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.

1. Our Commitment to Your Privacy

Exergy Health LLC ("we," "our," or "us") 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, and to follow the terms of the notice currently in effect. We are required to notify you if a breach of your unsecured PHI occurs.

2. How We May Use and Disclose Your Health Information

We may use and disclose your PHI in the following ways without your written authorization:

Treatment

We may use your health information to provide, coordinate, or manage your healthcare and related services. This includes consultations with other healthcare providers involved in your care.

Payment

We may use and disclose your health information to obtain payment for services we provide, including billing, claims management, and collection activities.

Healthcare Operations

We may use and disclose your health information for our healthcare operations, including quality assessment, staff training, business management, and compliance activities.

As Required or Permitted by Law

We may use or disclose your health information when required by federal, state, or local law, including for public health activities, reporting abuse or neglect, health oversight activities, judicial and administrative proceedings, law enforcement purposes, and to avert a serious threat to health or safety.

3. Uses and Disclosures Requiring Your Authorization

We will obtain your written authorization before using or disclosing your PHI for purposes other than those described above, including:

• Marketing communications
• Sale of your health information
• Most uses of psychotherapy notes, if applicable
• Any other uses not described in this notice

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

4. Your Rights Regarding Your Health Information

You have the right to:

• Access your records: Request to inspect and obtain a copy of your health information.
• Request amendments: Ask us to amend your health information if you believe it is incorrect or incomplete.
• Request an accounting of disclosures: Obtain a list of certain disclosures we have made of your health information.
• Request restrictions: Ask us to limit how we use or disclose your health information for treatment, payment, or healthcare operations.
• Request confidential communications: Ask us to communicate with you in a specific way or at a specific location.
• Receive a copy of this notice: Obtain a paper or electronic copy of this notice at any time.
• File a complaint: File a complaint with us or with the U.S. Department of Health and Human Services if you believe your privacy rights have been violated. You will not be penalized for filing a complaint.

5. Our Responsibilities

• We are required by law to maintain the privacy and security of your PHI.
• 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 provide you with 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. If you tell us we can, you may change your mind at any time by letting us know in writing.

6. Changes to This Notice

We reserve the right to change the terms of this notice and to make the new provisions effective for all PHI we maintain. If we make a material change to this notice, we will post the revised notice on our website and make it available at our practice.

7. Contact Us

If you have questions about this notice, wish to exercise any of your rights, or want to file a complaint, please contact us at:

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by visiting hhs.gov/hipaa/filing-a-complaint.