Cosmetique Aesthetics Notice of Privacy Practices
Effective Date: 6/23/2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
At Cosmetique Aesthetics, we understand that your medical information is personal and confidential. We are committed to protecting your Protected Health Information (“PHI”) and complying with all applicable federal and state privacy laws, including the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
This Notice describes how we may use and disclose your medical information, your rights regarding your health information, and our legal responsibilities.
OUR COMMITMENT TO YOUR PRIVACY
We are required by law to:
- Maintain the privacy and security of your Protected Health Information.
- Provide you with this Notice of our legal duties and privacy practices.
- Follow the terms of the Notice currently in effect.
- Notify you promptly if a breach occurs that may compromise the privacy or security of your information.
Protected Health Information includes information that identifies you and relates to your physical or mental health, healthcare services, or payment for healthcare services.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
Treatment
We may use and disclose your medical information to provide, coordinate, or manage your healthcare and related services.
Examples include:
- Discussing treatment options with you.
- Consulting with physicians, nurses, or specialists.
- Coordinating care with other healthcare providers.
- Reviewing your medical history to determine appropriate treatment.
Payment
We may use and disclose your information to obtain payment for healthcare services provided to you.
Examples include:
- Verifying insurance benefits.
- Submitting claims.
- Collecting outstanding balances.
- Processing payment transactions.
Healthcare Operations
We may use your information to support our business and clinical operations.
Examples include:
- Quality improvement activities.
- Staff training and education.
- Licensing and accreditation requirements.
- Audits and compliance reviews.
- Administrative management.
ADDITIONAL USES AND DISCLOSURES PERMITTED BY LAW
We may disclose your information without your authorization when permitted or required by law, including:
Appointment Reminders
We may contact you regarding appointments through:
- Phone calls
- Voicemail
- Text messages
- Postal mail
Treatment Alternatives and Health-Related Services
We may contact you regarding:
- New treatments or procedures
- Wellness programs
- Promotions related to healthcare services
- Products or services that may benefit your health
Family Members and Caregivers
Unless you object, we may share relevant information with:
- Family members
- Relatives
- Close personal friends
- Individuals involved in your care or payment for care
Public Health Activities
We may disclose information for:
- Disease prevention or control
- Reporting adverse reactions to medications
- Product recalls
- Public health investigations
Health Oversight Activities
We may disclose information to government agencies responsible for:
- Healthcare regulation
- Audits
- Inspections
- Investigations
- Licensing
Abuse, Neglect, or Domestic Violence
We may disclose information when required or authorized by law to report:
- Child abuse
- Elder abuse
- Neglect
- Domestic violence
Legal Proceedings
We may disclose information in response to:
- Court orders
- Subpoenas
- Administrative proceedings
- Other lawful legal processes
Law Enforcement
We may disclose information to law enforcement officials when required or authorized by law.
Coroners, Medical Examiners, and Funeral Directors
We may disclose information as necessary to:
- Identify a deceased individual
- Determine cause of death
- Carry out authorized duties
Organ and Tissue Donation
Information may be disclosed to organizations involved in organ, eye, or tissue donation.
Research
Your information may be used or disclosed for approved research activities when permitted by law and appropriate privacy safeguards are in place.
Serious Threats to Health or Safety
We may disclose information when necessary to prevent or lessen a serious threat to:
- Your health or safety
- The health or safety of another person
- Public safety
Workers’ Compensation
We may disclose information as authorized by workers’ compensation laws and similar programs.
USES REQUIRING YOUR WRITTEN AUTHORIZATION
We will obtain your written authorization before using or disclosing your information for purposes not otherwise described in this Notice.
You may revoke your authorization at any time in writing, except to the extent that action has already been taken in reliance upon it.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
Right to Access Your Records
You have the right to inspect and obtain copies of your medical and billing records, subject to certain legal limitations.
Right to Request Corrections
You may request that we amend information you believe is incorrect or incomplete.
Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your information.
While we are not always required to agree, we will comply when required by law.
Right to Confidential Communications
You may request that we communicate with you through alternative means or locations.
Examples include:
- Alternate phone numbers
- Alternate mailing addresses
- Email communications
Right to Receive an Accounting of Disclosures
You may request a list of certain disclosures made by our practice.
Right to Receive a Paper Copy of This Notice
You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
Right to Be Notified of a Breach
You have the right to be notified if your unsecured Protected Health Information is compromised in a reportable data breach.
OUR RESPONSIBILITIES
Cosmetique Aesthetics is required by law to:
- Protect your Protected Health Information.
- Provide this Notice.
- Follow the terms of this Notice.
- Notify you of any material changes to this Notice.
We reserve the right to revise this Notice and make the revised Notice effective for all information we maintain.
Updated versions will be posted on our website and made available in our office.
COMPLAINTS
If you believe your privacy rights have been violated, you may file a complaint with Cosmetique Aesthetics or with the U.S. Department of Health and Human Services.
You will not be penalized or retaliated against for filing a complaint.
To submit a privacy complaint, please contact:
Privacy Officer
Cosmetique Aesthetics
10744 Washington Blvd,
Culver City, CA 90232
Phone: 310-837-5555
Email: admin@cosmetiqueaesthetics.com
You may also file a complaint with:
U.S. Department of Health & Human Services
Office for Civil Rights
CONTACT INFORMATION
If you have questions regarding this Notice or your privacy rights, please contact:
Cosmetique Aesthetics
10744 Washington Blvd,
Culver City, CA 90232
Website: https://cosmetiqueaesthetics.com
Effective Date: 6/23/2026
Cosmetique Aesthetics reserves the right to amend this Notice at any time. Any revised Notice will be posted on our website and made available upon request.
