HIPAA Notice of Privacy Practices
Last Updated: March 2, 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.
We are required by law to maintain the privacy and security of your protected health information (PHI) and to provide you with this notice of our legal duties and privacy practices.
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Who Is Covered by This Notice
This Notice of Privacy Practices applies to Splendor Regenerative Medicine INC and all healthcare professionals authorized to access and enter information into your medical record, including:
Dr. Ernesto Diaz, M.D. and all physicians providing care at our practice
Nurses, medical assistants, and clinical staff
Administrative and billing staff
All other personnel who may need access to your information to perform their job duties
Our Commitment to Your Privacy
We understand that your health information is personal and sensitive. We are committed to protecting your health information and following federal and state privacy laws. This notice will tell you about the ways we may use and disclose your health information, and describes your rights and our obligations regarding the use and disclosure of that information.
Your Rights Regarding Your Health Information
You have the following rights with respect to your protected health information:
Right to Inspect and Copy
You have the right to inspect and obtain a copy of your health information that may be used to make decisions about your care. This includes medical and billing records, but does not include psychotherapy notes. To request copies, submit a written request to our Privacy Officer. We may charge a reasonable fee for copying and mailing costs.
Right to Amend
If you believe that health information we have about you is incorrect or incomplete, you may request that we amend it. Your request must be in writing and include a reason for the amendment. We may deny your request in certain circumstances, but we will provide you with a written explanation.
Right to Request Restrictions
You have the right to request restrictions on certain uses and disclosures of your health information. We are not required to agree to your request except in specific circumstances, such as when you pay out-of-pocket in full for a service and request that we not disclose information to your health plan.
Right to Request Confidential Communications
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you may ask that we only contact you at work or by mail. We will accommodate reasonable requests.
Right to an Accounting of Disclosures
You have the right to receive a list of certain disclosures we have made of your health information. This does not include disclosures for treatment, payment, or healthcare operations, or disclosures made directly to you or your authorized representative.
Right to Notification of a Breach
You have the right to be notified in the event that we (or one of our Business Associates) discover a breach of your unsecured protected health information. We will notify you promptly and in accordance with applicable federal and state laws.
Right to a Paper Copy of This Notice
You have the right to receive a paper copy of this notice at any time, even if you have agreed to receive it electronically. You may request a copy at our office or by contacting our Privacy Officer.
How We May Use and Disclose Your Health Information
We may use and disclose your protected health information for the following purposes:
For Treatment
We will use and disclose your health information to provide, coordinate, or manage your healthcare and related services. For example, your health information may be shared with specialists, laboratories, or other healthcare providers involved in your care. We may also disclose your information to pharmacies to fill prescriptions.
For Payment
We may use and disclose your health information to bill and collect payment for the services we provide. For example, we may share information with your health insurance plan to obtain payment for treatment, or to determine eligibility and coverage.
For Healthcare Operations
We may use and disclose your health information for our healthcare operations, which include quality assessment and improvement activities, training programs, accreditation, certification, licensing, credentialing activities, and business management functions.
Other Permitted and Required Disclosures
We may also use or disclose your health information in the following situations without your authorization:
As Required by Law: When disclosure is mandated by federal, state, or local law
Public Health Activities: To prevent or control disease, injury, or disability
Health Oversight Activities: To authorized health oversight agencies for audits, investigations, and inspections
Judicial and Administrative Proceedings: In response to court orders, subpoenas, or other lawful processes
Law Enforcement: When required by law or in response to a valid request by law enforcement
Coroners and Medical Examiners: For identification purposes or to determine cause of death
Serious Threat to Health or Safety: When necessary to prevent a serious threat to your health or safety, or the health or safety of others
Workers’ Compensation: As authorized by workers’ compensation laws
Uses and Disclosures That Require Your Authorization
Other uses and disclosures of your health information not covered by this notice will be made only with your written authorization. You may revoke your authorization at any time in writing, except to the extent that we have already acted in reliance on your authorization.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our practice or with the U.S. Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.
To file a complaint with our practice:
Privacy Officer
Splendor Regenerative Medicine INC
Phone: (305) 123-4567
Email: ErnestoDMD@gmail.com
To file a complaint with HHS:
U.S. Department of Health and Human Services
Office for Civil Rights
Changes to This Notice
We reserve the right to change this notice and to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future. The current notice will always be posted in our office and on our website.
Related Legal Documents
Privacy Policy
View our full privacy policy
Terms of Service
Read our terms and conditions