HIPAA Notice of Privacy Practices
HIPAA Notice of Privacy Practices​
House of Bloom Medical Aesthetics & Wellness
Effective Date: June 16, 2026
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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
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At House of Bloom Medical Aesthetics & Wellness, we respect your privacy and are committed to protecting the confidentiality of your Protected Health Information ("PHI") as required by the Health Insurance Portability and Accountability Act ("HIPAA") and other applicable laws.
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Protected Health Information includes information about your health, medical history, treatment, medications, laboratory results, billing information, and any other information that may identify you and relates to your healthcare.
Our Legal Responsibilities
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House of Bloom Medical Aesthetics & Wellness is required by law to:
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Maintain the privacy and security of your Protected Health Information
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Provide you with this Notice of Privacy Practices
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Follow the privacy practices described in this notice
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Notify you if a breach occurs that may compromise the privacy or security of your information
How We May Use and Disclose Your Health Information
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Treatment
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We may use and disclose your health information to provide, coordinate, and manage your healthcare services.
Examples include:
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Discussing your treatment plan with providers involved in your care
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Sending prescriptions to pharmacies
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Reviewing laboratory results
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Coordinating referrals when requested or medically necessary
Payment
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As a direct-pay practice, we may use your information to:
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Process payments
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Provide receipts and invoices
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Prepare Good Faith Estimates
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Collect balances owed for services rendered
Healthcare Operations
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We may use your information for routine business and clinical operations, including:
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Quality improvement activities
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Staff training and education
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Compliance and risk management
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Credentialing and accreditation activities
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Internal audits and record reviews
Individuals Involved in Your Care
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Unless you object, we may share relevant health information with a family member, caregiver, spouse, or other person you identify as involved in your care or payment for your care.
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You may request restrictions on these disclosures at any time.
Other Uses and Disclosures Allowed by Law
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We may disclose your health information without your authorization when required or permitted by law, including:
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Public health reporting
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Health oversight activities
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Law enforcement requests
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Court orders and subpoenas
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Prevention of serious threats to health or safety
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Workers' compensation claims
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Government investigations and audits
Uses Requiring Your Written Authorization
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We will obtain your written authorization before:
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Using or disclosing your information for purposes not described in this notice
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Most marketing communications involving your health information
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Certain uses of photographs or treatment images outside of your medical record
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Any other disclosure that requires authorization under HIPAA
You may revoke your authorization at any time in writing, except where action has already been taken based on your authorization.
Your Rights Regarding Your Health Information
You have the right to:
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Access Your Records: Request access to or copies of your medical records, subject to certain legal limitations.
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Request Amendments: Request corrections or amendments to information you believe is inaccurate or incomplete.
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Request Restrictions: Request limitations on how we use or disclose your information. While we will consider all requests, we are not always required to agree.
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Request Confidential Communications: Request that we communicate with you using alternative methods or locations, such as a different phone number, mailing address, or email address.
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Receive an Accounting of Disclosures: Request a list of certain disclosures we have made of your health information.
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Receive a Paper Copy: Request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.
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Receive Breach Notification: Receive notification if your Protected Health Information is compromised in a reportable breach.
Electronic Communications
House of Bloom Medical Aesthetics & Wellness may communicate with you via phone, text message, email, patient portal, or other electronic methods. While we take reasonable precautions to protect your information, electronic communication may carry certain privacy and security risks.
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By providing your contact information, you consent to communications related to your care, appointments, prescriptions, billing, and office operations.
Photographs and Treatment Images
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Clinical photographs may be taken as part of your medical record for treatment planning, documentation, and monitoring treatment outcomes.
Any use of photographs for marketing, educational, advertising, social media, website, or promotional purposes requires separate written consent and is entirely voluntary.
Changes to This Notice
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We reserve the right to modify this Notice of Privacy Practices at any time. Updated versions will be posted on our website and made available upon request.
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Questions, Concerns, or Complaints
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If you have questions regarding this Notice, wish to exercise your privacy rights, or believe your privacy rights have been violated, please contact us:
House of Bloom Medical Aesthetics & Wellness
509 Lafayette Blvd., Suite B
Fredericksburg, VA 22401
Phone: (540) 737-8464
Email: info@houseofbloommed.com
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.
