Effective Date: September 23^rd, 2025

This Notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.

At Revive Men’s Hair Clinic, we are committed to protecting your medical information in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and applicable state and federal laws.

How We May Use and Disclose Your Health Information

We may use and share your Protected Health Information (PHI) in the following ways:

For Treatment To provide, coordinate, and manage your healthcare and services. To consult with other healthcare professionals about your care.

For Payment To bill and collect payment for treatment and services provided to you. To share information with insurance providers, financing companies, or billing agencies.

For Healthcare Operations To evaluate and improve our services, ensure quality of care, and train staff.

As Required by Law To comply with legal, regulatory, or public health reporting obligations.

Other Permitted Uses and Disclosures

We may also disclose your PHI for:

Public Health & Safety (e.g., preventing disease, reporting adverse events).

Law Enforcement & Legal Proceedings (e.g., responding to subpoenas, court orders).

Workers’ Compensation & Regulatory Agencies (as authorized by law).

Medical Research (only with patient authorization or when permitted by law).

Uses and Disclosures Requiring Your Authorization

We will not use or disclose your PHI for purposes such as marketing, sales of PHI, or non-routine purposes without your written authorization. You may revoke your authorization at any time in writing.

Your Rights Regarding Your PHI

You have the right to:

Access Your Records – Request a copy of your medical records (fees may apply for copies).

Request Corrections – Ask us to correct or update inaccurate information.

Request Restrictions – Limit how we use or disclose your PHI (we are not required to agree in all cases).

Request Confidential Communications – Ask us to contact you in a specific way (e.g., phone, email, mail).

Receive an Accounting of Disclosures – Request a list of certain disclosures we’ve made of your PHI.

Receive a Paper Copy of This Notice – Even if you agreed to receive it electronically.

Our Duties

We are required by law to maintain the privacy and security of your PHI.

We must follow the terms of this Notice.

We will notify you promptly if a breach of unsecured PHI occurs.

We reserve the right to change this Notice and will make the updated Notice available to you.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Revive Men’s Hair Clinic

2865 Siena Heights Dr, Suite 101

Henderson, NV, 89052
702.400.5091
[email protected]

Or directly with the:

U.S. Department of Health and Human Services (HHS)
Office for Civil Rights (OCR)
https://www.hhs.gov/ocr/privacy/hipaa/complaints

We will not retaliate against you for filing a complaint.

⚖️ This Notice of Privacy Practices applies to all healthcare providers, staff, and business associates at Revive Men’s Hair Clinic. By receiving treatment at our clinic, you acknowledge receipt of this Notice.