Notice of Privacy Practices

This Notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.

Your Rights

You have the right to:

• Get a copy of your health records
• Request corrections
• Request confidential communications
• Ask us to limit what we share
• Get a list of disclosures
• Obtain a paper copy of this Notice

Our Uses and Disclosures

We may use and share your health information to:

• Treat you
• Run our organization and improve care
• Bill for your services
• Public health and safety purposes
• Comply with law, court orders, or government requests
• Address workers’ compensation, law enforcement, and other government requests

Your Choices

You may opt out of certain communications. We will not share or sell your information for marketing purposes without your written consent.

Our Responsibilities

We are required by law to:

• Maintain the privacy and security of your protected health information (PHI)
• Provide you with this Notice
• Notify you if a breach occurs that may have compromised your information
• Follow the duties and privacy practices described here

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us at:

Privacy Officer, Rejuvenate Wellness & Aesthetics
205B Lilly Rd NE, Suite B, Olympia, WA 98506
Phone: 360-489-1558 | Email: info@rejuvenateolympia.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.