The Health Insurance Portability and Accountability Act (HIPAA) of 1996 requires Arizona Vein & Skin Rejuvenation to ensure the privacy of all client/patient information, otherwise referred to as "protected health information" or "P.H.I." that could be used to determine the identity of the client/patient. As the client/patient, or parent(s)/guardians of a minor, Arizona Vein & Skin Rejuvenation wants to make sure that you understand your rights to privacy and confidentiality of personally identifiable health care information, or P.H.I., and that you have the right to refuse to allow Arizona Vein & Skin Rejuvenation to use your health care information in certain ways, without your permission.

Your rights include the following:
•  That all personally identifiable information (P.H.I.) in your, or your child's, file will be kept confidential, except to the extent that this information is required to provide treatment, obtain payment for treatment, conduct the operations of Arizona Vein & Skin Rejuvenation and in case where release of this information is required by law or regulation or to protect the public health.

•  Personally identifiable information cannot be used by Arizona Vein & Skin Rejuvenation to market products or services to you, or provide you with information about products or services available to you, without your our express written permission.

•  Personally identifiable information cannot be disclosed by Arizona Vein & Skin Rejuvenation to its affiliates or other organizations for use by those affiliates or organizations to market products or services to you, or provide you with information about products or services available to you, without your express written permission.

•  You may request a listing of any and all individuals or organizations who have requested access to personally identifiable information contained in your medical record. Requests for this information should be sent to the Corporation's Privacy Officer.

•  You may refuse to allow disclosure of personally identifiable information to religious organizations or social service agencies, except in cases where such a disclosure is required by law or regulation.

•  You may refuse to allow disclosure of personally identifiable information, including information on medical condition and status, to family members, except in those cases where the family member is the parent/guardian of a minor child and disclosure of this information is required in order to obtain consent for treatment.

Clients/patients or the parent(s)/guardians of minor clients/patients will be asked to review and acknowledge that they have received a copy of these privacy rights upon admission to a Arizona Vein & Skin Rejuvenation facility, or a program operated by Arizona Vein & Skin Rejuvenation. A copy of this acknowledgement will be kept in the client/patient's file.