Effective Date: October 23, 2025
Your Information. Your Rights. Our Responsibilities.
This notice describes how your medical information may be used and disclosed, and how you can access that information. Please read it carefully.

Your Rights
You have the right to:

• Access your medical record – Request a copy of your paper or electronic medical record and other health information we maintain about you. We will provide it within 30 days of your request and may charge a reasonable, cost-based fee.
• Request a correction – Ask us to amend information in your record that you believe is incorrect or incomplete. If we deny your request, we will provide a written explanation within 60 days.
• Request confidential communication – Ask us to contact you in a specific way (for example, only at your work phone or a specific mailing address). We will honor all reasonable requests.
• Limit what we use or share – Ask us not to use or disclose certain information for treatment, payment, or operations. While we may not always be able to agree, we will consider your request carefully.
• Request an accounting of disclosures – Ask for a list of who we have shared your health information with (other than for treatment, payment, or operational purposes) for up to six years prior to your request.
• Receive a copy of this notice – You may request a paper copy of this Notice of Privacy Practices at any time, even if you have chosen to receive it electronically.
• Choose someone to act on your behalf – If you have granted medical power of attorney or have a legal guardian, that individual may exercise your rights and make decisions about your health information once verified.
• File a complaint – If you believe your privacy rights have been violated, you may contact us directly or file a complaint with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Your Choices
For certain types of information, you may decide how we share your details.
You have the right to tell us to:

• Share information with family, close friends, or others involved in your care.
• Restrict the sharing of your information for specific purposes.

If you are unable to express your preference (for example, if you are unconscious), we may share relevant information if we believe it is in your best interest or necessary to prevent a serious threat to health or safety.

We will never sell your information or use your likeness for marketing without your explicit consent.

Our Uses and Disclosures

We typically use or share your health information in the following ways:

To Provide Treatment

We use your health information to coordinate care and communicate with other professionals involved in your treatment.
Example: A provider at Aevie Aesthetics may consult with another healthcare specialist to support your care plan.

To Operate Our Practice

We use your information to manage our business operations, improve services, and communicate with you when necessary.
Example: We may review patient data to enhance quality of care or patient satisfaction.

To Process Payments

We use and disclose information to bill and receive payment for services rendered.
Example: We may include details of your treatments on billing statements or receipts.

Other Ways We May Use or Share Your Information

We may also share information when required or permitted by law in ways that contribute to the public good, such as for public health or research purposes. Before sharing, we ensure all legal conditions are met.

Examples Include:

• Reporting public health risks such as disease prevention or product recalls.
• Reporting adverse reactions to medications.
• Reporting suspected abuse, neglect, or domestic violence.
• Preventing or reducing a serious threat to anyone’s health or safety.
• Conducting or supporting health research.
• Complying with federal or state laws, including requests from the U.S. Department of Health and Human Services (HHS) to ensure compliance with privacy regulations.
• Cooperating with law enforcement or government agencies as required by law.
• Responding to subpoenas, court orders, or legal proceedings.

For more information, visit: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers

Our Responsibilities

• We are required by law to maintain the privacy and security of your Protected Health Information (PHI).
• We will notify you promptly if a data breach occurs that may have compromised your information.
• We must follow the duties and practices described in this notice and provide you with a copy upon request.
• We will not use or share your information for any purpose not described in this notice without your written consent.
• You may withdraw your consent at any time by providing written notice.

For more information, visit: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html

Changes to This Notice

We reserve the right to update or modify the terms of this Notice at any time. Any changes will apply to all health information we maintain. The most current version will be available in our office and on our website.

Contact Information

If you have any questions about this notice, wish to exercise your rights, or need to file a complaint, please contact:

Aevie Aesthetics
Privacy Officer: Gennady Vitorsky
📍 377 Easton Rd, Warrington PA 18976
📞 267-357-1362
✉️ gennadyvitorsky@gmail.com

You may also contact the U.S. Department of Health and Human Services:
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
📞 1-877-696-6775
🌐 www.hhs.gov/ocr/privacy/hipaa/complaints