Notice of Privacy Practices
Effective Date: August 2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Bloomfield Wellness & Aesthetics is committed to protecting the privacy and confidentiality of our patients' health information.
This Notice describes how we may use and disclose Protected Health Information (“PHI”), your rights regarding your health information, and our responsibilities regarding that information, to the extent required by applicable law.
Our Responsibilities
Bloomfield Wellness & Aesthetics is required, where applicable, to:
- Maintain the privacy and security of your PHI.
- Follow the duties and privacy practices described in the Notice currently in effect.
- Provide you with this Notice describing our legal duties and privacy practices.
- Notify affected individuals following a breach of unsecured PHI when notification is required by law.
How We May Use and Disclose Your Health Information
We may use or disclose PHI for purposes permitted or required by law, including:
Treatment
We may use and share health information to provide, coordinate, and manage your care.
Payment
We may use or disclose information when necessary for permitted billing or payment-related activities.
Healthcare Operations
We may use PHI for healthcare operations such as quality assessment, staff training, compliance activities, administrative functions, and improving patient care.
Business Associates
We may share information with appropriately contracted service providers that perform certain functions on our behalf where permitted by law.
Required by Law
We may disclose PHI when required to do so by federal, state, or local law.
Public Health & Safety
Information may be disclosed for certain legally authorized public health, safety, reporting, or regulatory purposes.
Legal Proceedings & Law Enforcement
We may disclose information in response to qualifying legal proceedings, court orders, subpoenas, or lawful law-enforcement requests as permitted or required by law.
Uses Requiring Authorization
Uses or disclosures of PHI that are not otherwise permitted or required by law generally require your written authorization.
If you provide authorization, you may generally revoke it in writing at any time, except to the extent action has already been taken in reliance on the authorization or as otherwise permitted by law.
Your Health Information Rights
Subject to applicable law and certain limitations, you may have the right to:
Access Your Records
Request to inspect or obtain a copy of certain health information maintained about you.
Request Corrections
Ask us to amend health information that you believe is incorrect or incomplete.
Request Confidential Communications
Ask us to communicate with you regarding your health information in a particular way or at an alternative location.
Request Restrictions
Ask us to limit certain uses or disclosures of your PHI. We are not required to agree to every requested restriction except where the law requires otherwise.
Receive an Accounting of Disclosures
Request information regarding certain disclosures of your PHI.
Receive a Copy of This Notice
Request a paper or electronic copy of this Notice.
Communications
We may contact you regarding appointments, treatment, healthcare operations, or other permitted healthcare communications.
Please inform our office if you have specific communication preferences or concerns regarding confidential communications.
Breach Notification
If a breach occurs that compromises the privacy or security of unsecured PHI, we will provide notification as required by applicable law.
Changes to This Notice
We reserve the right to modify this Notice and our privacy practices as permitted by law. Any revised Notice may apply to PHI we already maintain as well as information received after the revision becomes effective.
The current Notice will be made available through the practice and/or website as appropriate.
Questions or Complaints
If you believe your privacy rights have been violated or have questions regarding this Notice, you may contact Bloomfield Wellness & Aesthetics.
You may also have the right to submit a complaint to the U.S. Department of Health and Human Services Office for Civil Rights.
You will not be retaliated against for filing a privacy complaint.
Contact Information
Bloomfield Wellness & Aesthetics
4723 Liberty Ave
Pittsburgh, PA 15224
Phone: 412-475-8844