HIPAA & Legal Information

Notice of Privacy Practices




Uses and Disclosures

Treatment: Your health information may be used by staff members or disclosed to other healthcare professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your medical record to all health professionals who may provide treatment or who may be consulted by staff members.

Payment: Your health information may be used to seek payment from your health plan, from other sources of coverage such as an automobile insurer, or from credit card companies that you may use to pay for services. For example, your health plan may request and receive information on dates of service, the services provided, and the medical condition being treated.

Health Care Operations: Your health information may be used as necessary to support the day-to-day activities and management of AZ Hair Restoration/Anti-Aging & Functional Medicine (AAFM). For example, information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality.

Law Enforcement: Your health information may be disclosed to law enforcement agencies to support government audits and inspections, to facilitate law enforcement investigations, and to comply with government mandated reporting.

Public Health Reporting: Your health information may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the state’s public health department.

Other Uses & Disclosures Require Your Authorization: Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information, you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision to revoke your authorization.

Additional Uses of Information

Appointment Reminders: Your health information will be used by staff to send you appointment reminders. AZ Hair Restoration/Anti-Aging & Functional Medicine may contact you by phone, mail, or email regarding appointments, lab results, or any other healthcare matters.

Information About Treatment: Your health information may be used to send you information that you may find interesting on the treatment and management of your medical condition. We may also send you information describing other health-related products and services that we believe may interest you.

Individual Rights

You have certain individual rights under the federal privacy standards. These include:

  1. The right to request restrictions on the use and disclosure of your protected health information.
  2. The right to received confidential communications concerning your medical condition and treatment.
  3. The right to inspect and copy your protected health information
  4. The right to amend or submit corrections to your protected health information.
  5. The right to receive an accounting of how and to whom your protected health information has been disclosed.
  6. The right to receive a printed copy of this notice.

AZ Hair Restoration/Anti-Aging & Functional Medicine’s Duties

We are required by law to maintain the privacy of your protected health information and to provide you with this notice of privacy practices.

We also are required to abide by the privacy policies and practices that are outlined in this notice.

Right to Revise Privacy Practices

As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These changes in our policies and practices may be required by changes in federal and state laws and regulations. Upon request, we will provide you with the most recently revised notice on any office visit. The revised policies and practices will be applied to all protected health information we maintain.

Request To Inspect Protected Health Information

You may generally inspect or copy the protected health information that we maintain. As permitted by federal regulation, we require that requests to inspect or copy protected health information be submitted in writing. You may obtain a form to request access to your records by contacting this office. Your request will be reviewed and will generally be approved unless there are legal or medical reasons to deny the request.


If you would like to submit a comment or complaint about our privacy practices, you can do so by sending a letter outlining your concerns to:

Privacy Official

AZ Hair Restoration/Anti-Aging & Functional Medicine

6400 Creedmoor Road

Suite #104

Raleigh, NC 27613


If you believe that your privacy rights have been violated, you should call the matter to our attention by sending a letter describing the cause of your concern to the same address.

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

Contact Person

The name and address of the person you can contact for further information concerning our privacy practices is:

Privacy Official

AZ Hair Restoration/Anti-Aging & Functional Medicine

6400 Creedmoor Road

Suite #104

Raleigh, NC 27613


Effective Date

This notice is effective on or after April 14, 2003


HIPPA and Disclosures

This website is provided as an informational site only.

We do not provide diagnosis or treatment via this site. This website is for informational purposes only. There is no medical advise, nor has a Doctor/Patient relationship formed.

Any information you submit through this website is not protected by doctor-patient HIPPA laws and regulations. Your information will not be sold or provided to any other organization and will be used only to initiate a follow up contact related to becoming a patient.

All information presented on this website is intended for informational purposes only and not for the purpose of rendering medical advice. The information contained on this site is not intended to diagnose, treat, cure or prevent any disease. Your reliance on information provided on this website is solely at your own risk. Do not rely on this website to diagnose or treat any medical condition.