©2026 Haven IV Lounge & MedSpa | havenivloungeandmedspa.com

 

HIPAA Notice of Privacy Practices

Effective Date: January 1, 2026

 

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

 

Our Commitment to Your Privacy

Haven IV Lounge & MedSpa is committed to maintaining the privacy of your Protected Health Information (PHI). We are required by law to maintain the privacy of your PHI, provide you with this notice of our legal duties and privacy practices, and notify you following a breach of unsecured PHI.

 

How We May Use and Disclose Your Health Information

The following describes the ways we may use and disclose your PHI without requiring your specific authorization:

• Treatment: We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services, including sharing information with other providers involved in your care.
• Payment: We may use and disclose your PHI to obtain payment for services rendered, including billing and insurance coordination.
• Healthcare Operations: We may use and disclose your PHI for quality assessment, staff training, compliance activities, and business management.
• Required by Law: We will disclose your PHI when required by federal, state, or local law.
• Public Health Activities: We may disclose PHI to public health authorities for disease control and reporting purposes.
• Health Oversight Activities: We may disclose PHI to health oversight agencies for audits, inspections, and regulatory activities.
• Law Enforcement: We may disclose PHI to law enforcement officials under certain circumstances as required or permitted by law.

 

Uses and Disclosures Requiring Your Authorization

The following uses and disclosures will be made only with your written authorization:

• Marketing communications
• Sale of your PHI
• Most uses and disclosures of psychotherapy notes
• Any other use or disclosure not described in this Notice

You may revoke any authorization in writing at any time, except where we have already taken action in reliance on it.

 

Your Rights Regarding Your Health Information

You have the following rights with respect to your PHI:

• Right to Inspect and Copy: You have the right to inspect and request copies of your PHI maintained in our records.
• Right to Amend: You may request that we amend your PHI if you believe it is inaccurate or incomplete.
• Right to an Accounting of Disclosures: You may request a list of disclosures we have made of your PHI.
• Right to Request Restrictions: You may request restrictions on how we use or disclose your PHI, though we are not always required to agree.
• Right to Confidential Communications: You may request that we communicate with you about your PHI in a specific way or location.
• Right to a Paper Copy: You have the right to receive a paper copy of this Notice upon request.
• Right to Notification of a Breach: You have the right to be notified in the event of a breach of your unsecured PHI.

 

Our Duties

We are required by law to maintain the privacy and security of your PHI. We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information. We must follow the duties and privacy practices described in this Notice and provide you with a copy.

 

Complaints

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

• Haven IV Lounge & MedSpa Privacy Officer: info@havenivloungeandmedspa.com
• S. Department of Health and Human Services, Office for Civil Rights: www.hhs.gov/ocr — 1-800-368-1019

We will not retaliate against you for filing a complaint.

 

Changes to This Notice

We reserve the right to change this Notice at any time. We will post the revised Notice on our website and make it available at our offices. The new Notice will apply to PHI we already hold as well as PHI we receive in the future.

 

Contact Our Privacy Officer

• Email: info@havenivloungeandmedspa.com
• Winter Haven: (863) 360-0800 | 29 5th Street NW, Winter Haven, FL 33881
• Lakeland: (863) 359-5315 | 6950 Appaloosa Dr., Suite 22, Lakeland, FL 33811