Notice of Privacy Practices (HIPAA)

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

AgeReverse-RX is required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) 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. PHI is information that may identify you and that relates to your past, present, or future physical or mental health and related healthcare services.

2. How We May Use and Disclose Your PHI

We may use and disclose your PHI for the following purposes without your specific authorization:

• Treatment: To provide, coordinate, or manage your healthcare and related services — for example, sharing your information with the licensed clinicians and pharmacies involved in your care.
• Payment: To bill and collect payment for the treatment and services you receive, including verifying eligibility and processing transactions through our payment processors.
• Healthcare Operations: To support our business activities such as quality assessment, clinical staff review, licensing, and care coordination.
• Business Associates: To vendors who perform services on our behalf (e.g., IT, analytics, communications, EMR, and pharmacy partners), each of whom is bound by a Business Associate Agreement (BAA) to safeguard your PHI.
• Appointment Reminders & Health-Related Communications: To contact you about your care, treatment alternatives, or other health-related benefits and services.
• As Required by Law: When federal, state, or local law requires the use or disclosure, including for public health activities, reporting abuse or neglect, health oversight, judicial and administrative proceedings, law enforcement, and to avert a serious threat to health or safety.

3. Uses and Disclosures Requiring Your Authorization

Most uses and disclosures of psychotherapy notes (where applicable), uses and disclosures for marketing purposes, and disclosures that constitute a sale of PHI require your written authorization. Other uses and disclosures not described in this Notice will be made only with your written authorization. You may revoke an authorization at any time, in writing, except to the extent we have already acted in reliance on it.

4. Your Rights Regarding Your PHI

• Right to Access: You may inspect and obtain a copy of your PHI, including in an electronic format where readily producible.
• Right to Amend: You may request that we amend PHI that you believe is incorrect or incomplete.
• Right to an Accounting of Disclosures: You may request a list of certain disclosures we made of your PHI.
• Right to Request Restrictions: You may request restrictions on certain uses and disclosures. We are not required to agree except where you pay out of pocket in full and request that we not disclose to a health plan.
• Right to Request Confidential Communications: You may request that we communicate with you in a certain way or at a certain location.
• Right to a Paper Copy of This Notice: You may request a paper copy at any time, even if you have agreed to receive it electronically.
• Right to Be Notified of a Breach: You have the right to be notified following a breach of unsecured PHI.

5. Our Duties

We are required to maintain the privacy of your PHI, provide you with this Notice, abide by its terms, and notify you if we are unable to agree to a requested restriction. We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as any information we receive in the future. The current Notice will be posted on our website with its effective date.

6. How to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below, or with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.

7. Contact Information

To exercise any of your rights or to file a complaint, contact our Privacy Officer:

AgeReverse-RX — Privacy Officer
Email: support@agereverserx.com
Phone: Phone coming soon — see contact page
Mailing Address: 16092 Coastal Highway, Lewes, DE 19958