This summary describes Michael W. Hill MD Facial Plastic Surgery and Tomorrow’s Health Medical Spa’s practices regarding the use of your medical and demographic information. To request a full copy of our Privacy Notice, or if you have any questions about this notice, please contact Michael W. Hill MD at the address listed below.

We understand that medical information about you and your health is personal. Protecting medical information about you is important. We are required by law to keep medical information that identifies you private; to give you notice of our legal duties and privacy practices with respect to your protected health information; and to follow the terms of this notice.

We create a record of the care and services you receive. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by Michael W. Hill MD Facial Plastic Surgery and Tomorrow’s Health Medical Spa, whether made by health care professionals or other personnel.

If the practices described in this document meet your expectations, there is nothing you need to do. If you prefer that we not share information we may honor your written request in certain circumstances.

How we may use and disclose protected health information about you.

We may use protected health information about you for treatment, payment, and health care purposes. Additionally, we may contact you regarding treatment alternatives; health related benefits and services; marketing of health-related benefits and services. You may decline to receive this information.

We may contact you for appointment reminders and may also leave a message on your answering machine or with a family member or others involved in your health care. You may decline this service.

We may release protected health information about you to a friend or a family member who is involved in your medical care.

We will disclose protected health information about you when required to do so by federal, state or local law. Additionally, we may use and disclose protected health information about you when necessary to prevent serious threat to your health and safety or the health and safety of public or another person.

There are other special situations where we may release protected health information such as to organizations that handle organ procurement or organ transplantation; to military command authorities if you are a member of the armed forces; to workers’ compensation or similar programs that provide benefits for work-related injuries or illness.

We may also disclose protected health information to a health oversight agency for activities authorized by law such as audits, investigations, inspections, and licensure. We may disclose protected health information about you for public health activities; lawful orders from a court; to examiner; to authorized federal officials; or to a correctional institution or law enforcement.

Your rights regarding protected health information about you.

You have the following rights regarding your protected health information:

• To receive Notice of our policies and procedures used to protect your health information.
• To access your protected health information; provided, however, such request must be in writing and may be denied in certain limited situations.
• To request that your protected health information be amended; provided, however, such requests must be in writing and may be denied in certain limited situations.
• To obtain and accounting of certain disclosures by us of your protected health information for the past six years (but not prior to April 14, 2003).
• To request certain uses and disclosures of your protected health information be restricted; provided, however, we have the right to refuse your request.
• To request certain communications of your protected health information are done by reasonable alternative means or at alternative locations.
• To revoke any prior authorizations for use or disclosure of protected health information; except to the extent that action has already taken place.

Changes to this notice.

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice. The notice will contain on the first page, in the top right-hand-corner, the effective date.

Complaints.

If you believe your privacy rights have been violated, you may file a complaint with Michael W. Hill MD Facial Plastic Surgery and Tomorrow’s Health Medical Spa, with the Secretary of the Department of Health and Human Services, or with the Office of Civil Rights. To file a complaint with Michael W. Hill MD Facial Plastic Surgery and Tomorrow’s Health Medical Spa, contact Michael W. Hill MD at the address or phone number below. All complaints must be submitted in writing.

You will not be penalized for filing a complaint.