Invite a Friend and Earn a $20 Credit!

Notice of Privacy Practices

1. Uses and Disclosures of Health Information

We may use and disclose your health information for the following purposes:

  • Treatment: We may use your health information to provide medical services and coordinate your care with other healthcare providers.
  • Payment: Your information may be used to obtain payment for treatments and services you receive at our clinic, including billing and claims processing.
  • Healthcare Operations: We may use your information for administrative purposes such as staff training, quality improvement, and managing our practice.

2. Patient Rights

As a patient, you have the following rights concerning your health information:

  • Right to Access: You can request a copy of your medical records and inspect them. You may also request an electronic copy if applicable.
  • Right to Amend: If you believe that your medical records are inaccurate, you can request that we correct or amend them.
  • Right to Request Restrictions: You may request that we limit how we use or disclose your information, though we are not required to agree to all restrictions.
  • Right to Confidential Communication: You can request that we communicate with you using alternative methods or at alternative locations to ensure your privacy.
  • Right to Accounting of Disclosures: You have the right to request a list of certain disclosures of your health information that were made without your authorization.

3. Disclosures That Do Not Require Authorization

We are permitted or required by law to use or disclose your health information without your written consent in the following situations:

  • Public Health Activities: Reporting of diseases, injuries, or vital events such as births and deaths.
  • Law Enforcement: In response to subpoenas, court orders, or other legal processes.

Health Oversight Activities: For audits, investigations, or inspections required by law.

4. Other Uses of Health Information

Any other use or disclosure of your health information will only be done with your written authorization. You may revoke your authorization at any time in writing.

5. Your Responsibilities

We ask that you provide accurate and complete health information and inform us of any changes. You are responsible for maintaining the privacy of any communications made with us through unsecured methods, such as personal emails or texts.

6. Changes to This Notice

We reserve the right to change our privacy practices and update this notice accordingly. Any changes will apply to all health information we maintain, and we will post the new notice at our clinic and on our website.

7. Complaints

If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint.

Contact Person

If you have any questions, requests, or complaints, please contact:

Divine Med Spa & Clinic

8684 Griffin Rd Cooper City, FL 33328

954-856-2364

Fax: 954-766-1819

Email: [email protected]