Notice of Privacy Practices

Welcome to Clear Skin For You Ellicott City’s Premier Adult Dermatology Clinic


Notice of Privacy Practices


CLEAR SKIN FOR YOU LLC (“The Practice”) is required by law to maintain the privacy of identifiable information that relates to your health, health care you have received, or payment for your care. As required by law, this Notice provides you with information about your rights and our legal duties and privacy practices with respect to your health information. This Notice also describes how the Practice may use or disclose your health information. 

How We May Use and Disclose Health Information About You

The Practice may use or disclose health information about you, without your written consent (known as an authorization), for purposes related to:

The Practice participates in the Chesapeake Regional Information System for our Patients, Inc. (CRISP), a statewide HIE. As permitted by law, your health information will be shared with this HIE in order to provide faster access, better care coordination, and assist providers and public health officials in making more informed decisions. You may “opt-out” and prevent searching of your health information through CRISP by calling 1-877-952-7477 or completing and submitting an Opt-Out form to CRISP by mail, fax or through their website at  If you opt-out of CRISP, certain health information about you may still be available through the HIE as permitted or required by law.  For example, medical providers who are treating you will no longer be able to search for your health information through CRISP, but will still be able to receive lab results, radiology reports, and other data sent directly from CRISP that they may have previously received by fax or mail. In addition, public health reporting and controlled dangerous substance information, as part of the Maryland Prescription Drug Monitoring Program, will still be available to providers through CRISP.

Uses and Disclosures Requiring Your Authorization

Uses and disclosures of health information not described in this Notice will be made only with your written authorization.  For example, with limited exceptions, the Practice must obtain your authorization before: using and disclosing psychotherapy notes; using or disclosing your health information for marketing purposes (except for communications made face-to-face or promotional gifts of minimal value provided to you by the Practice); or selling or receiving anything of value in exchange for your health information.  If you authorize the Practice to use or disclose your health information, you have the right to revoke the authorization at any time by providing written notice to the Practice’s Privacy Officer whose contact information is below.  Your revocation will be effective once received, but will not impact uses or disclosures the Practice made while your authorization was still in effect.

Your Rights Regarding Health Information About You

You have the following rights with respect to health information that the Practice maintains about you:

Changes to this Notice

This Notice is effective as of November 27, 2023.  The Practice must abide by the terms of the Notice currently in effect.  We reserve the right to make changes at any time to our privacy practices and this Notice, and may make the new terms effective for all health information that the Practice already maintains about you as well as information it receives in the future. If changes are made to the Notice, the updated Notice will be posted on the Practice’s website at, posted in clear and prominent locations on the Practice’s site, and distributed as required.

Questions or Complaints

If you have a question about this Notice or feel that your privacy rights have been violated, please contact the Practice’s Privacy Officer using the contact information below.  You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services.  You will not be penalized or retaliated against for filing a complaint.