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HIPAA Notice of Privacy Practices
Maison Zolara LLC · Effective Date: April 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.
Quick Reference
Your 6 Rights at a Glance
Right to Access
Inspect and receive a copy of your health information.
Right to Amend
Request corrections to inaccurate or incomplete records.
Right to an Accounting
Request a list of certain disclosures of your PHI.
Right to Restrict
Request limits on how we use or disclose your information.
Confidential Communication
Request we contact you by a specific method or location.
Paper Copy of This Notice
Request a printed copy at any time, even if agreed electronically.
To exercise any of these rights, contact our Privacy Officer at admin@maisonzolara.com.
Our Commitment to Your Privacy
Maison Zolara LLC ("Maison Zolara") is committed to protecting the privacy of your Protected Health Information (PHI) as required by the Health Insurance Portability and Accountability Act (HIPAA). This Notice describes your legal rights and explains how we use and disclose your PHI. A copy is available at our Lansing studio upon request.
How We May Use and Disclose Your PHI
Treatment
We use your PHI to provide, coordinate, and manage your medical aesthetic treatments and related services. For example, your treatment history may be shared among our clinical staff (including our supervising physician) to ensure continuity and quality of care.
Payment
We may use and disclose your PHI to obtain payment for services rendered or to process billing. This may include submitting claims to your insurance provider (if applicable).
Health Care Operations
We may use and disclose your PHI for our internal operations, including quality improvement, staff training, compliance, and business management activities.
Other Permitted Disclosures
We may also disclose your PHI as required or permitted by law, including:
- ✦To report abuse, neglect, or domestic violence as required by law.
- ✦For public health activities (e.g., disease reporting).
- ✦In response to a court order, subpoena, or other lawful process.
- ✦To law enforcement under certain circumstances as permitted by law.
- ✦For national security or intelligence activities as required by law.
Uses Requiring Your Authorization
We will not use or disclose your PHI for purposes other than those described above without your written authorization, except as permitted or required by law. Uses requiring authorization include:
- ✦Marketing communications (beyond treatment reminders).
- ✦Sale of your PHI.
- ✦Use of psychotherapy notes (if applicable).
- ✦Most uses of your PHI not described in this notice.
You may revoke any authorization at any time in writing, except where we have already acted in reliance on it.
Our Duties
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. We are required to abide by the terms of this Notice currently in effect.
Changes to This Notice
We reserve the right to change this Notice and to make the revised Notice effective for PHI we already hold. The current Notice will be posted in our office and on our website. Any material changes will be communicated to you directly.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services (HHS). To file a complaint with us, contact our Privacy Officer using the information below. We will not retaliate against you for filing a complaint.
Privacy Officer
Contact Us
Maison Zolara LLC
Attn: Privacy Officer
4820 W Saginaw Hwy, Lansing, MI 48917