Debt Fairness Act Notice

Debt Fairness Act Notice. I understand that if my account balance remains unpaid after 3 statements, or 90 days, a letter will be sent to me notifying me that my account may be referred to a collection agency. I am responsible for paying any remaining balance to them. I acknowledge that in accordance with the Minnesota Debt Fairness Act (MN Stat. §507.09), effective October 1, 2024, Skingevity will not withhold medically necessary care due to unpaid debt.

Notice of Non-Discrimination

Skingevity Med Spa complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Skingevity Med Spa does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Skingevity Med Spa provides:

  • Free aids and services to people with disabilities to communicate effectively with us, such as:
  • Qualified sign language interpreters
  • Written information in other formats (large print, audio, accessible electronic formats, other formats)
  • Free language services to people whose primary language is not English, such as:
  • Qualified interpreters
  • Information written in other languages

If you need these services, contact Clinic Administrator. If you believe that Skingevity Med Spa has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:


Skingevity 

Clinic Administrator 4100 Spring Street Ste 101

Spring Park, MN 55384

Phone: 952-476-2772

info@skingevityspa.com


You can file a grievance in person or by mail, or email. If you need help filing a grievance, we are available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:


U.S. Department of Health and Human Services,

200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201,

1–800–368–1019, 800–537–7697 (TDD).