NOTICE OF PRIVACY PRACTICES
Effective Date: October 25, 2025
Address: 9989 N. 95th St. Scottsdale, AZ 85258
Phone: (480) 366-4400
Website: www.scottsdaleweightloss.com
Purpose of This Notice
This Notice describes how your medical information may be used and disclosed, and how you can access this information. Please review it carefully.
Scottsdale Weight Loss Center is committed to protecting your health information. Because our office does not electronically submit insurance claims, certain federal electronic transaction rules under HIPAA do not apply. However, we continue to maintain your privacy in accordance with HIPAA, Arizona law, and professional ethics.
Our Legal Duty
We are required by law to protect the privacy of your identifiable health information (Protected Health Information, or PHI); to provide you with this Notice explaining our legal duties and privacy practices; and to notify you if a breach of your unsecured PHI occurs.
Your Rights Regarding Your Health Information
You have the following rights under HIPAA and Arizona Revised Statutes (A.R.S. ยง12-2291 through ยง12-2297):
1. Right to Inspect and Copy
You may review or request a copy of your medical record or billing record by submitting a written request. Under Arizona law, Scottsdale Weight Loss Center must provide access within 30 days of a written request. Reasonable fees for copying or mailing may apply.
2. Right to Request a Restriction
You may ask us to restrict certain uses or disclosures of your PHI. While we are not required to agree to every restriction, if we do, we will honor it except in emergencies.
3. Right to Request Confidential Communications
You may ask that we contact you in a specific way (for example, by mail only or at work). We will accommodate all reasonable requests.
4. Right to Amend
If you believe your record is incorrect or incomplete, you may request an amendment in writing. We may deny requests in limited circumstances, such as when the record was not created by us or is already accurate.
5. Right to an Accounting of Disclosures
You may request a list of disclosures of your PHI made by Scottsdale Weight Loss Center, except for those made for treatment, payment, or operations. This list covers up to six years preceding your request.
6. Right to a Paper Copy
You may obtain a paper copy of this Notice at any time, even if you have received it electronically.
7. Right to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with:
Office Manager
Scottsdale Weight Loss Center
9989 N. 95th St. Scottsdale, AZ 85258
Phone: (480) 366-4400
or with:
Secretary, U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
You will not be penalized for filing a complaint.
How We Use and Disclose Health Information
Scottsdale Weight Loss Center may use or disclose your PHI for the following purposes:
Treatment
We may share your information with healthcare providers involved in your care, such as referring physicians, laboratories, or pharmacists.
Payment
Since Scottsdale Weight Loss Center does not electronically bill insurance, payment-related uses are limited to direct billing between the patient and the clinic, or communications with your designated payer at your request.
Health Care Operations
We may use PHI to evaluate and improve the quality of care, train staff, and maintain compliance with clinical standards.
Other Permitted or Required Disclosures
We may use or disclose PHI without your authorization when permitted by law, including:
- Public health reporting (disease prevention, injury reporting, FDA-related safety)
- Abuse, neglect, or domestic violence reporting
- Health oversight activities (audits, inspections, or investigations)
- Law enforcement or judicial proceedings (as required by court order or subpoena)
- Coroners, medical examiners, organ donation authorities
- Workersโ compensation programs (if applicable)
- Emergencies requiring immediate treatment
- Research conducted under approved ethical safeguards
We also comply with 2024 HIPAA updates prohibiting disclosure of reproductive health information for investigative or prosecutorial purposes.
Uses and Disclosures Requiring Written Authorization
Certain uses of PHIโsuch as marketing, the sale of health information, or psychotherapy notesโwill only occur with your written authorization. You may revoke authorization in writing at any time, except to the extent action has already been taken.
Arizona-Specific Privacy Provisions
Under Arizona law:
- Medical records must be retained for at least six years after the last date of service, or three years after a minor patient reaches age 18, whichever is longer.
- Patients must be granted access to their medical records within 30 days of a written request.
- Both paper and electronic records are protected under Arizonaโs medical confidentiality statutes (A.R.S. ยง12-2291 et seq.).
Changes to This Notice
Scottsdale Weight Loss Center reserves the right to modify this Notice at any time. A current version will always be available on our website and upon request at our office.
Scottsdale Weight Loss Center
9989 N. 95th St. Scottsdale, AZ 85258
Phone: (480) 366-4400
Website: www.scottsdaleweightloss.com
