HIPAA Notice of Privacy Practices

Our Legal Duty

Prime Vitality Telehealth, LLC is required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations to maintain the privacy of your Protected Health Information (PHI) and to provide you with this Notice of Privacy Practices. We are required to abide by the terms of the Notice currently in effect.

We reserve the right to change the terms of this Notice at any time. Any revision will apply to PHI we already have about you as well as any PHI we receive in the future. We will post the current Notice on our website at all times.

What is Protected Health Information (PHI)?

PHI is information about you, including demographic data, that relates to:

• Your past, present, or future physical or mental health or condition
• The provision of healthcare to you
• Payment for healthcare services provided to you

PHI includes information that can be used to identify you, such as your name, address, date of birth, Social Security number, and any health-related information.

How We May Use and Disclose Your PHI

The following describes the ways we may use and disclose your PHI without requiring your specific authorization:

Treatment

We may use and disclose your PHI to provide you with medical treatment and services. For example, we may share your information with other healthcare providers involved in your care, including consulting physicians, compounding pharmacies, and clinical laboratories.

Payment

We may use and disclose your PHI to obtain payment for services we provide. For example, we may send billing information to a payment processor to collect fees for your care.

Healthcare Operations

We may use and disclose your PHI for our internal operations, such as quality assessment, provider training, business management, and compliance activities.

As Required by Law

We will disclose your PHI when required to do so by federal, state, or local law, including reporting requirements related to public health, abuse or neglect, controlled substance regulations, and law enforcement activities.

Public Health Activities

We may disclose PHI to public health authorities for activities such as reporting communicable diseases, injuries caused by products, or reactions to medications.

Serious Threats to Health or Safety

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

Business Associates

We may share your PHI with third-party vendors who perform services on our behalf (such as IT support, secure messaging, and electronic health record systems). These vendors are required to protect your PHI under HIPAA Business Associate Agreements.

Uses and Disclosures Requiring Your Authorization

The following uses and disclosures will only be made with your written authorization:

• Most uses and disclosures of psychotherapy notes
• Uses and disclosures of PHI for marketing purposes
• Sale of PHI
• Any other use or disclosure not described in this Notice

You may revoke your authorization in writing at any time, except to the extent we have already taken action in reliance on the authorization.

Your Rights Regarding Your PHI

Right to Inspect and Copy

You have the right to inspect and obtain a copy of your PHI maintained in your medical record or other designated record sets. We may charge a reasonable fee for copies. We will respond to requests within 30 days.

Right to Amend

You have the right to request that we amend PHI about you if you believe the information is incorrect or incomplete. We may deny your request if the information was not created by us or if we believe the information is accurate. We will respond within 60 days.

Right to an Accounting of Disclosures

You have the right to request a list of disclosures we have made of your PHI for purposes other than treatment, payment, healthcare operations, or disclosures made with your authorization, for the six years prior to your request.

Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree to your request, except in limited circumstances required by law.

Right to Confidential Communications

You have the right to request that we communicate with you about your health matters in a certain way or at a certain location. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You have the right to a paper copy of this Notice at any time, even if you have agreed to receive it electronically. Contact us to request a copy.

Right to Be Notified of a Breach

You have the right to be notified in the event of a breach of your unsecured PHI as required by HIPAA's Breach Notification Rule.

How to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be retaliated against for filing a complaint.

To file a complaint with us, contact our Privacy Officer:

To file a complaint with the U.S. Department of Health and Human Services:

Contact Our Privacy Officer

For questions about this Notice or to exercise your rights, please contact: