved in your care. This includes coordination of treatments such as prescriptions, lab work, and X-rays.
Payment:
A bill may be sent to you or a third-party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used.
Health Care Operations:
We may use the information in your health record to assess the care and outcomes in your case and others like it. This information will then be used to improve the quality and effectiveness of the care we provide.
WHEN WE NEED YOUR WRITTEN AUTHORIZATION
We will not use or disclose your health information without your written authorization, except as described in this notice. Additional circumstances requiring your written authorization may include uses and disclosures for marketing purposes.
FOR MORE INFORMATION OR TO REPORT A PROBLEM
If you have questions and would like additional information, you may contact Practice at:
Phone: 813-770-2342
Address: 5807 Argerian Dr Suite 101, Wesley Chapel, FL 33545
If you believe your privacy rights have been violated, you can send a complaint to the Director of Practice at the address above or to the Secretary of Health and Human Services. Please allow up to 30 days for a response to your complaint, during which we will thoroughly investigate and address your concerns. We are committed to resolving issues promptly and ensuring your privacy is upheld. There will be no retaliation for filing a complaint.
NOTICE OF PRIVACY PRACTICES ACKNOWLEDGEMENT
I, the undersigned, understand that under the Health Insurance Portability & Accountability Act of 1996 (HIPAA), I have certain rights to privacy regarding my protected health information. I understand that this information can and will be used to:
Conduct, plan, and direct my treatment and follow-up among the multiple health care providers who may be involved in that treatment directly and indirectly.
Obtain payment from third-party payers.
Conduct normal health care operations, such as quality assessments and physician certifications.
I acknowledge that I have been provided the Notice of Privacy Practices containing a more complete description of the uses and disclosures of my health information. I understand that this organization has the right to change its Notice of Privacy Practices from time to time and that I may contact this organization at any time at the address above to obtain a current copy.