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Notice of Privacy Practices

Effective Date: February 2025

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.

Our Commitment to Your Privacy

VitalPath Health, Inc. (“VitalPath”) understands that your medical information is personal. We are committed to protecting your medical information and complying with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and all applicable state privacy laws.

This Notice of Privacy Practices (“Notice”) describes how we may use and disclose your protected health information (“PHI”) and your rights regarding your PHI.

How We May Use and Disclose Your PHI

For Treatment

We may use your PHI to provide, coordinate, or manage your health care. This includes consultations with other healthcare providers, referrals to specialists, and coordination with pharmacies to fulfill your prescriptions.

For Payment

We may use and disclose your PHI to bill and collect payment for services. This may include sending claims to your insurance company, verifying coverage, and working with collection agencies if necessary.

For Healthcare Operations

We may use your PHI for healthcare operations, including quality improvement activities, training, compliance programs, and business management activities necessary to run our practice.

Other Permitted Uses and Disclosures

We may also use or disclose your PHI:

  • As required by law
  • For public health activities
  • To report abuse, neglect, or domestic violence
  • For health oversight activities
  • In response to court orders or legal proceedings
  • For law enforcement purposes
  • To coroners, funeral directors, and organ donation organizations
  • For research purposes (with appropriate safeguards)
  • To avert a serious threat to health or safety
  • For specialized government functions
  • For workers' compensation purposes

Uses Requiring Your Authorization

We will not use or disclose your PHI for purposes other than those described in this Notice without your written authorization. You may revoke an authorization at any time by submitting a written request, except to the extent we have already relied on the authorization.

Specific uses that require your authorization include:

  • Marketing communications
  • Sale of your PHI
  • Most uses of psychotherapy notes
  • Disclosure to third parties not involved in your treatment, payment, or healthcare operations

Your Rights Regarding Your PHI

Right to Access

You have the right to inspect and obtain a copy of your PHI. We may charge a reasonable fee for copying and mailing costs. We may deny your request in certain circumstances, but you may request a review of our denial.

Right to Request Amendment

You have the right to request that we amend your PHI if you believe it is incorrect or incomplete. We may deny your request if we did not create the information, if the information is not part of our records, or if we determine the information is accurate.

Right to an Accounting of Disclosures

You have the right to request a list of disclosures we have made of your PHI. This list does not include disclosures for treatment, payment, or healthcare operations, or disclosures made with your authorization.

Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your PHI. We are not required to agree to your request, except that we must honor your request if you pay for services out-of-pocket and ask us not to disclose to your health plan.

Right to Confidential Communications

You have the right to request that we communicate with you in a specific way or at a specific location. For example, you may request that we contact you only at your work email address.

Right to a Paper Copy of This Notice

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

Our Responsibilities

  • We are required by law to maintain the privacy of your PHI
  • We are required to provide you with this Notice of our legal duties and privacy practices
  • We are required to notify you in the event of a breach of your unsecured PHI
  • We will not use or disclose your PHI except as described in this Notice
  • We reserve the right to change this Notice and make the new provisions effective for all PHI we maintain

File a Complaint

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

To file a complaint with VitalPath:

Privacy Officer

VitalPath Health, Inc.

548 Market Street, Suite 95673

San Francisco, CA 94104

Email: privacy@vitalpath.com

Phone: 1-800-VITAL (84825)

To file a complaint with HHS:

Office for Civil Rights

U.S. Department of Health and Human Services

Website: www.hhs.gov/ocr/privacy/hipaa/complaints

Changes to This Notice

We reserve the right to change this Notice and make the new provisions effective for all PHI we maintain. If we make material changes, we will post a revised Notice on our website and make it available upon request.

Contact Information

For more information about our privacy practices or to exercise your rights, please contact:

VitalPath Privacy Officer

Email: privacy@vitalpath.com

Phone: 1-800-VITAL (84825)

Address: 548 Market Street, Suite 95673, San Francisco, CA 94104