HIPAA Notice of Privacy Practices
Notice of Privacy Practices
Effective Date: [Date TBD]
This notice describes how medical information about you may be used and disclosed and how you can get access to this information at Maintenance Bar's Seattle clinic. Please review it carefully.
Maintenance Bar is required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to maintain the privacy of your protected health information (PHI), provide you with this notice of our privacy practices, and follow the terms of this notice. For general data practices, see our Privacy Policy.
How Maintenance Bar May Use and Disclose Your Health Information
Treatment
Maintenance Bar may use your health information to provide, coordinate, or manage your aesthetic treatments. This includes sharing information with other healthcare providers involved in your care.
Payment
Maintenance Bar may use your health information to bill and collect payment for treatments and services provided. This includes sharing information with insurance companies or payment processors as necessary.
Healthcare Operations
Maintenance Bar may use your health information for business operations including quality assessment, staff training, compliance activities, and business planning.
With Your Authorization
Other uses and disclosures of your health information will be made only with your written authorization, which you may revoke at any time.
Your Health Information Rights
You have the right to:
- Inspect and copy your health information maintained by Maintenance Bar
- Request amendments to your health information if you believe it is incorrect or incomplete
- Request restrictions on certain uses and disclosures of your health information
- Request confidential communications through alternative means or at alternative locations
- Receive an accounting of disclosures of your health information made by Maintenance Bar
- Receive a paper copy of this notice upon request
Maintenance Bar's Responsibilities
Maintenance Bar is required to:
- Maintain the privacy of your protected health information
- Provide you with this notice of our privacy practices
- Follow the terms of this notice currently in effect
- Notify you if a breach occurs that may have compromised the privacy or security of your information
Complaints
If you believe your privacy rights have been violated, you may file a complaint with Maintenance Bar or with the U.S. Department of Health and Human Services Office for Civil Rights.
Filing a complaint will not affect your care at Maintenance Bar. You may also contact Maintenance Bar directly with privacy concerns.
Contact Maintenance Bar
Privacy Officer Maintenance Bar 3250 Airport Way South, Suite 720 Seattle, WA 98134 Email: hello@maintenancebar.net Phone: 206-678-0636