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. 

Our Responsibilities 

Company is required by law to: 

  • Maintain the privacy and security of your protected health information (PHI). 
  • Provide you with this Notice of our legal duties and privacy practices with respect to your PHI. 
  • Notify you promptly if a breach occurs that may have compromised the privacy or security of your information. 
  • Follow the duties and privacy practices described in this Notice and provide you with a copy. 

Uses and Disclosures of Your Health Information 

We may use and disclose your PHI for the following purposes: 

  • Treatment: To provide, coordinate, or manage your health care and related services. 
  • Payment: To obtain payment for the health care services we provide to you. 
  • Health Care Operations: For administrative and operational purposes, such as quality assessment and improvement activities. 

Special Protections for Certain Information 

  • Substance Use Disorder Records: Certain health information that we maintain may be protected by federal law at 42 C.F.R. Part 2. These laws provide additional privacy protections for records related to substance use disorder diagnosis, treatment, or referral for treatment. We may not use or disclose Part 2 Records without your written consent, unless the law permits the use or disclosure. 
  • With written consent, we may use or disclose Part 2 Records as described in that consent. Information we disclose pursuant to that consent may be redisclosed by the recipient, unless expressly prohibited by law. 
  • Part 2 prohibits us from using or disclosing these records (or testimony about these records) in civil, criminal, administrative, or legislative proceedings against you unless you provide written consent, or a valid court order is obtained. 

Your Rights 

You have the right to: 

  • Access: Request to inspect and obtain a copy of your PHI. 
  • Amend: Request corrections to your PHI if you believe it is incorrect or incomplete. 
  • Accounting of Disclosures: Request a list of certain disclosures of your PHI made by us in the past six years. 
  • Restrictions: Request restrictions on certain uses and disclosures of your PHI. 
  • Confidential Communications: Request that we communicate with you about medical matters in a certain way or at a certain location. 
  • Paper Copy: Obtain a paper copy of this Notice upon request, even if you have agreed to receive the Notice electronically. 

Changes to This Notice 

Company reserves the right to change this Notice and make the new provisions effective for all PHI we maintain. If we make material changes to our privacy practices, we will promptly revise and distribute the updated Notice as required by law. 

Complaints 

If you believe that your or another person’s health information privacy or civil rights have been violated, you can file a complaint with the Secretary of the Department of Health and Human Services/OCR at (https://www.hhs.gov/ocr/complaints/index.html). 

If you have any questions or to file a complaint with us, contact:  Attn. Privacy Officer, Gunn Plastic Surgery Center, 300 Crutchfield Street, Durham, NC 27704   Tel. 919-471-3406 or GunnPlasticSurgery@gunnmd.com 

You will not be penalized for filing a complaint. 

Effective 2.16.2026