Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

This notice applies to the health care services Absofitly LLC provides, including medical visits, GLP-1 care, and weight loss programs, coaching and nutrition services that we bill to health insurance. Our Privacy Officer can be reached at [email protected], (407) 798-8798, or 207 W State Rd 434 Suite A, Winter Springs, FL 32708.

Your rights

When it comes to your health information, you have the right to:

• Get a copy of your health and billing records. Ask us for an electronic or paper copy. We'll provide it, usually within 30 days, and may charge a reasonable, cost-based fee.
• Ask us to correct your records if you think they are incorrect or incomplete. We may say no, but we'll tell you why in writing within 60 days.
• Ask for confidential communications, for example, to contact you at a different phone number or address. We'll say yes to all reasonable requests.
• Ask us to limit what we use or share. We are not required to agree, except that if you pay for a service in full out of pocket, you can ask us not to share that information with your health insurer for payment or our operations, and we will say yes unless the law requires us to share it.
• Get a list of those we've shared information with for six years before your request, other than for treatment, payment, health care operations and certain other disclosures. We'll provide one list a year for free.
• Get a copy of this notice on paper at any time, even if you agreed to receive it electronically.
• Choose someone to act for you, such as a person with medical power of attorney or a legal guardian.
• File a complaint if you feel your rights have been violated. Contact our Privacy Officer, or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at hhs.gov/ocr/complaints or 1-877-696-6775. We will not retaliate against you for filing a complaint.

Your choices

For certain information, you can tell us your choices about what we share:

• Family and friends: you can tell us whether to share information with family, close friends or others involved in your care or payment.
• Your Partner and clinic: if you enrolled through an Absofitly Partner or a clinic, you can tell us what program information they may see, beyond what is needed to provide your services.
• If you can't tell us your preference, for example if you are unconscious, we may share information if we believe it is in your best interest, or when needed to lessen a serious and imminent threat to health or safety.

We never share your information for marketing or sell your information unless you give us written permission. Advertising and analytics tools are not used on pages where you enter or view health information.

Our uses and disclosures

We typically use or share your health information in these ways:

• Treatment: to provide your care and coordinate with others treating you. Example: your coach and supervising clinician review your weigh-ins to adjust your plan.
• Payment: to bill and get paid by health plans or CareCredit. Example: we give your insurer information about your visit so it will pay for it.
• Running our organization: to improve care, train staff, and manage our business. Example: reviewing program results to improve our services.
• Service providers (business associates): companies that perform services for us under a written agreement to protect your information, such as our training and progress app, our billing service, and our hosting and messaging providers.

We may also share your information when allowed or required by law, including:

• to help with public health and safety issues (such as preventing disease, reporting adverse reactions to medications, reporting suspected abuse or neglect, or preventing a serious threat to anyone's health or safety);
• for health research that meets legal requirements;
• to comply with the law, including when the Department of Health and Human Services wants to see that we're complying with federal privacy law;
• to respond to organ and tissue donation requests and to work with a medical examiner or funeral director;
• for workers' compensation, law enforcement, health oversight agencies and special government functions such as military and national security;
• in response to a court or administrative order, or a subpoena, as the law allows.

Any other use or disclosure, including most uses of psychotherapy notes, requires your written authorization, which you can revoke in writing at any time (except to the extent we have already acted on it).

Our responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing.

Changes to this notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available on request, at our office and on our website.

Contact

Privacy Officer, Absofitly LLC · 207 W State Rd 434 Suite A, Winter Springs, FL 32708 · [email protected] · (407) 798-8798