HIPAA Notice of Privacy Practices

Effective date: June 18, 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.

CosMedic LaserMD is operated by Cosmedic Laser MD, LLC, a limited liability company formed in Michigan, United States ("we," "us," "our").

We are required by law to maintain the privacy of your protected health information, to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.

Protected health information ("PHI") is information that identifies you and relates to your past, present, or future physical or mental health, the care you receive, or payment for that care.

We are committed to protecting your PHI and use it only as described in this Notice or as otherwise permitted or required by law.

How We May Use and Disclose Your Health Information

The following describes the ways we may use and disclose your protected health information.

Treatment

We may use and disclose your PHI to provide, coordinate, and manage your care. For example, your physician and providers may share information to plan your treatment, and we may disclose information to other providers involved in your care.

Payment

We may use and disclose your PHI so that the treatment and services you receive may be billed and payment may be collected.

This may include sharing information with you, a responsible party, or, where applicable, a third party in order to process payment for services.

Health Care Operations

We may use and disclose your PHI to support the business activities of the practice, such as quality assessment, training, administrative functions, and ensuring that our patients receive quality care.

Appointment Reminders and Communications

We may use and disclose your PHI to contact you with appointment reminders or to provide information about treatment options, services, or events that may be of interest to you. If you prefer to limit these communications, you may tell us.

Other Uses and Disclosures

We may use or disclose your PHI without your written authorization in certain situations permitted or required by law. These include public health activities, reporting suspected abuse or neglect, and health oversight activities.

Other permitted situations include responding to a lawful court or administrative order, law enforcement purposes, averting a serious threat to health or safety, workers' compensation as authorized by law, and as otherwise required by law.

Most uses and disclosures of psychotherapy notes (where applicable), uses and disclosures for marketing purposes, and disclosures that constitute a sale of PHI require your written authorization.

Other uses and disclosures not described in this Notice will be made only with your written authorization, and you may revoke that authorization in writing at any time.

Your Rights Regarding Your Health Information

You have the following rights regarding the protected health information we maintain about you.

• Right to inspect and copy. You have the right to inspect and request a copy of your PHI used to make decisions about your care, subject to certain limited exceptions.
• Right to request an amendment. You have the right to request that we amend PHI you believe is incorrect or incomplete. We may deny your request under certain circumstances and will provide the reason in writing.
• Right to an accounting of disclosures. You have the right to request a list of certain disclosures we made of your PHI.
• Right to request restrictions. You have the right to request a restriction on how we use or disclose your PHI for treatment, payment, or health care operations. We are not required to agree to all requested restrictions, except as required by law.
• Right to request confidential communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
• Right to a paper copy of this Notice. You have the right to a paper copy of this Notice upon request, even if you have agreed to receive it electronically.
• Right to be notified of a breach. You have the right to be notified in the event of a breach of your unsecured protected health information.

To exercise any of these rights, please submit your request in writing to the contact below.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information. We must also notify you promptly if a breach occurs that may have compromised the privacy or security of your information.

In addition, we must follow the duties and privacy practices described in this Notice and provide you with a copy of it.

Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for all PHI we maintain. We will post the current Notice in our office and on our website, and the effective date will appear at the top of this Notice.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below, or with the Secretary of the U.S. Department of Health and Human Services.

You will not be penalized or retaliated against for filing a complaint.

Contact

If you have any questions about this Notice or wish to exercise your rights, please contact us at info@cosmediclasermd.com or by mail at CosMedic LaserMD, 4900 Jackson Road, Ann Arbor, MI 48103, or by phone at 734-215-9390.