NOTICE OF PRIVACY PRACTICES

Effective Date: July 28, 2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU MAY ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Body Art Rejuvenation LLC is committed to protecting the confidentiality of your medical and health information.

Body Art Rejuvenation is a self-pay healthcare practice. This Notice is intended to satisfy the requirements of the Health Insurance Portability and Accountability Act, or HIPAA, if and to the extent HIPAA applies to the practice. It also describes the privacy practices we follow under Florida law and our internal policies.

Where Florida law provides greater privacy protection than federal law, we will follow the more protective applicable requirement.

Who Follows This Notice

This Notice applies to:

Body Art Rejuvenation LLC
Providers delivering services through the practice
Medical oversight personnel participating in practice operations
Employees and authorized workforce members
Contract personnel working through the practice
Telehealth providers delivering services through Body Art Rejuvenation
Other authorized persons who use Body Art Rejuvenation’s records and systems to provide or support care

These persons may share health information with one another as necessary for treatment, payment, healthcare operations, and other purposes permitted by law.

This Notice does not automatically apply to an independently operated provider or organization that maintains separate records and has its own privacy practices.

Your Rights

You have the following rights regarding your health information, subject to applicable limitations.

Obtain a Copy of Your Medical Record

You may ask to inspect or receive an electronic or paper copy of your medical record and other health information that we maintain about you.

We will provide access within the period required by applicable law. We may charge a reasonable fee permitted by law for copying, supplies, postage, or preparation of an agreed summary.

In limited circumstances, we may deny access. When required, we will explain the reason and any available review rights.

Ask Us to Correct Your Medical Record

You may ask us to correct information that you believe is inaccurate or incomplete.

We may deny the request in certain circumstances, including when the information is accurate, was not created by us, is not part of the record available for inspection, or cannot legally be changed. If denied, we will provide an explanation as required by law.

Request Confidential Communications

You may ask us to contact you in a particular way or at a particular location.

For example, you may request that we contact you only through a specific telephone number or email address. We will accommodate reasonable requests.

You are responsible for providing accurate contact instructions and informing us when they change.

Ask Us to Limit Uses or Disclosures

You may ask us not to use or disclose certain health information for treatment, payment, or healthcare operations.

We are not generally required to agree to every request. If we agree, we will follow the restriction unless the information is needed to provide emergency treatment or another exception applies.

When applicable, if you pay for a service completely out of pocket and ask us not to disclose information concerning that service to a health plan for payment or healthcare operations, we will honor the request unless disclosure is required by law.

Receive an Accounting of Certain Disclosures

You may request a list of certain disclosures of your health information made during the period allowed by law.

The accounting does not include every disclosure. For example, it may not include disclosures for treatment, payment, healthcare operations, disclosures made directly to you, disclosures made with your authorization, or other disclosures excluded by law.

Receive a Copy of This Notice

You may request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

Choose a Personal Representative

You may authorize another person to act on your behalf.

We will recognize a valid personal representative as required by law after reviewing documentation establishing that person’s authority.

File a Privacy Complaint

You may file a complaint if you believe your privacy rights have been violated.

You may complain directly to Body Art Rejuvenation or to the United States Department of Health and Human Services Office for Civil Rights when HIPAA applies.

We will not retaliate against you, deny treatment, or treat you differently because you filed a good-faith complaint or exercised a privacy right.

Your Choices:

For certain health information, you may tell us what you prefer.

Family, Friends, and Others Involved in Your Care

With your permission, or when otherwise permitted by law and professional judgment, we may share information relevant to your care or payment with a family member, friend, caregiver, or other person involved in your care.

If you are unable to communicate your preference, we may share limited information when we determine that doing so is in your best interest and is permitted by law.

Marketing

We will obtain written authorization before using or disclosing protected health information for marketing when authorization is required.

General communications about our own services, appointment reminders, care-related alternatives, educational information, or face-to-face communications may be permitted without a separate authorization in some circumstances.

You may opt out of promotional communications.

Photographs, Testimonials, and Social Media

We will obtain separate written authorization before using identifiable patient photographs, videos, testimonials, treatment stories, or medical information for advertising, social media, website content, or other promotional purposes.

Receiving treatment is not conditioned on signing a marketing or photography authorization.

You may revoke an authorization in writing, except to the extent that we have already reasonably relied on it or applicable law permits continued retention of the underlying medical record.

Sale of Health Information

Body Art Rejuvenation does not sell protected health information.

We will obtain written authorization before any disclosure that is legally considered a sale of protected health information, unless an exception applies.

How We Typically Use and Disclose Health Information Treatment

We may use and disclose health information to evaluate, coordinate, manage, and provide your treatment.

For example, a treating provider may review your medical history, medications, photographs, laboratory results, previous procedures, or consultation information. We may share relevant information with another provider, laboratory, pharmacy, or specialist involved in your care.

Payment

We may use and disclose health information to collect payment for services and manage payment-related activities.

Because Body Art Rejuvenation is self-pay, these activities may include providing cost information, processing payments, maintaining transaction records, addressing refunds or disputes, and coordinating financing or payment providers selected by the patient.

Healthcare Operations

We may use and disclose health information to operate the practice and improve the quality and safety of services.

Healthcare operations may include:

Quality assessment and improvement
Provider review and credentialing
Workforce training
Compliance activities
Medical-record review
Business planning
Auditing and accounting
Legal services
Customer service
Appointment management
Information-technology support
Patient-safety activities
Fraud prevention
Vendor and service-provider management

Appointment and Care Communications

We may use your information to contact you about:

Appointments
Treatment instructions
Follow-up care
Laboratory or prescription matters
Product recalls
Safety information
Treatment alternatives
Health-related services that may interest you

You may request reasonable communication restrictions or opt out of promotional communications.

Telehealth

We may use and disclose health information to provide scheduled telehealth services.

Telehealth services will be documented in the medical record according to standards applicable to in-person care. Video, audio, electronic, and other records created as part of telehealth services will be protected as required by applicable law.

General website forms, emails, chat messages, and ordinary text messages are not a substitute for a properly scheduled telehealth evaluation.

Other Uses and Disclosures Permitted or Required by Law

Subject to applicable conditions, we may use or disclose health information:

When required by federal, state, or local law
For public-health activities
To report adverse events, product defects, or recalls
To prevent or control disease or injury
To report suspected abuse, neglect, exploitation, or domestic violence
To prevent or reduce a serious and imminent threat to health or safety
For health-oversight activities
For professional licensing or regulatory investigations
For workers’ compensation matters
In response to lawful law-enforcement requests
In response to a court order, subpoena, discovery request, or other legal process
To a medical examiner, coroner, or funeral director
For organ or tissue donation purposes
For approved research when legal requirements are satisfied
For national-security or protective-service activities permitted by law
To correctional institutions or officials when permitted by law
To business associates performing services for us
To defend the practice or a provider in a legal or professional proceeding

We will comply with additional restrictions imposed by Florida law when those restrictions are more protective.

Substance-Use-Disorder Records

Body Art Rejuvenation does not provide a substance-use-disorder treatment program and does not routinely maintain records subject to the federal substance-use-disorder confidentiality regulations.

However, if we receive patient records that are protected by 42 C.F.R. Part 2, we will not use or disclose those records in a civil, criminal, administrative, or legislative investigation or proceeding against you unless permitted by applicable law, including through your written consent or an appropriate court order and subpoena.

Uses Requiring Written Authorization

We will obtain written authorization for uses or disclosures that are not otherwise permitted or required by law.

An authorization may be required for:

Certain marketing uses
The sale of protected health information
Identifiable advertising photographs or videos
Testimonials containing patient information
Certain social-media uses
Other disclosures not described in this Notice

You may revoke an authorization in writing at any time, except to the extent that we have already acted in reliance on it or applicable law provides otherwise.

Our Responsibilities

Body Art Rejuvenation will:

Maintain the privacy and security of protected medical information
Develop policies and procedures to protect medical records
Train authorized workforce members on privacy and security
Limit access according to job responsibilities
Use reasonable safeguards for paper, electronic, and verbal information
Maintain records of disclosures when required
Notify affected individuals when a legally reportable breach occurs
Follow the privacy practices described in the Notice currently in effect
Provide a copy of this Notice upon request
Refrain from retaliating against anyone who exercises a privacy right or files a complaint

Electronic Communications

Email, text messaging, and chat communications may involve privacy risks.

We use approved systems and reasonable safeguards, but no electronic communication system can be guaranteed to be completely secure.

By requesting communication through a particular method, you acknowledge the ordinary risks associated with that method. You may request an alternative reasonable communication method.

Do not send urgent medical concerns through email, general chat, or text messaging.

Changes to This Notice

We may change this Notice and our privacy practices.

A revised Notice may apply to health information we already maintain and information created or received in the future. The current Notice will be available through our website and at our office.

The effective date will appear at the beginning of the Notice.

Questions and Complaints

Contact:

Rolando Pol, Manager and Privacy Contact
Body Art Rejuvenation LLC
13550 SW 88 Street, Suite 130 Miami, Florida 33186

Email: corp@bodyartrejuvenation.com
Telephone: 786-654-7575