Privacy Policy

OUR LEGAL RESPONSIBILITIES

We are required by law to give you
this notice. It
provides you on how we may use and disclose protected health information about
you and describes your rights and our obligations regarding the use and
disclosure of that information. We shall maintain the privacy of protected
health information and provide you with notice of our legal duties and privacy
practices with respect to your protected health information.

We have the right to change these
policies at any time. If we change our privacy policies, we will notify you of
these changes immediately. This current policy is in effect unless stated
otherwise. If the policy is changed, it will apply to all your current and past
health information. 

You may request a copy of our notice
any time. You may contact Hydration Station Beauty & Wellness at 525 North
Sam Houston Pkwy Ste 245, 832-302-9765 at any time to request a copy of this
privacy policy.

HOW WE MAY USE OR DISCLOSE YOUR
PROTECTED HEALTH INFORMATION

The following examples describe ways
that we may use your protected health information for your treatment, payments,
healthcare operations etc. but please be advised that not every use or
disclosure in a particular category will be listed.

Treatment: We may use and disclose your protected health information to
provide you treatment. This includes disclosing your protected health
information to other medical providers, trainees, therapists, medical staff,
and office staff that are involved in your health care.

For example, your medical provider
might need to consult with another provider to coordinate your care. Also, the
office staff may need to use and disclose your protected health information to
other individuals outside of our office such as the pharmacy when a
prescription is called in.

Payment: Your protected health information may also be used to obtain
payment from an insurance company or another third part. This may include providing
an insurance company your protected health information for a pre-authorization
for a medication we prescribed.

Health Care Operations: We may use or disclose your protected health information
in order to operate this medical practice. These activities include
training students, reviewing cases with employees, utilizing your information
to improve the quality of care, and contacting you be telephone, email, or text
to remind you of your appointments.

If we have to share your protected
health information to third party “business associates” such as a billing
service, if so, we will have a written contract that contains terms that will
protect the privacy of your protected health information.

We may also use and disclose your
protected health information for marketing activities. For example, we might
send you a thank you card in the mail with a coupon for specialized services or
products. We may also send you information about products or services that
might be of interest to you. You can contact us at any point to stop receiving
this information.

We
will not use or disclose your protected health information for any purpose
other than those identified in this policy without your specific, written
Authorization. You may give us written
authorization to use your protected health information or to disclose it to
anyone for any purpose. You can revoke this authorization at any time but will
not affect the protected health information that was shared while the
authorization was in effect.

Appointment reminders: We may contact you
as a reminder that you have an appointment for your initial visit, follow up
visit, or lab work via text, phone or email.

Others Involved in Your Health Care:
We
may disclose protected health information about you to your family members or
friends if we obtain your verbal agreement to do so, or if we give you an
opportunity to object to such a disclosure and you do not raise an objection. For
example, we may assume that if your spouse or friend is present during your
evaluation, that we can disclose protected professional information to this
person. If you are unable to agree or object
to such a disclosure, we may disclose such information as necessary if we
determine that it is in your best interest based on our professional judgment
if there is an urgent or emergent need.

Research; We
will not use or disclose your health information for research purposes unless
you give us authorization to do so.

Organ Donation: If
you are an organ donor, we may release protected health information to
organizations that handle organ procurement or organ, eye or tissue
transplantation if it is necessary to facilitate this process.

Public Health Risks: We may disclose your protected health information, if
necessary, in order to prevent or control disease, report adverse events from
medications or products, prevent injury, disability or death. This information
may be disclosed to healthcare systems, government agencies, or public health
authorities. We may have to disclose your protected health information to the
Food and Drug Administration to report adverse events, defects, problems,
enable recalls etc. if required by FDA regulation.

Health Oversight Activities: We may disclose protected health information to health
oversight agencies for audits, investigations, inspections or licensing
purposes. These disclosures might be necessary for state and federal agencies
to monitor healthcare systems and compliance with civil law.

Required by Law: We will disclose
protected health information about you when required to do so by federal, state
and/or local law.

Workman’s compensation: We may disclose your protected health information to
workman’s comp or similar programs.

Lawsuits: We may disclose your protected health information in
response to a court action, administrative action or a subpoena.

Law Enforcement: We
may release protected health information to a law enforcement official in
response to a court order, subpoena, warrant, subject to all applicable legal
requirements.

YOUR RIGHTS REGARDING YOUR PROTECTED
HEALTH INFORMATION

Access to medical records: You have the right to access and receive copies of your
protected health information that we use to make decisions about your care. You
must submit a written request to obtain your protected health information to
the individual listed at the end of this privacy policy. We reserve the right
to charge you a fee for the time it takes to obtain and copy the protected
health information and provide it to you.

Amendment: If you believe the
protected health information, we have about you is incorrect or incomplete, you
may ask us to amend the information You will need to submit a written request
on why you feel the health information should be amended. We may deny your request to amend if you did not send a
written request or give a reason on why it should be amended. If we deny your
request, we will provide you a written explanation. We may deny your request if
we believe the protected health information is accurate and complete.

Accounting of Disclosures: You have the right to receive a list of instances in which
we disclosed your personal health information unless the disclosure was used
for
treatment, payment, healthcare operations, was pursuant to a valid
authorization and as otherwise provided in applicable federal and state laws
and regulations. You must submit a written request
to obtain this “accounting of disclosures” to the individual listed at the
bottom of this policy. After your request has been approved, we will provide
you the dates of the disclosure, the name of the individual or entity we
disclosed the information to, a description of the information that was
disclosed, the reason why it was disclosed, and any additional pertinent
information.  This information may not be
longer than (STATUTE OF LIMITATIONS) years ago prior to the date the accounting
is requested. We reserve the right to charge a reasonable fee for this process.

Restriction Requests: You have the right
to request a restriction or limitation on the protected health information we
use or disclose about you for treatment, payment, or healthcare operations. We
shall accommodate your request except where the disclosure is required by law.
We require this be a written request submitted to the individual at the end of
this policy.

Confidential Communication: You have the right
to request that we communicate with you about healthcare matters in a certain
way and at a certain location.  We must accommodate your request if it is
reasonable and allows us to continue to collect payments and bill you.

Paper copy of this notice: You may request a hard copy of this practice policy if you
reviewed and signed it via electronic means. To obtain this copy, contact the
individual at the end of this privacy policy.