THIS NOTICE DESCRIBES HOW HEALTH AND MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
THE PRIVACY OF YOUR HEALTH AND MEDICAL INFORMATION IS IMPORTANT TO US.

OUR RESPONSIBILITIES

We at Buckehad Plastic Surgery understand that medical information about you and your health is personal. Applicable federal and state law requires us to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect This Notice takes effect 03/14/2016 , and will remain in effect until we replace it. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our Notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change this Notice and make the new Notice available upon request. You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of this Notice, please contact us using the information listed at the end of this Notice.

USES AND DISCLOSURES OF HEALTH INFORMATION

We may use and disclose health information about you for treatment, payment, and healthcare operations. For example:
To Treat You: We can use or disclose your health information to a physician or other healthcare provider providing treatment to you.

Billing and Payment For Services: We can use and disclose your health information to obtain payment for services we provide to you.

Healthcare Operations: We can use and disclose your health information in connection with our healthcare operations which includes quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities.

Your Authorization: In addition to our use of your health information for treatment, payment or healthcare operations, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time; your revocation will not affect any use or disclosures permitted by your authorization while it was in effect. Unless you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this Notice.

To Your Family and Friends: We must disclose your health information to you, as described in the Patient Rights section of this Notice We may disclose your health information to a family member, friend or other people to the extent necessary to help with your healthcare or with payment for your healthcare, but only if you agree that we PCIHIPAA.com Page 1 of 4 may do so.

Persons Involved In Care: We may use or disclose health information to notify or assist in the notification of (including identifying or locating) a family member, your personal representative or another person responsible for your care, of your location, your general condition, or death. If you are present, then prior to use or disclosure of your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose health information based on a determination using our professional judgment disclosing only health information that is directly relevant to the person’s involvement in your healthcare. We will also use our professional judgment and our experience with common practice to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, medical supplies, X-rays, or other similar forms of health information.

Marketing Health-Related Services: We will not use your health information for marketing purposes without your written permission.

Required by Law: We may use or disclose your health information when we are required to do so by state or federal law, including with the Department of Health and Human Services if it wants to see that we are complying with federal privacy law.

Abuse or Neglect: We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health or safety or the health or safety of others.

National Security: We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counterintelligence, and other national security activities. We may disclose to correctional institution or law enforcement official having lawful custody of protected health information of inmate or patient under certain circumstances.

Respond to organ and tissue donation requests: We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director: We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers’ compensation, law enforcement, and other government requests: We can use or share health information about you:

• For workers’ compensation claims
• For law enforcement purposes or with a law enforcement official
• With health oversight agencies for activities authorized by law
• For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions: We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Appointment Reminders: We may use or disclose your health information to provide you with appointment reminders (such as voicemail messages, postcards, or letters).

PATIENT RIGHTS

Access: You have the right to look at or get copies of your health information, with limited exceptions. You may request that we provide copies in a format other than photocopies. We will use the format you request unless we cannot practicably do so. (You must make a request in writing to obtain access to your health information. You may obtain a form to request access by using the contact information listed at the end of this Notice. We will
PCIHIPAA.com Page 2 of 4 charges you a reasonable cost-based fee for expenses such as copies, mailing, and staff time. You may also request access by sending us a letter to the address at the end of this Notice. If you request an alternative format, we will charge a cost-based fee for providing your health information in that format. If you prefer, we will prepare a summary or an explanation of your health information for a fee. Contact us using the information listed at the end of this Notice for a full explanation of our fee structure.)

Disclosure Accounting: You have the right to receive a list of instances in which we or our business associates disclosed your health information for purposes, other than treatment, payment, healthcare operations, and certain other activities, for the last 6 years, but not before April 14, 2003. If you request this accounting more than once in a 12-month period, we may charge you a reasonable, cost-based fee for responding to these additional
requests.

Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in an emergency).

Alternative Communication: You have the right to request that we communicate with you about your health information by alternative means or to alternative locations. (You must make your request in writing.) Your request must specify the alternative means or location, and provide satisfactory explanation how payments will be handled under the alternative means or location you request.

Amendment: You have the right to request that we amend your health information. (Your request must be in writing, and it must explain why the information should be amended.) We may deny your request under certain circumstances.

Electronic Notice: If you receive this Notice on our Web site or by electronic mail (e-mail), you are entitled to receive this Notice in written form.

PRIVACY POLICY

This privacy policy discloses the privacy practices for https://buckheadplasticsurgery.com/.

This privacy policy applies solely to information collected by this web site. It will notify you of the following:

1. What personally identifiable information is collected from you through the web site, how it is used and with whom it may be shared.

2. What choices are available to you regarding the use of your data.

3. The security procedures in place to protect against the misuse of your information.

4. How you can correct any inaccuracies in the information.

Our website uses cookies. By using our website and agreeing to this policy, you consent to our use of cookies in accordance with the terms of this policy.

INFORMATION COLLECTION, USE, AND SHARING

We are the sole owners of the information collected on this site.

We may collect, store, and use the following kinds of personal information:

1. Information about your computer and about your visits to and use of this website (including your IP address, geographical location, browser type and version, operating system, referral source, length of visit, page views, website navigation).

2. Information relating to any transactions carried out between you and us on or in relation to this website, including information relating to any purchases you make of our goods or services.

3. Information that you provide to us for the purpose of registering with us.

4. Information that you provide to us for the purpose of subscribing to our website services, email notifications and/or newsletters.

5. Any other information that you choose to send to us.

Before you disclose to us the personal information of another person, you must obtain that person’s consent to both the disclosure and the processing of that personal information in accordance with the terms of this privacy policy.

We will use your information to respond to you, regarding the reason you contacted us. We may share your information with another third party outside of our organization, if necessary to fulfill your request (e.g. to ship an order) or to facilitate our organization in managing our website.

Unless you ask us not to, we may contact you via email in the future to tell you about specials, or new products or services.

YOUR ACCESS TO AND CONTROL OVER INFORMATION

You may opt-out of any future contacts from us at any time. You can do the following at any time by contacting us via the email address or phone number given on our website:

1. See what data we have about you, if any.

2. Change/correct any data we have about you.

3. Have us delete any data we have about you.

4. Express any concern you have about our use of your data.

WEBSITE VISITORS UNDER 13

This website is not intended for children under 13. Our services are not applicable to minors. We do not knowingly collect information from anyone under the age of 13. If you are a parent or guardian and you are aware that your child has provided their information to us – please contact us by calling our office at 4043679005. If we become aware we have collected personal date from someone under the age of 13 without written parental consent, we will take the steps to remove this information from our database.

SECURITY

We will take reasonable technical and organizational precautions to prevent the loss, misuse, or alteration of your personal information.

We will store all the personal information you provide on our secure (password and firewall-protected) servers.

Only employees who need the information to perform a specific job (for example, billing or customer service) are granted access to personally identifiable information. The computers/servers in which we store personally identifiable information are kept in a secure environment.

ORDERS

We may accept orders and if we do we request information from you on our order form. To buy from us, you must provide contact information (like name and shipping address) and financial information (like credit card number, expiration date). This information is used for billing purposes and to fill your orders. If we have trouble processing an order, we’ll use this information to contact you.

COOKIES

Cookies are files that are downloaded on your computer or mobile device when you visit certain websites. Cookies allow a website to complete certain functions such as identify a user session, recall your preferences (e.g. language), gather information about your browsing habits or show you advertising adapted to your preferences. Cookies can allow us to determine that you have visited the site in the past and thus save and remember preferences that you may have set while browsing our site. Cookies do not allow us to retrieve any other data from your hard drive or obtain your e-mail address.

We use “cookies” on this site. A cookie is a piece of data stored on a site visitor’s hard drive to help us improve your access to our site and identify repeat visitors to our site. For instance, when we use a cookie to identify you, you would not have to log in a password more than once, thereby saving time while on our site. Cookies can also enable us to track and target the interests of our users to enhance the experience on our site.

We use analytic and advertising cookies, as well as cookies for functionality and security of our website.

Some of our business partners may use cookies on our site (for example, advertisers). However, we have no access to or control over these cookies.

We do not honor the Do Not Track (DNT) web browser privacy preference at this time.

REMARKING AND GOOGLE ANALYTICS

Buckhead Plastic Surgery and its affiliates might at various times use Google products, such as Google Analytics, Remarketing with Google Analytics, Google Display Network Impression Reporting, the DoubleClick Campaign Manager integration, and Google Analytics Demographics and Interest Reporting. You may opt out of Google Analytics for Display Advertising and customize Google Display Network ads using Google’s Ads Settings. Additionally, you may use the Google Analytics Opt-out Browser Add-on to avoid having your data used by Google Analytics. The cookies and data we collect is used to track traffic to our website, as well as provide insight on the demographics of our market so that we can improve and tailor the content and functionality of our website appropriately.

Buckhead Plastic Surgery and its affiliates may use remarketing with Google Analytics for online advertisement. Google may use cookies to optimize ads and serve them to visitors based on previous viewing history. Buckhead Plastic Surgery may use third-party vendors like Google to track ad performance and demographics to analyze how visitors are navigating our website, general demographics about visitors to our website to learn how to best optimize our viewers experiences with our website, brand and products.

FACEBOOK.COM AND SOCIAL MEDIA

Buckhead Plastic Surgery and LUX Med Spa use Facebook.com for remarketing purposes. Cookies collected from our website may trigger retargeting ads on the visitors Facebook account. This may include but is not limited to highlighting a procedure or product of interest, inviting you to contact Buckhead Plastic Surgery or its affiliates for more information or retargeting the brand as a whole.

You may see advertisements for Buckhead Plastic Surgery and/or LUX Med Spa on social media. These ads may be targeted to you based on your previous visits to our website.

SHARING

We share aggregated demographic information with our partners and advertisers.

We may use an outside shipping company to ship orders, and a credit card processing company to bill users for goods and services. These companies do not retain, share, store or use personally identifiable information for any secondary purposes beyond filling your order.

We may partner with another party to provide specific services. We will share names, or other contact information that is necessary for the third party to provide these services. These parties are not allowed to use personally identifiable information except for the purpose of providing these services.

DISCLOSURES

We may disclose your personal information to any of our employees, officers, agents, suppliers, or subcontractors insofar as reasonably necessary for the purposes set out in this privacy policy.

We may disclose your personal information to any member of our group of companies (this means our subsidiaries, our ultimate holding company, and all its subsidiaries) insofar as reasonably necessary for the purposes set out in this privacy policy.

In addition, we may disclose your personal information:

1. To the extent that we are required to do so by law.

2. In connection with any ongoing or prospective legal proceedings.

3. In order to establish, exercise or defend our legal rights (including providing information to others for the purposes of fraud prevention and reducing credit risk).

4. To the purchaser (or prospective purchaser) of any business or asset that we are (or are contemplating) selling.

5. To any person who we reasonably believe may apply to a court or other competent authority for disclosure of that personal information where, in our reasonable opinion, such court or authority would be reasonably likely to order disclosure of that personal information.

LINKS

This web site contains links to other sites. Please be aware that we are not responsible for the content or privacy practices of such other sites. We encourage our users to be aware when they leave our site and to read the privacy statements of any other site that collects personally identifiable information.

ONLINE APPOINTMENT SCHEDULING

LUX Med Spa offers online scheduling for appointments. To utilize this service, you will be required to provide your contact information and the purpose of the appointment. This information is sent to our scheduling system and emailed to the provider you select for your appointment. This information is stored in our scheduling database.

You may also be requested to enter a credit card number and your billing information to hold an appointment. This card will be saved to your account. If you wish to remove a form of payment from your account, please call our office.

PHOTO AND VIDEO GALLERY

Buckhead Plastic Surgery/LUX Med Spa maintains an online gallery of actual patients and testimonials from individuals who have authorized us to share them on our website. These photos, videos and testimonials are for educational purposes and are under the ownership of Alan N. Larsen MD.

MARKETING EBOOKS

Buckhead Plastic Surgery and Alan N. Larsen MD offer educational eBooks on various procedures in the practice. To access an eBook you will be asked to enter your email address. Your email address will go into our database, and you may receive marketing emails from Buckhead Plastic Surgery and/or LUX Med Spa. You can opt out of email at any time.

SURVEYS & CONTESTS

From time to time our site requests information via surveys or contests. Participation in these surveys or contests is completely voluntary and you may choose whether or not to participate and therefore disclose this information. Information requested may include contact information (such as name and shipping address), and demographic information (such as zip code, age level). Contact information will be used to notify the winners and award prizes. Survey information will be used for the purpose of monitoring or improving the use and satisfaction of this site.

UPDATES

Our Privacy Policy may change from time to time and all updates will be posted on this page.

Effective: May 19, 2023

If you feel that we are not abiding by this privacy policy, you should contact us immediately via the email address or phone number given on our website. https://buckheadplasticsurgery.com/.

QUESTIONS AND COMPLAINTS

If you want more information about our privacy practices or have questions or concerns, please contact us.

If you are concerned that we may have violated your privacy rights, or you disagree with a decision we made about access to your health information or in response to a request you made to amend or restrict the use or disclosure of your health information or to have us communicate with you by alternative means or at alternative locations, you may complain to us using the contact information listed at the end of this Notice. You also may submit a written complaint to the U.S. Department of Health and Human Services by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.

We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services.

Privacy Officer:
Kelli Mattinson
Telephone:
4043679005
Fax:
_________________________
E-mail:
kmattinson@buckheadplasticsurgery.com
Address:
4684 Roswell Road, NE
Suite B
Zip Code:
30342
State:
Georgia