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HIPAA Notice of Privacy Practices

Effective Date: November 10, 2025

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Our Responsibilities

When this Notice refers to “we,” “our,” or “us,” it refers to TeleWellnessMD®, its affiliated medical professionals, partner pharmacies and employees involved in providing or supporting your healthcare.

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
• Notify you if a breach occurs that may compromise the privacy or security of your PHI
• Follow the terms of this Notice while it is in effect

We reserve the right to update or amend this Notice. Any changes will apply to PHI we already hold and to future information we collect. The revised Notice will be posted on our website and made available upon request.

I. How We May Use and Disclose Your PHI

We use and disclose your PHI to provide care, process payments and manage healthcare operations. Other uses and disclosures will only be made with your written authorization, which you may revoke at any time in writing.

A. Treatment

We may use and disclose your PHI to provide healthcare services, coordinate your care or consult with other healthcare professionals involved in your treatment. For example, we may share your prescription information with a partner pharmacy or prescribing provider to ensure appropriate care.

B. Payment

We may use and disclose your PHI to obtain payment for healthcare services, verify insurance coverage or secure prior authorization for a medication or service.

C. Healthcare Operations

We may use and disclose your PHI for internal operations such as quality improvement, staff training, compliance audits, performance reviews or administrative functions.

D. Prescription Refill Reminders, Treatment Alternatives and Health-Related Benefits

We may use your PHI to contact you about prescription refills, treatment options or wellness services that may benefit your health. You will receive individual notice and the right to opt out of any subsidized treatment communications.

E. Family Members and Caregivers

We only share information with a family member, caregiver or other person involved in your care when you disclose or authorize it.

You may revoke this authorization at any time in writing, except to the extent that action has already been taken based on your prior authorization.

F. Other Permitted and Required Disclosures

We may use or disclose your PHI without your authorization in the following cases:

  • As required by law – to comply with federal, state or local requirements
    • Public health activities – to authorized agencies for preventing or controlling disease, reporting adverse events or product recalls, or reporting abuse or neglect
    • Health oversight activities – to government agencies for audits, investigations, inspections or licensure purposes
    • Judicial and administrative proceedings – in response to a court order, subpoena or other lawful process after reasonable efforts to notify you
    • Law enforcement – to report certain injuries, comply with warrants or assist in identifying or locating suspects or missing persons
    • Coroners, medical examiners and funeral directors – to identify a deceased individual or determine cause of death
    • Organ donation – to organ procurement organizations to facilitate donation and transplantation
    • Research – for approved studies that meet HIPAA privacy standards and applicable law
    • Serious threats to health or safety – to prevent or reduce a threat to the health or safety of a person or the public
    • Military, national security or protective services – as authorized by federal officials for lawful national security missions
    • Correctional institutions – if you are in custody, to provide healthcare or ensure institutional safety
    • Workers’ compensation – to comply with laws related to work-related injuries or illnesses

All other uses or disclosures not described above will only occur with your explicit written authorization.

II. Your Rights Regarding Your PHI

You have the following rights regarding the PHI we maintain about you. To exercise these rights, please contact our Privacy Officer using the information at the end of this Notice.

A. Right to Request Restrictions

You may request restrictions on how your PHI is used or disclosed. We are not required to agree to all requests except where you have paid out-of-pocket in full for an item or service and request that we not disclose related information to your health plan.

Your request must specify:
• What information to restrict
• How you want the restriction applied
• To whom the restriction applies

B. Right to Confidential Communications

You may request that we communicate with you using an alternative address, phone number or method such as email or mail. We will accommodate reasonable requests.

C. Right to Access, Inspect and Obtain Copies

You have the right to access and receive copies of your PHI, including electronic records. Requests must be made in writing. Reasonable, cost-based fees may apply for copies or postage. We will respond within the timeframe required by law.

D. Right to an Accounting of Disclosures

You may request an accounting of disclosures we have made of your PHI other than those made for treatment, payment or healthcare operations. The accounting covers up to six (6) years before the date of your request. The first request each year is free; additional requests may incur a reasonable fee

E. Right to Request an Amendment

If you believe your PHI is incorrect or incomplete, you may request an amendment in writing with supporting information. If we deny your request, you may submit a written statement of disagreement, which will be included in your record.

F. Right to a Paper Copy of This Notice

You may request a paper copy of this Notice at any time, even if you received it electronically.

G. Right to Opt Out of Fundraising or Sale of Information

We do not sell or use your PHI for fundraising purposes. Should fundraising ever occur, you would have the right to opt out.

III. Questions or Complaints

If you have questions, need additional information or wish to exercise your rights, please contact our Privacy Officer:

Privacy Officer
TeleWellnessMD®
2744 Summerdale Dr
Clearwater, FL 33761
Phone: (877) 659-6050
Email: support@telewellnessmd.com

If you believe your privacy rights have been violated, you may file a complaint with us or directly with:

Secretary of the U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue SW
Washington, DC 20201

You will not face retaliation for filing a complaint.

This Notice is effective as of November 10, 2025 and remains in effect until replaced or updated.