HIPAA NOTICE OF PRIVACY PRACTICES

Your privacy is our top priority!

We want you to feel secure knowing that it is our responsibility to ensure all of your medical information remains strictly confidential. We are committed to protecting your trust and your sensitive health data. This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

I. Our Commitment to Your Privacy

We are committed to protecting the privacy of your protected health information ("PHI"). This Notice of Privacy Practices ("Notice") describes how we may use and disclose your PHI to carry out treatment, payment, and healthcare operations, and for other purposes permitted or required by law. It also describes your rights to access and control your PHI.

We are required by law to:

• Maintain the privacy of your PHI.

• Provide you with this Notice of our legal duties and privacy practices with respect to your PHI.

• Notify you following a breach of unsecured PHI.

• Abide by the terms of this Notice.

II. How We May Use and Disclose Your Protected Health Information (PHI)

The following categories describe different ways that we may use and disclose your PHI. For each category, we will explain what it means and provide an example. Not every use or disclosure in a category will be listed.

A. Uses and Disclosures for Treatment, Payment, and Healthcare Operations

We may use and disclose your PHI for treatment, payment, and healthcare operations without your written authorization.

• Treatment: We may use and disclose your PHI to provide, coordinate, and manage your healthcare and any related services. This includes coordinating or managing your healthcare with a third party.

• Payment: We may use and disclose your PHI to obtain payment for your healthcare services.

• Example: We may share your PHI with your health insurance plan to confirm coverage, bill for services, or obtain approval for a specific procedure.

• Healthcare Operations: We may use and disclose your PHI to support the business activities of our practice. These activities include, but are not limited to, quality assessment and improvement activities, employee reviews, training of healthcare students, licensing, and conducting or arranging for other business activities.

• Example: We may call out your name in the waiting room when your provider is ready to see you.

B. Uses and Disclosures That May Be Made Without Your Authorization or Opportunity to Object

We may use and disclose your PHI without your authorization or opportunity to object for the following purposes as permitted or required by law:

• Appointment Reminders and Health-Related Communications: We may use and disclose PHI to contact you as a reminder that you have an appointment or to provide information about treatment alternatives or other health-related benefits and services. We may leave messages on your answering machine or with a person answering the phone. We will not include any test results or other health information in a voicemail.

• Individuals Involved in Your Care or Payment for Your Care: We may disclose PHI to your emergency contact in the event of an emergency.

• Example: If you become unresponsive while receiving care with us and an ambulance is called, we may disclose limited PHI to your emergency contact to inform them of your condition and what hospital you are being sent to.

• As Required By Law: We will disclose PHI when required to do so by law.

• Lawsuits and Disputes: We may disclose PHI in response to a court or administrative order, subpoena, discovery request, or other lawful process, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

• Law Enforcement: We may release PHI if asked to do so by a law enforcement official for specific law enforcement purposes, such as:

• In response to a court order, warrant, subpoena, or summons.

• About a death we believe may be the result of criminal conduct.

• In emergency circumstances to report a crime, the location of the crime or victims, or the identity, description, or location of the person who committed the crime.

• Serious Threat to Health or Safety:

We may use and disclose your PHI when necessary to prevent a serious and imminent threat to your health and safety or the health and safety of the public or another person.

• Military and Veterans: If you are a member of the armed forces, we may release PHI about you as required by military command authorities.

• Workers' Compensation: We may release PHI about you for workers' compensation or similar programs. These programs provide benefits for work-related injuries or illnesses.

C. Uses and Disclosures That Require Your Written Authorization

Other uses and disclosures of your PHI not covered by this Notice or the laws that apply to us will be made only with your written authorization. Most uses and disclosures of psychotherapy notes, uses and disclosures of PHI for marketing purposes, and disclosures that constitute a sale of PHI require your authorization.

• You have the right to revoke such authorization in writing at any time. If you revoke your authorization, we will no longer use or disclose your PHI for the reasons covered by your written authorization, except to the extent that we have already taken action in reliance on your authorization.

III. Your Rights Regarding Your Protected Health Information (PHI)

You have the following rights regarding your PHI that we maintain:

• Right to Inspect and Copy: You have the right to inspect and obtain a copy of PHI that may be used to make decisions about your care, such as medical and billing records. We may charge a reasonable, cost-based fee for the costs associated with your request (e.g., copying, mailing). We may deny your request to inspect and copy in certain limited circumstances. If you are denied access, you may request that the denial be reviewed.

• Right to Amend: If you feel that PHI we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for us.We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. We may also deny your request if you ask us to amend information that:

• Was not created by us, unless the person or entity that created the information is

no longer available to make the amendment.

• Is not part of the PHI kept by or for us.

• Is not information you would be permitted to inspect and copy.

• Is accurate and complete.

• Right to an Accounting of Disclosures: You have the right to request an "accounting of disclosures." This is a list of certain disclosures we made of your PHI for purposes other than treatment, payment, or healthcare operations, or those made with your authorization. This right excludes disclosures made directly to you, for facility directories, or for national security purposes. You may request an accounting of disclosures for a period of up to six years prior to the date of your request. You will not be charged for your first accounting request within a 12-month period, but we may charge a reasonable, cost-based fee for additional requests within that period.

• Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose about you for treatment, payment, or healthcare operations. You also have the right to request a limit on the PHI we disclose to someone involved in your care or the payment for your care, like a family member or friend. We are not required to agree to your request, except in one specific circumstance:

• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for payment or our operations with your health insurer. We will agree to this restriction unless a law requires us to share that information.

• Right to Request Confidential Communications: You have the right to request that we communicate with you about health matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. We will not ask you for the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.

• Right to a Paper Copy of This Notice: You have the right to a paper copy of this Notice. You may ask us for a paper copy at any time. Even if you have agreed to receive this Notice electronically, you are still entitled to a paper copy. You may obtain a copy of this Notice at our office or by contacting our Privacy Officer at the contact information provided below.

IV. Changes to This Notice of Privacy Practices

We reserve the right to change the terms of this Notice at any time. The new Notice will be effective for all PHI that we maintain, including PHI created or received before the date of the change. We will post a copy of the current Notice in our office. You may obtain a revised Notice upon request.

V. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with us, please contact our Privacy Officer at the contact information provided below. All complaints must be submitted in writing. You will not be retaliated against for filing a complaint.

VI. Contact Information

For any questions about this Notice, please contact:

Tyler Russell

Phone: 702-350-1477

Fax: 725-910-0701

tyler@pridehealthandwellness.org

2725 S. Jones Blvd, #109, Las Vegas, Nevada, 89146