NOTICE OF PRIVACY PRACTICES
Southern Beauty Aesthetics Notice of Privacy Practices
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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. Effective Date: October 20, 2026
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OUR COMMITMENT TO YOUR PRIVACY: At Southern Beauty Aesthetics, we are dedicated to maintaining the privacy and security of your protected health information (PHI). We create a record of the care and services you receive to provide quality care and to comply with legal mandates. We are required by law to maintain the privacy of your PHI, provide you with this notice of our legal duties and privacy practices, and notify you following a breach of unsecured PHI. We must abide by the terms of this notice currently in effect.
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HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION: We may use and disclose your PHI for the following purposes without obtaining your explicit written authorization:
For Treatment: We can use your medical information to provide, coordinate, or manage your treatments.
Example: Our nurse practitioners or estheticians may share your skin history, allergies, or prior injectable results with our Supervising Physician to design a safe treatment plan.
For Payment: We can use and disclose your PHI so that the treatments you receive may be billed and payment collected from you, a credit card company, or a financing program.
For Healthcare Operations: We can use and disclose your PHI to run our practice, improve your care, and contact you when necessary. Example: We use medical records to evaluate the quality of our laser hair removal treatments or train staff members.
As Required by Law: We will disclose PHI about you when required to do so by federal, state, or local law.
Public Health and Safety: We may disclose your PHI for public health activities, such as reporting adverse reactions to a medication or medical device (e.g., dermal filler complications) to the FDA.
Appointment Reminders & Services: We may use and disclose your PHI to contact you via phone, email, or text to remind you of an upcoming appointment or to inform you about treatment alternatives.
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USES & DISCLOSURES REQUIRING YOUR WRITTEN AUTHORIZATION: The following uses and disclosures of your PHI will be made only with your written authorization, which you may revoke at any time:
Marketing and Promotions: We will never use your name, treatment history, or data for marketing purposes, promotional campaigns, or add you to general promotional lists without your explicit written consent.
Before and After Photography: Any photos or videos taken of you for clinical progress tracking will remain strictly confidential within your medical chart. We will never post your photos on social media, our website, or use them in advertising unless you sign a separate, specific media release authorization form.
Sale of PHI: We will not sell your health information to third parties.
Substance Use Disorder (SUD) Records: To the extent that we maintain any substance use disorder patient records subject to 42 CFR Part 2, we will not disclose those records without your explicit written consent or a specific court order.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION: You have the following rights regarding the PHI we maintain about you:
Right to Inspect and Copy: You have the right to inspect and obtain a paper or electronic copy of your medical and billing records. We will provide this within 30 days of your request. We may charge a reasonable, cost-based fee.
Right to Request an Amendment: If you feel that medical information we have is incorrect or incomplete, you may ask us to amend the information. We may deny your request if we believe the information is accurate, but we will provide a written explanation.
Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose about you. If you pay for a treatment completely out-of-pocket and ask us not to share the information with your health insurance plan, we must agree to that restriction.
Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. Example: You can ask that we only contact you via a personal cell phone rather than a home phone, or that we do not leave detailed voicemails.
Right to an Accounting of Disclosures: You have the right to request a list (accounting) of certain disclosures we have made of your PHI for purposes other than treatment, payment, or healthcare operations.
Right to a Paper Copy of This Notice: You can request a paper copy of this notice at any time, even if you have agreed to receive it electronically.
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CHANGES TO THIS NOTICE: We reserve the right to change this notice and make the revised notice effective for medical information we already have as well as any information we receive in the future.
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COMPLAINTS AND CONTACT INFORMATION: If you believe your privacy rights have been violated, you may file a written complaint with our office or with the Secretary of the U.S. Department of Health and Human Services (HHS). You will not be penalized or retaliated against for filing a complaint. To file a complaint or request further information regarding our privacy practices, contact Melody DeAngelis 864-630-8850, email: support@southernbeautyaesthetics.com.
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