HIPAA Notice
Effective Date: July 1, 2026
Magnolia & Oak Aesthetics (“we,” “us,” or “our”) is required by law to maintain the privacy of your protected health information (PHI), to provide you with this Notice describing our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.
This Notice describes how medical information about you may be used and disclosed and how you can access this information.
1. Our Commitment to Your Privacy
We understand that your health information is personal. We are committed to protecting your medical information and using it only as necessary to provide high-quality care, manage our operations, and comply with legal requirements.
2. What Information is Protected
“Protected Health Information” (PHI) includes any information that can identify you and relates to:
Your past, present, or future physical or mental health
Healthcare services you receive (e.g., wrinkle relaxers, dermal fillers, IV therapy, hormone therapy, weight management services)
Payment for healthcare services
3. How We May Use and Disclose Your Information
We may use or disclose your PHI without your written authorization in the following ways:
Treatment
To provide, coordinate, or manage your care. This may include communication with other healthcare providers involved in your treatment.
Payment
To obtain payment for services provided, including billing insurance (if applicable), processing payments, or verifying coverage.
Healthcare Operations
To support business activities such as quality improvement, staff training, compliance reviews, and operational management.
4. Other Uses and Disclosures That May Occur
We may also use or disclose your information:
When required by law (e.g., public health reporting, court orders)
To prevent or reduce a serious threat to your health or safety or that of others
For health oversight activities (audits, inspections, investigations)
To respond to lawsuits or legal proceedings
For limited communication with family or caregivers involved in your care (unless you object)
5. Uses That Require Your Written Authorization
We will obtain your written authorization before using or disclosing your PHI for:
Marketing communications not related to your treatment
Sale of your health information
Most uses of psychotherapy notes (if applicable)
Any other use not described in this Notice
You may revoke authorization at any time in writing, except where we have already acted in reliance on it.
6. Your Rights Regarding Your Health Information
You have the right to:
Access Your Records
Request copies of your medical records or health information.
Request Corrections
Ask us to correct information you believe is inaccurate or incomplete.
Request Confidential Communications
Ask us to contact you in a specific way (e.g., phone, email, mailing address).
Request Restrictions
Ask us to limit how your information is used or shared. We will consider but are not required to agree in all cases.
Request an Accounting of Disclosures
Receive a list of certain disclosures of your PHI.
Receive a Paper Copy of This Notice
You may request a physical copy at any time.
7. Our Responsibilities
We are required by law to:
Maintain the privacy and security of your PHI
Provide you with this Notice of our legal duties and privacy practices
Follow the terms of this Notice
Notify you if a breach occurs that may have compromised your PHI
8. Changes to This Notice
We may update this Notice at any time. Any changes will apply to all PHI we maintain. The updated Notice will be made available in our office and on our website.
9. Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Magnolia & Oak Aesthetics
Email: hello@magnoliaandoakaesthetics.com
Phone: 850-797-7988
You may also file a complaint with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
Contact Information
If you have questions about this Notice, please contact:
Magnolia & Oak Aesthetics
Email: hello@magnoliaandoakaesthetics.com
Phone: 850-797-7988
Address: W297N3341 Woodridge Cir., Pewaukee, WI 53072