Notice of Privacy Practices (HIPAA)

Effective Date: May 23, 2025

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.

Our Legal Duty

We are required by law to maintain the privacy and security of your Protected Health Information (PHI). We are also required to provide you with this Notice explaining our legal duties and privacy practices with respect to your health information. We will follow the terms of this Notice currently in effect and will notify you if a breach occurs that may have compromised the privacy or security of your information.

How We May Use and Disclose Your Health Information

We may use or disclose your health information to provide, coordinate, or manage your healthcare and related services. We may use and disclose your health information to bill and receive payment for services provided to you. We may use and disclose your health information for operational purposes such as quality assessment, compliance, training, and administrative activities. We may share information with service providers that perform services on our behalf who agree to protect the privacy of your information.

We may disclose your health information when required to do so by federal, state, or local law. We may also disclose health information for public health activities or to prevent or lessen a serious threat to health or safety.

Other uses and disclosures of your health information not described in this Notice will be made only with your written authorization. You may revoke such authorization at any time in writing.

Some services may be provided using electronic communication or telehealth technologies. When telehealth services are used, protected health information is transmitted through secure systems consistent with applicable HIPAA privacy and security requirements.

Your Rights Regarding Your Health Information

You have the right to inspect and obtain a copy of your medical records. You may request that we correct or amend information you believe is inaccurate or incomplete. You may request restrictions on certain uses or disclosures of your information. You may request that we communicate with you through alternative methods or locations. You may request a list of certain disclosures we have made of your health information. You have the right to receive a paper or electronic copy of this Notice at any time.

How to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. Filing a complaint will not affect the quality of care you receive.

Contact Information

Élevé Aesthetics Med Spa

Rancho Cucamonga, California

Phone: (951) 327-7737

Email: EleveAestheticsMedSpa@gmail.com

We reserve the right to change the terms of this Notice and to make the revised Notice effective for all health information we maintain. Updated notices will be available upon request and posted on our website.