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.

I. Our Legal Duties

We are required by law to:

Maintain the privacy and security of your PHI

Provide you with this Notice

Notify you if a breach occurs that compromises your PHI

Follow the terms outlined in this Notice

We may update this Notice periodically. You can obtain a current version at our office or by contacting us directly.

Notice of Privacy Practices

Effective Date: May 20, 2025

II. How We May Use and Disclose Your PHI

We may use your PHI to provide, coordinate, or manage your healthcare. This includes sharing information with other providers, labs, pharmacies, or specialists involved in your care.

A. For Treatment

We may use or share your PHI to bill and receive payment from health plans or other entities responsible for covering your care.

B. For Payment

C. For Healthcare Operations

We may use your PHI to run our practice, such as evaluating staff performance, training, auditing, and improving quality of care.

D. Other Permitted Uses

We may contact you for appointment reminders, post-operative instructions, or information about health-related services. You may opt out of communications like fundraising or promotional materials.

IV. Disclosures With Opportunity to Object

We may share your PHI with family, friends, or others involved in your care or payment for your care. You may object to this disclosure, and we will honor your request if it is reasonable and lawful.

III. Uses and Disclosures Permitted Without Authorization

We may share your PHI without your explicit permission in the following situations:

As Required by Law

For Public Health Activities

In Cases of Abuse or Neglect

To Conduct Oversight Activities (audits, inspections, etc.)

For Legal and Administrative Proceedings

For Law Enforcement Purposes

For Coroners, Funeral Directors, and Organ Donation

For Approved Research

To Prevent a Serious Threat to Health or Safety

For Government Functions (military, security, corrections)

For Workers' Compensation Cases

V. Disclosures Requiring Your Authorization

Certain uses of your PHI require your written permission, such as:

Use or disclosure of psychotherapy notes

Use for marketing purposes

Sale of your PHI

You may revoke your authorization at any time in writing, except when we’ve already acted based on it.

VI. Your Rights

You have the right to:

Inspect and request a copy of your PHI

Request a restriction on certain uses or disclosures

Request confidential communications via alternate methods or locations

Request an amendment to your medical record if you believe it’s incorrect

Receive an accounting of disclosures not related to treatment, payment, or operations

Obtain a paper copy of this Notice at any time

Be notified of a breach of unsecured PHI

Restrict information shared with health plans if you paid for a service entirely out of pocket

Requests must be submitted in writing to our Privacy Officer listed below.

VII. Our Responsibilities

We are committed to safeguarding your PHI. We are required to follow this Notice and will promptly inform you of any significant changes. We reserve the right to revise this Notice and make changes effective for all current and future PHI.

IX. Contact Information

Privacy Officer
Dr. Nelson Castillo
Nelson Center for Plastic and Reconstructive Surgery
5445 Meridian Mark Rd, #395
Atlanta, GA 30342
Phone: (470) 440-1777
Email: nelson@nelson-center.com

VIII. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

This Notice of Privacy Practices (“Notice”) explains how Nelson Center for Plastic and Reconstructive Surgery (“we,” “us,” or “our”) may use and disclose medical information and how you can access this information. This Notice is provided to you as required by the Health Insurance Portability and Accountability Act (HIPAA).

When you receive care from our practice, our physicians, nurses, and staff may collect information about your medical history and current health status. Each time you interact with us, we create a record of your care. This record may include your health history, symptoms, exam results, diagnosis, treatment, and plans for future care. This information is called Protected Health Information (PHI).

PHI is any information that identifies you and relates to your past, present, or future physical or mental health, including healthcare services provided. This Notice describes how we use and share PHI for treatment, payment, operations, and other legally permitted purposes. It also outlines your rights regarding your PHI.

© Copyright 2025, Nelson Center For Plastic & Reconstructive Surgery. All Rights Reserved.

Privacy policy

Secure Phone: 470-440-1777

Hours of Operation: Mon - Fri
 8:00 AM - 5:00 PM

Individual results may vary. A thorough consultation is required to determine the most appropriate treatment plan for you.