PrimeCellMed (PrimeCell Regenerative & Aesthetic Medicine) (“we,” “us,” or “our”) is required by law to maintain the privacy of your Protected Health Information (“PHI”), to provide you with this Notice of our legal duties and privacy practices regarding your PHI, and to notify you following a breach of unsecured PHI. “Protected Health Information” is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health condition and related health care services.

1. How We May Use and Disclose Your PHI

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For most uses and disclosures beyond treatment, payment, and health care operations, we will obtain your written authorization.

• Treatment — to provide, coordinate, or manage your health care, including sharing with physicians, labs, imaging centers, pharmacies, or other providers involved in your care
• Payment — to obtain payment for services, which for self-pay services may include documenting the services received and their cost
• Health care operations — to run our practice, improve quality of care, train staff, and perform similar administrative activities
• Appointment reminders and health-related services — to contact you about appointments, treatment alternatives, or other health-related services using the contact information you provide

2. Other Permitted and Required Disclosures

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We may use or disclose your PHI without your authorization, to the extent permitted or required by law, including: as required by law; public health activities (including reports to the FDA regarding products and adverse events); reports about victims of abuse, neglect, or domestic violence; health oversight activities; judicial and administrative proceedings; limited law-enforcement purposes; coroners, medical examiners, and funeral directors; organ and tissue donation; research under privacy-protective conditions; to avert a serious threat to health or safety; specialized government functions; and workers’ compensation.

3. Uses and Disclosures Requiring Your Authorization

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Other uses and disclosures not described in this Notice will be made only with your written authorization—in particular, most marketing, any sale of PHI, and psychotherapy notes where applicable. If you provide an authorization, you may revoke it in writing at any time, except to the extent we have already acted in reliance on it. Photographs used for marketing (for example, before-and-after aesthetic images) will only be used with your separate written authorization. Where Florida or federal law (such as for HIV/AIDS, mental health, or substance use disorder information) is more protective than HIPAA, we will follow the more protective law.

4. Your Rights Regarding Your PHI

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• Right to inspect and copy your PHI (a reasonable, cost-based fee may apply)
• Right to request an amendment of PHI you believe is incorrect or incomplete
• Right to request restrictions on use or disclosure (we must agree to restrict disclosure to a health plan for a service you paid for in full out of pocket)
• Right to confidential communications at a particular location or in a particular way
• Right to an accounting of certain disclosures, subject to legal limits
• Right to a paper copy of this Notice at any time
• Right to be notified of a breach of your unsecured PHI
• Right to choose someone (with medical power of attorney or legal guardianship) to act for you

To exercise any of these rights, please submit your request in writing to our Privacy Officer using the contact information below.

5. Our Responsibilities

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We are required by law to maintain the privacy and security of your PHI, to notify you promptly if a breach may have compromised its privacy or security, to follow the duties and privacy practices described in this Notice, and to give you a copy of it. We will not use or share your PHI other than as described here unless you tell us we can in writing, and you may change your mind at any time by notifying us in writing.

6. Changes to This Notice

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We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as information we receive in the future. The current Notice will be posted at primecellmed.com and available at our office, with the effective date shown at the top.

7. Complaints

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If you believe your privacy rights have been violated, you may file a complaint with us by contacting our Privacy Officer, or with the U.S. Department of Health & Human Services, Office for Civil Rights — online at hhs.gov/ocr/complaints, by mail at 200 Independence Avenue, S.W., Washington, D.C. 20201, or by phone at 1-877-696-6775. We will not retaliate against you for filing a complaint.

8. Contact & Privacy Officer

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Privacy Officer — PrimeCellMed (PrimeCell Regenerative & Aesthetic Medicine). Phone: (407) 512-8878 · Email: info@primecellmed.com · Address: 2295 S Hiawassee Road, Ste 410, Orlando, FL 32835 · Office hours: Monday–Friday, 10:00 AM–6:00 PM.