Rosederm Clinic, LLC
Effective Date: 1/1/2026

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.

Rosederm Clinic, LLC (“we,” “our,” or “the Practice”) is required by law to:

• Maintain the privacy and security of your protected health information (“PHI”)
• Provide you with this Notice of Privacy Practices
• Follow the terms of this notice
• Notify you following a breach of unsecured PHI as required by law

We may use and disclose your PHI without your written authorization for the following purposes:

To provide, coordinate, or manage your medical care, including consultations, aesthetic treatments, follow-up care, and coordination with other health care providers involved in your treatment.

To obtain payment for services rendered, including billing, collections, and payment processing.

For business operations such as quality assessment, staff training, record review, compliance activities, and administrative purposes.

As required by federal, state, or local law, public health authorities, law enforcement, or to prevent or lessen a serious threat to health or safety.

We make reasonable efforts to limit the use and disclosure of PHI to the minimum necessary to accomplish the intended purpose, except where full disclosure is permitted or required by law.

We will not use or disclose your PHI for purposes such as:

• Marketing
• Advertising
• Social media
• Before-and-after photographs
• Any purpose not described in this notice

unless you provide a separate written HIPAA authorization.

You may revoke an authorization at any time in writing, except to the extent we have already relied on it.

We may communicate with you regarding your care, appointments, or services via:

• Email
• Text message
• Electronic scheduling systems
• Patient portals or telehealth platforms

These communications may involve certain risks to privacy. By providing your contact information, you acknowledge and accept these risks. You may request alternative communication methods at any time.

You have the right to:

• Inspect and obtain a copy of your medical records
• Request amendments to your records
• Request restrictions on certain uses or disclosures
• Request confidential communications
• Receive an accounting of certain disclosures
• Receive a paper copy of this Notice at any time
• File a complaint without fear of retaliation

If you believe your privacy rights have been violated, you may file a complaint with:

Privacy Officer:
Name/Title: Sarah Coward, NP/Owner
Phone: 845-820-3801
Email: sarah@rosedermclinic.com

You may also file a complaint with the U.S. Department of Health & Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.

We reserve the right to change this Notice of Privacy Practices at any time. Any changes will apply to all PHI we maintain. The current notice will be available in our office and on our website.

You will be asked to sign an acknowledgment confirming that you received this Notice of Privacy Practices.