Rejuvent Medical Spa And Surgery Notice Of Privacy Practices

Updated Date: 5-24-2018

Who we are

Our website address is https://www.rejuvent.com/. We are managed and operated by Rejuvent Medical Spa and Surgery.

What personal data we collect and why we collect it

Comments

When visitors leave comments on the site we collect the data shown in the comments form, and also the visitor’s IP address and browser user agent string to help spam detection.

An anonymized string created from your email address (also called a hash) may be provided to the Gravatar service to see if you are using it. The Gravatar service privacy policy is available here: https://automattic.com/privacy/. After approval of your comment, your profile picture is visible to the public in the context of your comment.

Contact forms

If you send us a contact via a contact form, the information you send will be delivered via email to our secure server. We keep this information on our servers indefinitely. We do not share your information in any shape or form. We do not share it with any outside company.

Cookies

If you leave a comment on our site you may opt-in to saving your name, email address and website in cookies. These are for your convenience so that you do not have to fill in your details again when you leave another comment. These cookies will last for one year.

If you have an account and you log in to this site, we will set a temporary cookie to determine if your browser accepts cookies. This cookie contains no personal data and is discarded when you close your browser.

When you log in, we will also set up several cookies to save your login information and your screen display choices. Login cookies last for two days, and screen options cookies last for a year. If you select “Remember Me”, your login will persist for two weeks. If you log out of your account, the login cookies will be removed.

If you edit or publish an article, an additional cookie will be saved in your browser. This cookie includes no personal data and simply indicates the post ID of the article you just edited. It expires after 1 day.

How long we retain your data

If you leave a comment, the comment and its metadata are retained indefinitely. This is so we can recognize and approve any follow-up comments automatically instead of holding them in a moderation queue.

For users that register on our website (if any), we also store the personal information they provide in their user profile. All users can see, edit, or delete their personal information at any time (except they cannot change their username). Website administrators can also see and edit that information.

What rights you have over your data

If you have an account on this site, or have left comments, you can request to receive an exported file of the personal data we hold about you, including any data you have provided to us. You can also request that we erase any personal data we hold about you. This does not include any data we are obliged to keep for administrative, legal, or security purposes.

Analytics

We use Google Analytics to better understand the traffic and demographics of our visitors. You can read their privacy policy here.

Rejuvent Medical Spa and Surgery Important Medical Privacy Policy

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.

This Notice describes the practices of Rejuvent Medical Spa and Surgery and the practices that will be followed
by all of Rejuvent Medical Spa and Surgery workforce members who handle your medical information.

Our Pledge Regarding Your Protected Health Information

Rejuvent Medical Spa and Surgery understand that medical information about you and your health is
personal. We are committed to protecting medical information about you. We maintain our records and
conduct our treatment environment with a goal of providing the highest level of protection for your medical
information, while still providing you with the highest level of medical care. This Notice applies to all of the
records of your medical care which are received or created by Rejuvent Medical Spa and Surgery.
Your other medical treatment providers (e.g., doctors, hospitals, home health agencies, etc.) may have different
policies or notices regarding the use and disclosure of your medical information.

This Notice will tell you about the ways in which Rejuvent Medical Spa and Surgery may use and disclose
medical information about you. Your medical information, also referred to as “protected health information,” is
that information about you, including demographic information, that may identify you and that relates to your
past, present or future physical or mental health information and related health care services.
In this Notice, we also describe your rights and certain obligations Rejuvent Medical Spa and Surgery has
regarding the use and disclosure of your protected health information. We are required by law to:

  • Make sure that medical and other information that identifies you (protected health
    information) is kept private;
  • Give you this Notice of our legal duties and privacy practices with respect to protected health
    information about you; and
  • Follow the terms of the Notice that is currently in effect.

Uses And Disclosures For Treatment, Payment And Health Care Operations

By becoming a patient of Rejuvent Medical Spa and Surgery, you are giving consent for Rejuvent Medical Spa
and Surgery to use your protected health information for certain activities, including treatment, payment and
other health care operations.

First of all, we may use and disclose protected health information about you so that Rejuvent Medical Spa and
Surgery and its medical professionals can treat you. For example, we may use your past medical information
in order to diagnose your present condition or we may provide information regarding your medical condition
to another doctor to whom we refer you for additional care. We may also use and disclose protected health
information about you so that we may be paid for the medical treatment we provide you. For example, we will
submit protected health information about you to your insurance company in order to receive payment for
services we have provided to you. We may also use and disclose protected health information about you for
Rejuvent Medical Spa and Surgery ‘s health care operations, in other words, those other tasks that we need to
perform to make sure that you are provided the highest quality of medical care. For example, we may use your
protected health information to evaluate how we can better meet your needs or we may provide protected
health information about you to an auditor who reviews our books so that we can keep our license to provide
medical services in AZ.

Other Uses And Disclosures Of Your Protected Health Information

The following uses of your protected health information may be made without any additional authorization
from you.

Uses And Disclosures For Appointment Reminders

We may use and disclose your medical information to contact you as a reminder that you have an appointment
at the office. If you request that such communications be made confidentially, please contact our office in
writing at 9155 E. Bell Road, Scottsdale AZ 85260. We will accommodate all reasonable requests.

Uses And Disclosures To Others Involved In Your Health Care

We may disclose to a member of your family, a relative, a close friend, or any other person you identify, your
protected health information that directly relates to that person’s involvement in your medical care. If you are
unable to agree or object to this disclosure, we may disclose such information as necessary if we determine
that it is in your best interests based on our professional judgment. We may also use or disclose protected
health information to notify or assist in notifying a family member, personal representative or any other person
that is responsible for your care of your location, general condition, or death. Finally, we may use or disclose
your protected health information to an authorized public or private entity to assist in disaster relief efforts
and to coordinate uses and disclosures to family or other individuals involved in your healthcare.

Uses And Disclosures In Emergency Situations

We may use or disclose your protected health information in an emergency treatment situation. If this
happens, your physician will attempt to obtain your acknowledgment of this Notice as soon as reasonably
practicable after the delivery of treatment.

Uses And Disclosures For Health-Related Benefits Or Services

From time to time, Rejuvent Medical Spa and Surgery may use and disclose protected health information to
tell you about certain health-related benefits or services that may be of interest to you.

Uses And Disclosures Required By Law

We will use or disclose protected health information about you when required to do so by federal, state, or
local law. The use or disclosure will be made in compliance with the law and will be limited to the relevant
requirements of the law. You will be notified, if the law requires us to do so, of any such uses or disclosures. We
must make disclosures to you and when required by the Secretary of the Department of Health and Human
Services to investigate or determine our compliance with the law.

Uses And Disclosures For Public Health Activities

We may disclose your protected health information for public health activities and disclosure for such
purposes will be to a public health authority that is permitted by law to collect or receive the information.
The disclosure will be made for purposes such as controlling disease, injury or disability. Disclosures to public
health authorities may include disclosure to a foreign authority that is working with the public
health authority.

Uses And Disclosures Related To Communicable Diseases

We may disclose your protected health information, if authorized by law, to a person who may have been
exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or
condition.

Disclosures For Health Oversight Activities

We may disclose protected health information to a health oversight agency for activities authorized by law.
These activities include, for example, audits, investigations, and inspections. These activities are necessary for
the government to monitor the health care system, the delivery of health care, government benefit programs,
other government regulatory programs and civil rights laws.

Disclosures Of Abuse Or Neglect

We may disclose your protected health information to a public health authority authorized by law to receive
reports of child abuse or neglect. In addition, we may disclose your protected health information if we believe
that you have been a victim of abuse, neglect or domestic violence to a governmental entity or agency
authorized to receive such information. In such cases, the disclosure will only be made in accordance with
Arizona law.

Disclosures To The Food And Drug Administration

We may disclose your protected health information to a person or company required by the Food and Drug
Administration (FDA) to report adverse events, product defects or other problems, biologic product deviations,
track products; to enable product recalls; to make repairs or replacements; or to conduct post-market
surveillance, as required.

Disclosures For Lawsuits And Disputes

If you are involved in a lawsuit or a dispute, we may disclose protected health information about you in
response to a court order or administrative order. We may also disclose protected health information about
you in response to a subpoena, discovery request, or other lawful process by someone else involved in the
dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the
information requested.

Disclosures To Law Enforcement

We may release protected health information if asked to do so by a law enforcement official, in response to a
court order, subpoena, warrant, summons, or similar process. Other related disclosures may include disclosures
relating to individuals who are Armed Forces personnel, to national security and intelligence agencies, as well
as disclosures to authorized federal officials for the protection of the President of the United States or other
authorized persons or foreign heads of state.

Disclosures To Coroners, Funeral Directors, And Organ Donation

We may disclose protected health information about you to a coroner or medical examiner for identification
purposes, determining cause of death, or for the coroner or medical examiner to perform other duties required
by law. We may also disclose protected health information about you to a funeral director in order to permit
the funeral director to carry out legal duties, and may do so if death is reasonably anticipated. Your protected
health information may also be disclosed for certain organ donations to which you may have agreed.

Disclosures For Research

We may disclose your protected health information to researchers when their research has been approved and
protocols have been established to ensure the privacy of your information. We may also disclose a limited set
of your information, as allowed under the law, for research purposes.

Disclosures Related To Criminal Activity

We may disclose your protected health information, consistent with federal and AZ laws, if we believe that
the use or disclosure is necessary to prevent or lessen a serious or imminent threat to the health or safety of a
person or the public, or if it is necessary for law enforcement authorities to identify or apprehend an individual.

Disclosures For Workers’ Compensation

We may release protected health information about you for workers’ compensation or similar programs. These
programs provide benefits for work-related injuries or illness.

Your Rights Regarding Protected Health Information About You.

Right to Inspect and Copy. You have the right to inspect and copy protected health information that may be
used to make decisions about your medical care. Usually this right includes both medical and billing records.
You must submit your request in writing. If you request a copy of the information, we may charge a fee for the
costs of copying, mailing or other supplies associated with your request. Your request to inspect and copy your
information may only be denied in very limited circumstances and you have a right to request that any such
denial be reviewed.

Right to Request Restrictions. You have the right to request that we restrict the use and disclosure of your
protected health information for treatment, payment and health care operations. We are not required to agree
to your request. If we do agree, we will comply with your request unless the information is needed to provide
you emergency treatment. To request restrictions, you must make your request in writing to 9155 E. Bell Rd.,
Scottsdale, AZ 85260. In your request, you must tell us (1) what information you want to limit; (2) whether you
want to limit our use, disclosure, or both; and (3) to whom you want the limits to apply.

Right to Confidential Communications. You also have the right to request to receive private health
information communications by alternative means or at alternative locations. For example, you can ask that
we only contact you at work or by mail. To request confidential communications, you must make your request
in writing to 9155 E. Bell Rd., Scottsdale, AZ 85260. We will not ask you the reason for your request. We will
accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.

Right to Amend. If you feel that the protected health information we have about you is incorrect or
incomplete, you have the right to request that your protected health information be amended. Only the health
care entity (e.g., doctor, hospital, clinic, etc.) that created your protected health information is responsible for
amending it. For more information regarding the procedures for submitting such a request, contact 9155 E.
Bell Rd., Scottsdale, AZ 85260.

Right to an Accounting of Disclosures. You have a right to an accounting of disclosures of your protected
health information, for purposes other than treatment, payment or health care operations by Rejuvent
Medical Spa and Surgery or any of the people or companies who perform treatment, payment or health care
operations on our behalf. To request this list of disclosures we made of protected health information about
you, you must submit a request in writing to 9155 E. Bell Rd., Scottsdale, AZ 85260. Your request should
indicate the form in which you want the list (for example, on paper or electronically).

Right to a Paper Copy of this Notice. You have the right to a paper copy of this Notice. You may ask us to give
you a copy of this notice at any time.

To learn more about these procedures, or to make any of these requests, you should contact Rejuvent Medical
Spa and Surgery.

Changes To This Notice

Rejuvent Medical Spa and Surgery reserves the right to change this notice. We reserve the right to make the
revised or changed Notice effective for protected health information we already have about you, as well as any
information we create or receive in the future.
Complaints

If you believe your privacy rights have been violated and/or that Rejuvent Medical Spa and Surgery has not
followed this policy, you may file a complaint with Rejuvent Medical Spa and Surgery, or with the Secretary
of the Department of Health and Human Services. To file a complaint with Rejuvent Medical Spa and Surgery,
send a letter to: Rejuvent Medical Spa and Surgery 9155 E. Bell Rd., Scottsdale, AZ 85260. All complaints must
be submitted in writing. You will not be penalized for filing a complaint.

Other Uses Of Protected Health Information

Other uses and disclosures of your protected health information not covered by this notice or the laws that
apply to Rejuvent Medical Spa and Surgery will be made only with your written permission (“authorization”).
If you provide us permission to use or disclose protected health information about you, you may revoke that
permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose protected
health information about you for the reasons covered by your authorization. You understand that we are
unable to take back any disclosures we have already made with your permission and that we are required to
retain our records of the medical treatment or other services that we have provided to you.

Questions?

If you have any questions regarding this notice, please contact Rejuvent Medical Spa and Surgery.
480-889-8880