Smokey Point Skin
Address: 1507 172nd St NE, Suite 203, Marysville, WA 98271
Phone: (360) 651-8347
Email: info@smokeypointskin.com
Website: https://smokeypointskin.com
Effective Date: May 12, 2025
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This Notice of Privacy Practices describes how your medical information may be used and disclosed, and how you can access and control this information.
Please review it carefully.
At Smokey Point Skin, we understand that your medical and personal health information is sensitive. We are committed to protecting your privacy in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other applicable laws.
We may collect, use, and maintain your personal health information (PHI), which includes:
– Your name, date of birth, and contact information
– Medical history, treatment plans, and service records
– Photos related to your care (e.g., before and after treatment images)
– Payment information
– We may also collect information from other healthcare providers, insurance companies, or third-party services involved in your care.
We may use and disclose your PHI for the following purposes without your written authorization:
– Treatment: To provide, coordinate, or manage your care and related services.
– Payment: To bill and collect payment for services provided.
– Healthcare Operations: To manage our business activities, including quality assessments and administrative functions.
– When using or disclosing PHI, we make reasonable efforts to limit the information to the minimum necessary to accomplish the intended purpose.
We may also disclose your information:
– To business associates who perform services on our behalf (e.g., billing services, appointment reminder systems) under strict confidentiality agreements (Business Associate Agreements).
– When required by law (e.g., public health reporting, law enforcement).
– To prevent a serious threat to health or safety.
In any situation not covered above, we will ask for your written authorization before using or disclosing your PHI.
You may revoke your authorization at any time in writing.
Examples requiring your explicit consent include:
– Marketing communications unrelated to your care
– Disclosure of treatment details to third parties for promotional purposes
– Sale of your PHI
You have the following rights under HIPAA:
– Right to Access: You may request copies of your health records.
– Right to Amend: You may request corrections to your health records.
– Right to an Accounting of Disclosures: You may request a list of certain disclosures we have made.
– Right to Request Restrictions: You may ask us to restrict how we use or disclose your information. (We may not be able to agree to all restrictions.)
– Right to Request Confidential Communications: You may request that we contact you by alternative means (e.g., only at work or by mail).
– Right to a Paper Copy of This Notice: You can request a paper copy at any time, even if you have agreed to receive it electronically.
To exercise any of these rights, please contact us using the information below.
We are required by law to:
– Maintain the privacy of your health information
– Provide you with this Notice
– Notify you if a breach of unsecured PHI occurs
– Abide by the terms of this Notice
We reserve the right to change the terms of this Notice. If we do, we will post an updated Notice on our website and provide copies upon request.
Privacy Officer
Smokey Point Skin
1507 172nd St NE, Suite 203
Marysville, WA 98271
Phone: (360) 651-8347
Email: info@smokeypointskin.com
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 care you receive from us.
