Privacy Policy

NOTICE OF PRIVACY PRACTICES

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.

1. OUR LEGAL DUTY

We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice takes effect August 18, 2025 and will remain in effect until we replace it. We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make changes in our privacy practices and the new terms of our Notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change this Notice and make the new Notice available upon request. For more information about our privacy practices or additional copies of this Notice, please contact us.

2. USES AND DISCLOSURES OF HEALTH INFORMATION

We use and disclose health information about you for several purposes, including treatment, payment, healthcare operations, and other legally permitted activities. Examples include:

Treatment: We may use or disclose your health information to healthcare professionals (e.g., physicians, licensed medical aestheticians, dermatologists, or cosmetic physicians) who provide you with services. This includes but is not limited to services such as skin rejuvenation, laser therapies, injectables, and other cosmetic procedures.

Payment: Your health information may be used and disclosed to obtain payment for the services we provide. This may involve sharing information with insurance providers or third-party billing services when applicable.

Healthcare Operations: We may use or disclose your health information to support our day-to- day operations, which include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities. This also includes activities necessary for running our business, such as managing appointments, documenting procedures, and coordinating care.

Your Authorization: In addition to our use of your health information for treatment, payment or healthcare operations, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it is in effect. Unless you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this Notice.

To Family and Friends: We must disclose your health information to you, as described in the Patient Rights section of this Notice. You have the right to request restrictions on disclosure to family members, other relatives, close personal friends, or any other person identified by you. With your consent, we may share information with family members, personal representatives, or close friends involved in your care.

Persons Involved in Care: We may use or disclose health information to notify, or assist in the notification of (including identifying or locating) a family member, your personal representative or another person responsible for your care, of your location, your general condition, or death. If you are present, then prior to use or disclosure of your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose health information based on a determination using our professional judgment disclosing only health information that is directly relevant to the person's involvement in your healthcare. We will also use our professional judgment and our experience with common practice to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, medical supplies, X-rays, or other similar forms of health information.

Marketing Health-Related Services: We will not use your health information for marketing communications without your written authorization. For example, you may authorize us to use your photographs in our marketing materials by executing a separate photography release form.

Required by Law: We may use or disclose your health information when we are required to do so by law, such as when necessary to respond to legal processes (e.g., subpoenas, court orders).

Abuse or Neglect: We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health or safety or the health or safety of others.

National Security: We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counterintelligence, and other national security activities. We may disclose to correctional institutions or law enforcement officials having lawful custody of protected health information of inmates or patients under certain circumstances.

Appointment Reminders: We may contact you to provide you with appointment reminders via voicemail, postcards, or letters.

3. PATIENT RIGHTS AND YOUR CHOICES

You have specific rights regarding your health information. This section explains those rights and the choices you have regarding its use and disclosure.

Access: You have the right to look at or get copies of your health information, with limited exceptions. You may request that we provide copies in a format other than photocopies. We will use the format you request unless we cannot practicably do so. You must make a request in writing to obtain access to your health information. You may obtain a form to request access by contacting our office. We will charge you a reasonable cost-based fee for expenses such as copies and staff time. You may also request access by sending us a letter. If you request copies, there may be a charge for time spent. If you request an alternate format, we will charge a cost-based fee for providing your health information in that format. If you prefer, we will prepare a summary or an explanation of your health information for a fee. Contact us for a full explanation of our fee structure.

Disclosure Accounting: You have a right to receive a list of instances in which we disclosed your health information for purposes other than treatment, payment, healthcare operations and certain other activities for the last six (6) years, but not before March 1, 2019. If you request this accounting more than once in a 12-month period, we may charge you a reasonable cost-based fee for responding to these additional requests.

Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in emergency).

Alternative Communication: You have the right to request that we communicate with you about your health information by alternative means or to alternative locations. (You must make your request in writing.) Your request must specify the alternative means or location, and provide

satisfactory explanation how payments will be handled under the alternative means or location you request.

Amendment: You have the right to request that we amend your health information. (Your request must be in writing, and it must explain why the information should be amended.) We may deny your request under certain circumstances.

Questions and Complaints: If you want more information about our privacy practices or have questions or concerns, please contact us.

Correction of Records: If you believe your health or claims records are inaccurate or incomplete, you may request that we amend them. Such requests must be made in writing with an explanation for the requested change.

Confidential Communications: If you request that we communicate with you in a specific manner (e.g., home or office phone), we will accommodate your request when reasonable and safe to do so.

Designating a Personal Representative: You may designate someone to act on your behalf in managing your health information. This may include individuals with legal authority such as those holding medical power of attorney. This designation must be done in writing.

Sharing Information with Family, Friends, or Others: You have the right to specify how and with whom your health information is shared, particularly for non-treatment purposes such as coordinating care or handling payment matters.

Marketing and Sale of Information: We will not share your health information for marketing purposes or sell your information without your explicit written permission. Should you grant such permission, you have the right to revoke it at any time.

Acknowledgment and Receipt: You may be asked to sign an acknowledgment that you have received this Notice of Privacy Practices. Your signature does not indicate agreement with the Notice; it is simply an acknowledgment of receipt.

4. QUESTIONS, COMPLAINTS, AND CONTACT INFORMATION

If you have any questions about our privacy practices, wish to exercise any of your rights, or believe that your privacy rights have been violated, please contact our designated representatives:

Company Representative / Privacy Officer: support@aquamdiv.com

Contact Information: (360) 401-8161

Additional Information:  For further details or additional copies of this Notice, please contact our office. If you are dissatisfied with our response, you may file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.