Effective Date: July 1st, 2025

This HIPAA Privacy Policy describes how Iyengar Plastic Surgery (“we,” “our,” or “the Practice”) may use and disclose your protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and your rights regarding that information.

We are committed to protecting the privacy of your medical information and maintaining compliance with federal privacy regulations.

What Is Protected Health Information (PHI)?

PHI refers to any individually identifiable health information that relates to:

  • Your past, present, or future physical or mental health
  • The provision of healthcare to you
  • Payment for healthcare services

Examples include your name, date of birth, contact information, medical history, or any other data submitted in connection with your care.

How We May Use and Disclose Your PHI

We may use and disclose your PHI in the following ways:

  • For Treatment: To provide medical care and coordinate your treatment
  • For Payment: To bill for services and verify insurance coverage
  • For Healthcare Operations: To manage our practice, improve services, and ensure quality care
  • As Required by Law: To comply with legal obligations, subpoenas, court orders, or public health reporting
  • To You: Upon request or through communication related to your care
  • With Your Authorization: Any other use or disclosure of PHI will only occur with your explicit written permission

Your Rights Regarding Your PHI

You have the right to:

  • Request access to your medical records
  • Request an amendment to your medical information
  • Request restrictions on how your PHI is used or disclosed
  • Request confidential communications via specific methods or locations
  • Receive an accounting of certain disclosures of your PHI
  • Obtain a paper copy of this notice at any time

To exercise these rights, please contact our office directly.

How We Protect Your PHI

We maintain physical, electronic, and procedural safeguards to protect your medical information. Access to PHI is limited to authorized staff who are trained in confidentiality and HIPAA compliance. While our website uses a contact form to collect limited patient information, we do not collect or transmit sensitive health information through a secure HIPAA-compliant portal at this time. Please refrain from submitting detailed medical history via online forms.

Notice Regarding Online Forms

While our website’s contact forms collect limited information—such as name, date of birth, procedure of interest, and contact details—these forms are not a substitute for a medical consultation and are not intended for transmitting sensitive medical information. Submitting information through these forms does not establish a provider-patient relationship.

Breach Notification

In the event of a breach involving your PHI, you will be notified in accordance with federal requirements.

Changes To This Policy

We may update this HIPAA Privacy Policy from time to time. Updates will be posted on this page with a revised effective date. Continued interaction with the Practice following such updates constitutes acceptance of the new policy.

Contact Information

To request access to your medical information or if you have questions or concerns about your privacy rights under HIPAA, please contact:

Iyengar Plastic Surgery
4210 10th St SE

Puyallup, WA 98374


Phone: 253.840.5397
Email: info@iyengarplasticsurgery.com
Website: www.iyengarplasticsurgery.com