Privacy Policy
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
This Notice of Privacy Practices describes how OGÈ Aesthetics & Wellness may use and disclose your protected health information to carry out treatment, payment, or health care operations, and for other purposes permitted or required by law. It also describes your rights to access and control your protected health information.
“Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health or condition and related health care services.
We are required to abide by the terms of this Notice of Privacy Practices. We may update this notice at any time, and the new notice will be effective for all protected health information we maintain at that time. To request a revised copy, you may visit our website, call our office, or ask for one at your next appointment.
1. Uses and Disclosures of Protected Health Information
Your protected health information may be used and disclosed by your provider, our office staff, and others outside of our office who are involved in your care and treatment for the purpose of providing health care services to you. It may also be used and disclosed to process payment for health care services and to support the operation of our practice. The following are examples of the types of uses and disclosures we may make:
Treatment
We will use and disclose your protected health information to provide, coordinate, or manage your aesthetic and wellness care and any related services. This includes coordination with other providers involved in your care. For example, if you are referred to a specialist or another health care provider, we may share the necessary information to ensure continuity of your care.
Payment
Your protected health information will be used and disclosed as needed to obtain payment for the health care services provided by us or by another provider. This may include verifying insurance eligibility, reviewing medical necessity, or obtaining prior authorization.
Health Care Operations
We may use or disclose your protected health information to support the business activities of our practice, including quality assessment, staff review, licensing, and training. We work with third-party “business associates” (such as billing or transcription services) and have written agreements in place to protect the privacy of your information in those arrangements.
We may contact you with information about treatment alternatives or health-related services that may be of interest to you. You may contact our Privacy Officer at any time to opt out of receiving such communications.
Other Permitted and Required Uses and Disclosures
We may use or disclose your protected health information without your written authorization in the following circumstances:
update this notice at any time, and the new notice will be effective for all protected health information we maintain at that time. To request a revised copy, you may visit our website, call our office, or ask for one at your next appointment.
Required by Law
We may use or disclose your protected health information to the extent required by law, in compliance with applicable legal requirements.
Public Health
We may disclose your protected health information to a public health authority authorized by law to collect or receive the information, for purposes such as preventing or controlling disease, injury, or disability.
Communicable Diseases
We may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading it.
Health Oversight
We may disclose protected health information to a health oversight agency for lawful activities such as audits, investigations, and inspections conducted by government agencies overseeing the health care system.
Abuse or Neglect
We may disclose your protected health information to a public health authority authorized to receive reports of child abuse or neglect. We may also disclose your information if we believe you have been a victim of abuse, neglect, or domestic violence, consistent with applicable federal and state laws.
Food and Drug Administration
We may disclose your protected health information as required by the FDA for the purpose of tracking, safety surveillance, or reporting related to FDA-regulated products or activities.
Legal Proceedings
We may disclose protected health information in the course of judicial or administrative proceedings, in response to a court order, subpoena, or other lawful process.
Law Enforcement
We may disclose protected health information to law enforcement when required by law, including in response to legal process, to identify or locate a person, in connection with a crime victim, or when a crime occurs on our premises.
Coroners, Funeral Directors, and Organ Donation
We may disclose protected health information to a coroner, medical examiner, or funeral director as authorized by law, and for cadaveric organ, eye, or tissue donation purposes.
Research
We may disclose your protected health information to researchers when the research has been approved by an institutional review board with established protocols to protect the privacy of your information.
Preventing Serious Threats
We may disclose your protected health information if we believe it is necessary to prevent a serious and imminent threat to the health or safety of a person or the public, consistent with applicable federal and state laws.
Military, National Security, and Workers’ Compensation
We may use or disclose your protected health information as required for military activities, national security, intelligence purposes, or to comply with workers’ compensation laws.
Uses and Disclosures Requiring Your Written Authorization
Any use or disclosure of your protected health information not described above will be made only with your written authorization. You may revoke your authorization in writing at any time; however, we are unable to take back disclosures already made in reliance on your authorization.
Opportunity to Agree or Object
In certain situations, we may use or disclose your protected health information and you will have the opportunity to agree or object. If you are unable to agree or object, your provider may use professional judgment to determine what is in your best interest.
Family Members and Others Involved in Your Care
Unless you object, we may disclose protected health information to a family member, relative, close friend, or other person you identify, when that information directly relates to their involvement in your health care. We may also use or disclose your information to notify family members or caregivers of your location, general condition, or death, or in connection with disaster relief efforts.
2. Your Rights
You have the following rights with respect to your protected health information:
Right to Inspect and Copy
You have the right to inspect and obtain a copy of your protected health information, including medical and billing records, for as long as we maintain them. A reasonable fee may apply. Certain records are excluded from this right under federal law, such as psychotherapy notes and information compiled in anticipation of legal proceedings. Please contact our Privacy Officer if you have questions.
Right to Request Restrictions
You may request that we restrict the use or disclosure of your protected health information for treatment, payment, or health care operations purposes, or to specific individuals involved in your care. Your provider is not required to agree to your requested restriction, but if they do agree, we will honor it except in emergencies.
Right to Confidential Communications
You have the right to request that we communicate with you by alternative means or at an alternative location. We will accommodate reasonable requests. Please submit your request in writing to our Privacy Officer.
Right to Amend
You may request an amendment to your protected health information in our records. We may deny the request in certain circumstances. If denied, you have the right to submit a statement of disagreement, and we may prepare a rebuttal. Please contact our Privacy Officer with questions.
Right to an Accounting of Disclosures
You have the right to receive an accounting of certain disclosures we have made of your protected health information, for purposes other than treatment, payment, or health care operations, occurring after April 14, 2003. Certain disclosures are excluded from this right as described in applicable law.
Right to a Paper Copy
You have the right to receive a paper copy of this Notice of Privacy Practices at any time, even if you have previously agreed to receive it electronically.
3. Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. To file a complaint with our practice, please notify our Privacy Officer. We will not retaliate against you in any way for filing a complaint.
Questions or Concerns?
For questions regarding this Notice of Privacy Practices, the complaint process, or to exercise any of your rights, please contact us:
OGÈ Aesthetics & Wellness
Burbank, CA
Privacy Officer / Ameachi Ajakwe, MSN FNP-BC
Effective Date: 6/30/26 • This notice is subject to change.