HIPAA Privacy Policy

Samra Plastic Surgery

Samra Plastic Surgery (“we,” “our,” or “us”) is committed to protecting your privacy and the confidentiality of your medical information. This HIPAA Privacy Policy explains how we use, disclose, and safeguard your Protected Health Information (“PHI”) in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

1. How We Use & Disclose Your Information

We may use and share your PHI for the following purposes:

 

Treatment

To provide, coordinate, or manage your medical care, including communication with other healthcare providers.

 

Payment

To process payments for services, including billing, insurance claims, and eligibility verification.

 

Healthcare Operations

For internal operations such as quality assessment, staff training, and administrative functions that help us run our practice effectively.

 

As Required by Law

We may disclose PHI when required to comply with federal, state, or local laws. We will not use or disclose your PHI for any reason not listed above without your written authorization.

 


 

2. Your Rights Regarding Your Health Information

As a patient, you have the right to:

  • Access and request a copy of your medical records

  • Request corrections to your information if you believe it is inaccurate

  • Request restrictions on how your PHI is used or shared (when legally possible)

  • Request confidential communications, such as using an alternate phone number

  • Receive an accounting of certain disclosures we have made

  • Revoke your authorization for future uses or disclosures of PHI (except when already acted upon)

Requests must be submitted in writing to our office.

 

 


 

3. Our Responsibilities

We are required by law to:

  • Maintain the privacy and security of your PHI

  • Provide you with this Notice of Privacy Practices

  • Notify you in the event of a breach involving your unsecured PHI

  • Follow the terms of this Privacy Policy

We may update this policy at any time. The updated version will be posted on our website and available in our office.

 


 

4. Contact Information

If you have questions about this HIPAA Privacy Policy or want to exercise your rights, please contact us at 732-739-2100