Notice of Privacy Practices

Everwell Longevity Medicine PA Effective Date: January 1, 2025

Your Information. Your Rights. Our Responsibilities.

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

Everwell Longevity is committed to protecting the privacy of your health information. We are required by law to maintain the privacy and security of your protected health information (PHI), provide you with this Notice of our legal duties and privacy practices with respect to your PHI, and follow the terms of the Notice that is currently in effect.

How We May Use and Disclose Your Health Information

We may use and disclose your health information for the following purposes:

Treatment

We may use your health information to provide, coordinate, or manage your healthcare and any related services. This includes the coordination or management of your healthcare with a third party, such as a prescribing physician or licensed pharmacy.

Payment

We may use and disclose your health information to bill and collect payment for the services and items you may receive from us. For example, we may provide your health plan with information about treatment you received so that the health plan will pay us or reimburse you for the treatment.

Healthcare Operations

We may use and disclose your health information for our healthcare operations, including quality assessment, employee review activities, training, licensing, and other business activities.

Your Rights Regarding Your Health Information

You have the following rights regarding the health information we maintain about you:

Right to Access

You have the right to inspect and obtain a copy of your health information maintained by Everwell Longevity. To request access, submit a written request to our Privacy Officer at concierge@everwelllongevity.com.

Right to Amend

You have the right to request that we amend your health information if you believe it is inaccurate or incomplete. Submit amendment requests in writing to our Privacy Officer.

Right to an Accounting of Disclosures

You have the right to request a list of instances in which we disclosed your health information for purposes other than treatment, payment, healthcare operations, and certain other activities.

Right to Request Restrictions

You have the right to request that we restrict the use and disclosure of your health information. We are not required to agree to your request, except in limited circumstances.

Right to Receive Confidential Communications

You have the right to request that we communicate with you about your health information in a certain way or at a certain location. For example, you may request that we contact you only by mail or at a specific phone number.

Right to a Copy of This Notice

You have the right to obtain a paper copy of this notice from us at any time, even if you have agreed to receive the notice electronically.

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.
• 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.

Data Security Measures

Everwell Longevity employs administrative, physical, and technical safeguards to protect your PHI, including:

• Encrypted data transmission (TLS/SSL)
• Access controls limiting PHI access to authorized personnel
• Regular security assessments and audits
• Employee training on HIPAA compliance
• Secure data storage with encryption at rest

Contact Information

If you have questions about this Notice or wish to exercise your rights, contact:

Privacy Officer Everwell Longevity Medicine PA 9800 N Central Expy, Suite 500, Dallas, TX 75231 Email: concierge@everwelllongevity.com Phone: (844) 555-EVER

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Everwell Longevity or with the Secretary of the Department of Health and Human Services. You will not be retaliated against for filing a complaint.

To file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights, visit www.hhs.gov/hipaa/filing-a-complaint or call 1-877-696-6775.

Changes to This Notice

We reserve the right to change this notice and to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current notice on our website at https://everwelllongevity.com.