Notice of Privacy Practices

Sempre Viva Aesthetics – Beverly Hills, California

Effective Date: 06/16/2025

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.

If you have any questions about this Notice, please contact our Privacy Official at the address or phone number listed at the end of this document.

1. Our Legal Duties

Sempre Viva Aesthetics (“Sempre Viva Aesthetics,” “we,” “our”) is required by the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the California Confidentiality of Medical Information Act (CMIA) to maintain the privacy of your protected health information (“PHI”), to provide you with this Notice of our legal duties and privacy practices, and to notify you in the event of a breach of unsecured PHI. We must follow the terms of this Notice that are currently in effect.

We will not use or disclose your PHI without your written authorization, except as described in this Notice. Where California law is more protective of your privacy than federal law, we will follow California law.

2. How We May Use and Disclose Your PHI Without Your Written Authorization

We are permitted under HIPAA (and, in some circumstances, required by state or federal law) to use or disclose your PHI for the following purposes:

Treatment. To provide, coordinate, or manage your care and related services—for example, sharing information with your referring physician or a pharmacy.
Payment. To bill and collect payment from you, an insurance company, or a third‐party payer.
Health Care Operations. For activities necessary to run our practice, such as quality assessment, training, accreditation, licensing, and fraud detection.
Business Associates. To contractors that perform services for us (e.g., billing companies, IT vendors) that agree to safeguard your PHI.
Individuals Involved in Your Care or Payment. Unless you object, we may share limited PHI with a friend, family member, or legal representative involved in your care.
Public Health & Safety. To avert a serious threat, prevent disease, report adverse events, product defects, or to comply with public-health reporting laws.
Health Oversight Activities. To federal or state agencies for audits, inspections, or investigations.
Law Enforcement or Judicial Proceedings. In response to a court order, subpoena, warrant, or as otherwise required by law.
Coroners, Medical Examiners, Funeral Directors, Organ Procurement.
Workers’ Compensation. As authorized to comply with workers’ compensation or similar programs.
Research. Under certain conditions and with required approvals or your written permission.
Specialized Government Functions. For national security or to Armed Forces personnel, as authorized by law.

California‐Specific Disclosures. When disclosing mental-health, HIV/AIDS, genetic-testing, or substance-use-disorder information, California law may require your explicit written authorization unless the disclosure is otherwise permitted or required by law.

3. Uses and Disclosures Requiring Your Written Authorization

We must obtain your written authorization for:

Marketing communications for which we receive compensation from a third party (other than face-to-face communications or promotional gifts of nominal value).
Sale of PHI or most sharing of your PHI in exchange for remuneration.
Photographs, video, or audio recordings that identify you and are used for advertising, social media, or educational purposes.
Psychotherapy Notes (if applicable), except for limited treatment, payment, or oversight functions.

Other uses and disclosures not described in this Notice will be made only with your written authorization. You may revoke an authorization in writing at any time; revocation will apply to future uses/disclosures, but not to actions already taken in reliance on your authorization.

4. Your Rights Regarding Your PHI

You have the following rights, which you may exercise by submitting a written request to our Privacy Official:

Right to Inspect and Obtain a Copy. You may inspect or receive an electronic or paper copy of your medical record. Under California law, we will provide copies within 15 business days of your request and may charge reasonable, cost-based fees.
Right to Request Electronic Records. If your PHI is maintained electronically, you may request an electronic copy in the format you specify, if readily producible.
Right to Amend. If you believe information in your record is incorrect or incomplete, you may request an amendment.
Right to an Accounting of Disclosures. You may ask for a list of disclosures we made of your PHI in the six years prior to the request, excluding those for treatment, payment, health-care operations, and certain other disclosures.
Right to Request Restrictions. You may ask us to limit how we use or disclose your PHI. We are not required to agree, except we must honor your request to withhold PHI from your health plan if you pay the full charge for the service out-of-pocket, in accordance with 45 C.F.R. §164.522(a)(1)(vi) and Cal. Civ. Code §56.107.
Right to Confidential Communications. You may request that we contact you at a specific address or phone number.
Right to Receive a Paper Copy of This Notice. You may receive a copy at any visit or download it from our website.
Right to Be Notified of a Breach. You will receive written notice following any breach of your unsecured PHI.
Right to File a Complaint. See Section 6 below.

We may ask you to submit requests on our forms and to provide photo identification. We will respond in writing within the time frames required by law.

5. Our Responsibilities

We are required by law to maintain the privacy and security of your PHI.
We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
We must follow the duties and privacy practices described in this Notice and give you a copy of it.
We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time.

We reserve the right to change the terms of this Notice. When we do, the new Notice will be effective for all PHI we maintain. We will post the revised Notice in our reception area and on our website, and will provide a copy upon request.

6. Questions or Complaints

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

To file a complaint or exercise any right described in this Notice, please contact:

Privacy Officer

Ernest Gevorgyan

Sempre Viva Aesthetics

421 N Rodeo Dr, G-12

Beverly Hills, CA 90210

Phone: (818) 818-7010

Email: privacy@semprevivaesthetics.com

Complaints to HHS may be submitted online at https://www.hhs.gov/ocr/privacy/hipaa/complaints/ or by mail to: Office for Civil Rights, U.S. Department of Health & Human Services, 200 Independence Ave SW, Room 509F, Washington, DC 20201.

Acknowledgment of Receipt

You will be asked to sign a separate form acknowledging that you received this Notice. Your care will not be conditioned on signing the acknowledgment.

Sempre Viva Aesthetics is a fictitious business name of California Aesthetic Physicians, PC registered in Los Angeles County, California.

Laser Treatments

Facials & Peels

Injectables & Fillers

Skin Rejuvenation

Wellness & IV

Body Contouring

Hair Restoration

Notice of Privacy Practices

Notice of Privacy Practices

Before you go

We’d like to offer $100 credit toward your first treatment.Limited time for new clients only.

Services

Follow us:

Request a callback

BOOK AN APPOINTMENT

20% Off All Treatments to Start the Year Right

We’d like to offer $100 credit toward your first treatment.
Limited time for new clients only.

20% Off
All Treatments to Start the Year Right