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Revitalize Beauty Medspa

HIPAA Notice of Privacy Practices

Effective Date: May 2026

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


Our Commitment to Your Privacy

Revitalize Beauty Med Spa is committed to protecting the privacy and confidentiality of your protected health information (“PHI”) in accordance with the Health Insurance Portability and Accountability Act (“HIPAA”).

We implement reasonable administrative, technical, and physical safeguards to protect your personal and medical information from unauthorized access, use, or disclosure.


How We May Use and Disclose Your Information

For Treatment

We may use your health information to provide aesthetic, cosmetic, wellness, skincare, laser, injectable, body contouring, IV therapy, anti-aging, or related medical spa services.

Healthcare professionals involved in your care may communicate with each other to coordinate treatment recommendations and follow-up care.


For Payment

We may use your information to:

  • Process payments
  • Verify billing information
  • Communicate regarding balances or invoices
  • Submit claims where applicable

For Healthcare Operations

We may use your information for:

  • Appointment scheduling
  • Customer support
  • Staff training
  • Internal quality reviews
  • Compliance and administrative purposes
  • Business management and operations

Information We May Collect

Depending on the services you receive, we may collect:

  • Name and contact information
  • Medical history and health information
  • Treatment records
  • Photographs related to treatment progress
  • Payment information
  • Communication records through forms, phone, email, or SMS

Photography & Treatment Documentation

With your consent, we may take before-and-after photographs to document treatment progress and support your care.

These images will remain confidential unless you provide separate written authorization allowing their use for marketing, advertising, educational, or social media purposes.


Electronic Communications & SMS

If you provide your phone number or email address, we may contact you regarding:

  • Appointment confirmations and reminders
  • Follow-up instructions
  • Wellness communications
  • Promotions and special offers (if consented)

Message and data rates may apply. You may opt out of marketing communications at any time.

Please avoid sending sensitive medical information through unsecured email or text messaging.


Uses and Disclosures Permitted by Law

We may disclose your information when permitted or required by law, including:

  • Public health reporting
  • Health oversight activities
  • Legal proceedings
  • Law enforcement requests
  • Compliance with federal and state regulations
  • Preventing serious threats to health or safety

Uses Requiring Your Authorization

We will obtain your written authorization before:

  • Sharing information outside HIPAA-permitted purposes
  • Using identifiable treatment photographs for advertising or promotional use
  • Certain marketing communications when required by law

You may revoke your authorization in writing at any time.


Your Rights

You have the right to:

  • Access your medical records
  • Request corrections to your information
  • Request confidential communications
  • Request restrictions on certain disclosures
  • Receive an accounting of disclosures
  • Obtain a paper copy of this notice
  • File a complaint regarding privacy concerns

Complaints

If you believe your privacy rights have been violated, you may contact us directly.

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:

👉 https://www.hhs.gov/hipaa/filing-a-complaint/

Revitalize Beauty Med Spa will not retaliate against you for filing a complaint.


Changes to This Notice

Revitalize Beauty Med Spa reserves the right to update or modify this Notice at any time. Updated versions will be posted on this website with a revised effective date.


Contact Information

Revitalize Beauty Med Spa

📍 16321 Main St #210 Chino, CA 91708
📞 (714) 658-6989