HIPAA Notice of Privacy Practices

OpalGlow Medspa

Effective Date: June 1, 2025
Address: 655 Amboy Ave Ste 403, Woodbridge, NJ 07095
Phone: (732) 874-7888

Your Information. Your Rights. Our Responsibilities.

This Notice describes how your medical information may be used and disclosed and how you can access this information. Please read it carefully.

1. Our Commitment to Your Privacy

At OpalGlow Medspa, we respect your privacy and are committed to protecting your health information. This Notice applies to all records of your care created or received by OpalGlow Medspa and its providers. We are required by law to:

  • Maintain the privacy of your protected health information (PHI)

  • Provide this Notice explaining our legal duties and privacy practices

  • Abide by the terms of this Notice currently in effect

2. How We May Use and Disclose Your Health Information

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

a. Treatment
We may use your health information to provide you with medical care and services. For example, we may share information with other healthcare providers involved in your treatment.

b. Payment
We may use your information to bill for services and process payment from you or your insurance company.

c. Healthcare Operations
We may use your health information for administrative and operational purposes, such as quality assurance, staff training, and internal audits.

d. Appointment Reminders & Communication
We may contact you by phone, text, email, or mail to remind you of appointments or share information about your care.

3. Other Permitted or Required Uses and Disclosures

We may also use or disclose your PHI:

  • When required by federal, state, or local law

  • For public health and safety (e.g., reporting adverse reactions, communicable diseases)

  • To comply with law enforcement or legal proceedings

  • For health oversight activities such as audits or investigations

  • To medical examiners or funeral directors

  • To avert a serious threat to health or safety

  • For workers’ compensation or similar programs

4. Uses and Disclosures That Require Your Authorization

We will not use or share your PHI for the following without your written permission:

  • Marketing communications not related to your care

  • Sale of your health information

  • Any other use or disclosure not covered in this Notice

You may revoke your authorization in writing at any time.

5. Your Rights Regarding Your Health Information

You have the right to:

  • Access your health records and request copies

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

  • Request confidential communication (e.g., alternative phone or address)

  • Request restrictions on how we use or share your information (we may not be required to agree)

  • Receive a list of disclosures we’ve made for purposes other than treatment, payment, or operations

  • Receive a paper copy of this Notice at any time

To exercise any of these rights, please contact us at (732) 874-7888.

6. Breach Notification

If a breach occurs that compromises the privacy or security of your PHI, we will notify you in accordance with federal regulations.

7. Changes to This Notice

We reserve the right to change the terms of this Notice at any time. The new Notice will apply to all existing and future health information we maintain. The most current version will be available in our office and on our website.

8. Questions or Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health & Human Services. You will not be penalized for filing a complaint.

To file a complaint or for more information, contact:

OpalGlow Medspa
655 Amboy Ave Ste 403
Woodbridge, NJ 07095
📞 (732) 874-7888
📧 customerservice@opalglowmedspa.com