PROOF MEDICAL SPA LLC NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU AND YOUR CARE MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THAT INFORMATION. PLEASE REVIEW IT CAREFULLY.
OUR COMMITMENT
Proof Medical Spa LLC (“Proof,” “we,” “us”) is committed to protecting the privacy of your health information. We follow the privacy standards described in this Notice, and we follow the requirements of Washington’s Uniform Health Care Information Act, chapter 70.02 RCW, which governs how licensed health care providers in Washington handle patient information.
Your “health information” means information we create or receive that relates to your health, the care we provide you, or payment for that care. It includes your intake forms, treatment records, consultation notes, and photographs.
HOW WE USE AND DISCLOSE YOUR HEALTH INFORMATION
Your Care. We use your health information to provide and coordinate your treatment. For example, your provider reviews your medical history, allergies, and medication list before administering a neuromodulator or dermal filler. With your authorization, we may share information with other providers involved in your care, such as your physician or dermatologist, or with a pharmacy filling a prescription for you.
Payment. We use your health information to charge you for services and to process your payment. If you apply for patient financing, information you provide will go to that financing company.
Running Our Practice. We use your health information to operate Proof. Examples include reviewing treatment outcomes to improve quality, training our staff, and consulting with our attorneys, accountants, and insurers.
Vendors Who Work For Us. We use outside companies to run our scheduling and records system, our phone and messaging service, our payment processing, and our IT support. Each of them signs a written agreement requiring them to protect your information and to use it only for the work we hired them to do.
Appointment Reminders and Follow-Up. We may contact you to confirm or remind you of an appointment, to check on you after a treatment, or to send aftercare instructions. You control how we reach you. See our Communications Consent form.
When the Law Requires or Permits It. We may disclose your health information when the law requires it. This includes reporting suspected abuse or neglect, reporting adverse events or product problems to the FDA, responding to a court order or lawful subpoena, cooperating with the Washington State Department of Health or the Nursing Care Quality Assurance Commission in a licensing or oversight matter, responding to a public health authority, or acting to prevent a serious and imminent threat to someone’s health or safety.
People Involved in Your Care. Unless you tell us otherwise, we may share information relevant to your care with a family member or other person you have identified to us. You may list or change those people at any time.
WHAT WE WILL NOT DO WITHOUT YOUR WRITTEN AUTHORIZATION
We will not use or disclose your health information for any of the following unless you sign a separate written authorization:
- Marketing of any kind, including any use of your photographs to promote Proof or a third party
- Any disclosure to a product, device, or pharmaceutical manufacturer
- Any other purpose not described in this Notice
We do not sell your health information.
You may revoke a written authorization at any time by notifying our Privacy Officer in writing. Revoking it stops future use. It does not undo anything already done in reliance on it, and it cannot retrieve materials already published or distributed.
SPECIAL PROTECTION UNDER WASHINGTON LAW
Washington law provides added protection for certain categories of information, including information about HIV and other sexually transmitted infections, mental health treatment, substance use disorder treatment, and genetic testing. We handle any such information under those heightened standards.
YOUR RIGHTS
See and Copy Your Records. You may examine and get a copy of your health information, including in electronic form if we keep it electronically. Submit your request in writing. Under RCW 70.02.080 we will respond as promptly as circumstances require and no later than 15 working days. If unusual circumstances delay us, we will tell you in writing why and give you a date no later than 21 working days from your request. We may charge a reasonable, cost-based fee for copies as permitted by law. We may deny a request in the limited circumstances described in RCW 70.02.090, and we will tell you in writing if we do.
Correct Your Records. If you believe something in your record is inaccurate or incomplete, you may request a correction in writing. Under RCW 70.02.100 we will respond no later than 10 days, or tell you in writing of a delay and give you a date no later than 21 days. If we decline, you may submit a written statement of disagreement and we will keep it with your record.
Choose How We Contact You. You may ask us to reach you only at a specific number, address, or method. We will accommodate reasonable requests and will not ask you why.
Request Limits. You may ask us to limit how we use or share your information. We will tell you if we cannot agree to a request.
Name Someone to Act For You. You may authorize another person in writing to exercise these rights on your behalf.
Get a Copy of This Notice. You may request a paper copy at any time. The current version is always posted in our lobby and at proofmedspa.com.
Be Told About a Breach. If your information is involved in a breach that may have compromised its privacy or security, we will notify you.
QUESTIONS AND COMPLAINTS
If you have a question or believe your privacy has been compromised, please contact our Privacy Officer first. We take these seriously and we will not retaliate against you for raising one.
Privacy Officer: Elizabeth Gilroy, ARNP
Proof Medical Spa LLC, 9725 N Division St, Spokane, WA 99218
Phone: 509-357-2357
Email: privacy@proofmedspa.com
You may also contact:
Washington State Department of Health
Health Systems Quality Assurance, Complaint Intake
PO Box 47857, Olympia, WA 98504-7857
doh.wa.gov
Washington State Attorney General, Consumer Protection Division
atg.wa.gov/file-complaint
CHANGES TO THIS NOTICE
We may update this Notice. If we do, the revised version will apply to information we already hold as well as information we receive afterward. The current version, with its effective date, is posted in our lobby and at proofmedspa.com.
Effective August 15, 2026
