HIPAA Notice of Privacy Practices

Effective date: October 24, 2025

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information (“PHI”), to provide you this Notice, and to follow the privacy practices described here unless we notify you in writing of changes.

We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

How We May Use & Disclose Your PHI

  • Treatment: To provide, coordinate, or manage your care (e.g., sharing information with pharmacies, labs, or other clinicians involved in your treatment).
  • Payment: To bill and collect payment for services (e.g., sharing limited information with payment processors or your insurer, if applicable).
  • Health Care Operations: For practice management, quality improvement, training, and accreditation.
  • As Required by Law: To comply with federal, state, or local law; for public health and safety; reporting abuse or neglect; health oversight; judicial/administrative proceedings; law enforcement, as permitted.
  • To Avert Serious Threats: To help prevent a serious threat to health or safety.
  • De-identified Data: We may use de-identified information that does not identify you.

Other uses and disclosures not described in this Notice will be made only with your written authorization. If you authorize a disclosure, you may revoke it at any time in writing, except to the extent we have already acted.

Your Rights

  • Right to Inspect & Get a Copy: You may request copies of your medical record and other health information. We may charge a reasonable, cost-based fee.
  • Right to Amend: If you believe your record is incorrect or incomplete, you may request an amendment. If we deny your request, we will tell you why in writing.
  • Right to an Accounting of Disclosures: You may request a list of certain disclosures we have made of your PHI.
  • Right to Request Restrictions: You may ask us to limit how we use or disclose your information. We are not required to agree, but we will consider your request. If you pay in full for a service out of pocket, you may request that we not share information about that service with your insurer.
  • Right to Request Confidential Communications: You may ask us to contact you in a specific way (e.g., phone vs. email) or at a different address.
  • Right to Choose a Representative: You may authorize a personal representative to act for you with appropriate documentation.
  • Right to a Paper Copy: You may request a paper copy of this Notice at any time, even if you agreed to receive it electronically.

Uses & Disclosures That Require Authorization

We will not use or disclose your PHI for marketing, sale of PHI, or most sharing of psychotherapy notes without your written authorization.

Our Communications With You

We may contact you about appointments, care instructions, and service options via phone, email, SMS, or patient portal. By providing your contact information, you consent to these communications. Standard message and data rates may apply. You may opt out of marketing messages at any time.

Minors & Personal Representatives

Parents, guardians, or other personal representatives may have access to a minor’s PHI as permitted by law. Some services may be limited or require consent.

Complaints

If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.

Practice Information

Vibrant Skin Solutions
8191 N Lombard St Unit 109, Portland, OR 97203
Email: [email protected]

Changes to This Notice

We may change our privacy practices and update this Notice. Changes apply to all information we maintain. The Effective date above reflects the current version. The current Notice will be posted on our website and available upon request.

This Notice summarizes how we protect and use your information as required by the Health Insurance Portability and Accountability Act (HIPAA). It is not legal advice—please consult your attorney to tailor for your practice.