HIPAA Notice of Privacy Practices
Effective Date: January 1, 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 Pledge Regarding Your Health Information
We understand that health information about you and your health is personal. We are committed to protecting your health information. We create a record of the care and services you receive from us to provide you with quality care and to comply with certain legal requirements.
How We May Use and Disclose Health Information About You
Treatment: We may use your health information to provide you with medical treatment or services. We may disclose health information about you to doctors, nurses, technicians, or other personnel who are involved in taking care of you.
Payment: We may use and disclose health information about you so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company, or a third party.
Health Care Operations: We may use and disclose health information about you for our health care operations. These uses and disclosures are necessary to run our practice and make sure that all of our clients receive quality care.
Your Rights
You have the right to: inspect and copy your health information, request an amendment to your health information, request restrictions on uses and disclosures, request confidential communications, and receive a paper copy of this notice.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
Contact Us
Privacy Officer — Revitalize Trim Spa & Wellness Center
35240 Nankin Blvd, Suite 403, Westland, MI 48185
(734) 742.5329