| 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. |
Effective Date: July 1, 2026
01 / WHO FOLLOWS THIS NOTICE
Our Commitment to Your Privacy
This Notice applies to the medical practice(s) and licensed professionals who provide your care at Mila Face, operating as Mila Medical. We are required by law to protect the privacy of your protected health information (“PHI”), to give you this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.
02 / USES & DISCLOSURES
How We May Use and Disclose Your Health Information
We may use and disclose your PHI without your written authorization for the following purposes:
Treatment
To provide, coordinate, or manage your care — for example, sharing information among the surgeons, nurses, and staff involved in your procedure and recovery.
Payment
To obtain payment for services — for example, processing your deposit or payment, or providing information to a patient-financing company you have chosen to apply with.
Health Care Operations
To run our practice — for example, quality assessment, staff training, accreditation, and business management.
Appointment Reminders & Communications
We may contact you with appointment reminders, or to describe or recommend treatment alternatives or health-related services that may be of interest to you, consistent with law and your communication preferences.
Individuals Involved in Your Care
Unless you object, we may share relevant information with a family member, friend, or other person you involve in your care.
Business Associates
We may share PHI with vendors that perform services for us under a written agreement requiring them to protect your information.
As Required or Permitted by Law
We may use or disclose PHI when required by law and for public health activities, health oversight, judicial and administrative proceedings, law enforcement (as permitted by law), to avert a serious threat to health or safety, for workers’ compensation, and for other government functions permitted by the Privacy Rule.
03 / AUTHORIZATION
Uses and Disclosures That Require Your Written Authorization
Other uses and disclosures will be made only with your written authorization, including most uses and disclosures of psychotherapy notes (if any), uses and disclosures for marketing, and any sale of PHI. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.
04 / SPECIAL PROTECTIONS
Information With Additional Protections
Certain information may have additional protections under federal or state law.
05 / YOUR RIGHTS
Your Rights Regarding Your Health Information
- Inspect and copy — you may request access to and a copy of your PHI, in the form you request where readily producible.
- Amend — you may request that we correct PHI you believe is inaccurate or incomplete.
- Accounting of disclosures — you may request a list of certain disclosures we have made.
- Request restrictions — you may request limits on how we use or disclose your PHI. You also have the right to restrict disclosure to a health plan for a service you have paid for in full out of pocket.
- Confidential communications — you may ask us to contact you a certain way or at a certain location.
- Paper copy — you may obtain a paper copy of this Notice at any time.
- Breach notification — you have the right to be notified following a breach of your unsecured PHI.
06 / OUR DUTIES
Our Responsibilities
- We are required by law to maintain the privacy of your PHI and to provide this Notice of our duties and privacy practices.
- We must abide by the terms of the Notice currently in effect.
- We must notify you following a breach of unsecured PHI.
- We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as information we receive in the future.
07 / CHANGES
Changes to This Notice
We may change this Notice at any time. The revised Notice will show a new effective date and will be posted at milaface.com and available at our locations.
08 / COMPLAINTS
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.
09 / CONTACT
Contact / Privacy Officer
Privacy Officer: Danna Hopkins
Mila Medical · 128 Central Park South, New York, NY 10019
322.301.2610 · privacy@milaface.com