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Notice of Privacy Practices

Effective Date: September 15, 2026 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. Reverie Skin Co., PLLC (“Reverie,” “we,” “our,” or “us”) is committed to protecting the privacy of your health information. If you have questions about this notice, please contact our Privacy Officer: Garrett Fischer, PA-C, Privacy Officer Reverie Skin Co., PLLC 307 ½ West Martin Street Raleigh, NC 27601 Phone: (213) 594-5817

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
  • Get a copy of your medical record. You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you, including clinical photographs. We will provide a copy or summary, usually within 30 days of your request, and may charge a reasonable, cost-based fee.
  • Ask us to correct your medical record. You can ask us to correct health information you think is incorrect or incomplete. We may say “no,” but we will tell you why in writing within 60 days.
  • Request confidential communications. You can ask us to contact you in a specific way (for example, by cell phone or email) or at a different address. We will say “yes” to all reasonable requests.
  • Ask us to limit what we use or share. You can ask us not to use or share certain health information for treatment or our operations. We are not required to agree, and may say “no” if it could affect your care. If we agree, we may still share the information if you need emergency treatment. If you pay for a service out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
  • Get a list of those with whom we’ve shared information. You can ask for a list (accounting) of the times we’ve shared your health information in the six years before your request, who we shared it with, and why. This list will not include disclosures for treatment or operations, or disclosures you asked us to make. We provide one accounting a year for free and may charge a reasonable, cost-based fee for additional requests within 12 months.
  • Get a copy of this notice. You can ask for a paper copy of this notice at any time, even if you agreed to receive it electronically.
  • Choose someone to act for you. If someone is your legal guardian or holds your medical power of attorney, that person can exercise your rights and make choices about your health information. We will confirm their authority before acting.
  • File a complaint if you feel your rights are violated. You can contact our Privacy Officer using the information at the top of this notice. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by writing to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/hipaa/filing-a-complaint. We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference, talk to us and we will follow your instructions. You have both the right and the choice to tell us whether to:
  • Share information with family, close friends, or others involved in your care or payment for your care
  • Share information in a disaster relief situation
If you are not able to tell us your preference, for example if you are unconscious, we may share your information if we believe it is in your best interest. We may also share information when needed to lessen a serious and imminent threat to health or safety. We never share your information for these purposes unless you give us written permission:
  • Marketing, including any use of your photographs, videos, or testimonials in our advertising, website, or social media
  • Sale of your information. Reverie Skin Co. does not sell patient information.
You may revoke a written permission at any time by telling us in writing. Revocation does not undo uses already made in reliance on your permission.

Our Uses and Disclosures

How We Typically Use or Share Your Health Information

  • To treat you. We use your health information to provide your care, and may share it with other professionals involved in your treatment, including our supervising physician and any provider we refer you to or consult in an emergency.
  • To run our practice. We use your health information to operate our practice, review the quality of care, maintain records, and contact you when necessary, such as appointment reminders and follow-up after treatment.
  • To process payment. We use limited information to collect payment for your services, for example through our payment processor. Reverie Skin Co. does not bill health insurance.
We work with outside vendors, such as our scheduling and electronic records platform, that handle health information on our behalf. They are required by written agreement to protect it.

Clinical Photographs

We take photographs before, during, and after certain treatments as part of your medical record. These photos are used for your care and are protected like the rest of your health information. We will not use them for marketing or share them publicly without your separate written authorization.

How Else We Can Use or Share Your Health Information

We are allowed or required to share your information in other ways, usually ways that contribute to the public good. We must meet many conditions in the law before we can share your information for these purposes:
  • Public health and safety, such as helping with product recalls, reporting adverse reactions to medications or devices, reporting suspected abuse, neglect, or domestic violence, and preventing or reducing a serious threat to anyone’s health or safety
  • Complying with the law, including sharing information with the Department of Health and Human Services if it wants to confirm we are following federal privacy law
  • Organ and tissue donation requests, and working with a coroner, medical examiner, or funeral director when an individual dies
  • Government requests, such as workers’ compensation claims, law enforcement purposes, health oversight agencies (including licensing boards), and special government functions such as military and national security
  • Lawsuits and legal actions, in response to a court or administrative order, or a subpoena

Substance Use Disorder Records

To the extent we have your substance use disorder patient records subject to 42 CFR Part 2, we will not use or share that information in civil, criminal, administrative, or legislative investigations or proceedings against you without (1) your written consent or (2) a court order and a subpoena.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we can in writing. You may change your mind at any time by letting us know in writing.
For more information, see www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.