Notice of Patient
Privacy Practices

Your rights

• Request an electronic or paper copy of eligible medical and billing records
• Request correction of information you believe is incorrect or incomplete
• Request confidential communications or reasonable restrictions
• Request an accounting of certain disclosures
• Receive a paper copy of this notice
• Choose an authorized personal representative
• Complain without retaliation

Requests may be subject to verification, lawful limitations, and reasonable cost-based fees. LUVION will respond within the time required by applicable federal and Arizona law.

Your choices

You may tell us your preferences about sharing information with family or others involved in your care. Written authorization is generally required for uses not otherwise permitted by law, including most public marketing uses of identifiable treatment photographs. You may revoke an authorization prospectively in writing, subject to action already taken in reliance on it.

How information may be used and disclosed

As permitted or required by law, information may be used or disclosed to treat you, coordinate care, run clinical operations, obtain payment, support quality and safety, comply with public-health obligations, report suspected abuse or neglect, avert a serious threat, respond to workers’ compensation or lawful government requests, and respond to legal proceedings. Other uses or disclosures require authorization unless law provides otherwise.

Our responsibilities

LUVION will safeguard protected patient information, limit access to people and vendors with an appropriate need, provide required breach notifications, follow the privacy practices in effect, and make the current notice available upon request, through the patient portal, and on this website.

Arizona medical records

Medical records are maintained and released in accordance with applicable Arizona and federal law. Adult patient records are generally retained for at least six years after the last date of service; longer periods may apply to minors, particular records, contracts, or other legal requirements.

Secure communications

Ordinary email and text messaging may carry privacy risks. Do not use public website forms or ordinary email for medical records, treatment photographs, symptoms, urgent questions, or emergencies. Use LUVION’s secure patient portal when available. Call 911 for an emergency.

Privacy contact and complaints

Privacy Officer: Jacquelyn Balkas, RN
LUVION Wellness & Aesthetics LLC
267 West Duval Road, Green Valley, AZ 85614
520-592-6144
hello@luvionwellnessandaesthetics.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by writing to 200 Independence Avenue SW, Washington, DC 20201, calling 1-877-696-6775, or visiting hhs.gov/ocr/privacy/hipaa/complaints. LUVION will not retaliate against you for filing a complaint.

Changes to this notice

LUVION may change this notice and apply the revised notice to information already maintained as permitted by law. The current notice will be available in the office, through the secure patient portal, upon request, and on this website.