Skinvive

Skinvive revives and hydrates your skin and smooths out fine wrinkles. Injected just below the skin, Skinvive strategically attracts water into the area resulting in plump and hydrated skin. This treatment is especially good for those difficult to lines that occur around the mouth. It is also a good treatment for the cheeks if you don't feel ready to try filler to restore your volume. Treatment is typically needed every 6 months.

  1. $400 per treatment.


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Notice of Privacy Practices Acknowledgement


I, the undersigned, understand that under the Health Insurance Portability & Accountability Act of 1996 (HIPAA), I have certain rights to privacy regarding my protected health information. I understand that this information can and will be used to:

  1. Conduct, plan and direct my treatment and follow-up among the multiple health care providers who may be involved in that treatment directly and indirectly;
  2. Obtain payment from third-party payers; and
  3. Conduct normal health care operations, such as quality assessments and physician certifications.


I acknowledge that I have been provided the Notice of Privacy Practices containing a more complete description of the uses and disclosures of my health information. I understand that this organization has the right to change its Notice of Privacy Practices from time to time and that I may contact this organization at any time at the address above to obtain a current copy of the Notice of Privacy Practices.


I understand that I may request in writing that you restrict how my private information is used or disclosed to carry out treatment, payment or health care operations. I also understand you are not required to agree to my requested restrictions, but if you do agree, then you are bound to abide by such restrictions.