HIPAA Policy

Download a printable copy of this formDownload a copy of this policy.

Family and Friends

It is the office policy of Aesthetica Cosmetic and Laser Surgery Center, P.C. not to release confidential medical information regarding your treatment to family members or friends, except for (i) parent/legal guardian, (ii) other persons authorized by the patient, (iii) as we may reasonably infer from the circumstances (for example, if you bring a family member or friend into the exam room, we will assume, unless you object, that that person is entitled to receive information regarding your treatment), (iv) in emergency situations, or (v) other as otherwise permitted by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

If you anticipate that you will need or want your medical information to be provided to family members, friends, or caretakers/babysitters, please complete the HIPAA Written Acknowledgement Form so that we may best serve you. 

Additional information on our Privacy Practices.