Effective Date: June 2025
Your Health Information Rights
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.
Merit Med Spa ("we," "our," or "the Practice") is committed to protecting the privacy of your protected health information (PHI) in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
Treatment: We may use your PHI to provide, coordinate, or manage your healthcare and related services.
Payment: We may use and disclose your PHI to obtain payment for services rendered.
Healthcare Operations: We may use your PHI for quality assessment, training, and other operational activities.
We are required by law to maintain the privacy of your PHI, provide you with this notice, and follow the terms of the notice currently in effect. We will not use or disclose your PHI without your written authorization, except as described in this notice.
We reserve the right to change this notice. We will post the revised notice in our clinic and on this app. The new notice will apply to all PHI we maintain.
If you believe your privacy rights have been violated, you may file a complaint with us at [your-email@meritspa.com] or with the U.S. Department of Health and Human Services Office for Civil Rights.
[Privacy Officer Name]
[your-email@meritspa.com]
[Phone Number]