Notice of Privacy Practices

Our Commitment to Your Privacy

Resurgentz, LLC (“Resurgentz,” “we,” “us,” or “our”) understands the importance of protecting your personal health information. We are committed to maintaining the confidentiality and security of your Protected Health Information (PHI) as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations.

This Notice of Privacy Practices describes how we may use and disclose your PHI and explains your rights regarding this information.

What is Protected Health Information (PHI)?

PHI is individually identifiable health information that relates to:

• Your past, present, or future physical or mental health condition
• The provision of healthcare to you
• Payment for healthcare services

PHI includes information that can identify you, such as your name, address, date of birth, Social Security number, and health records.

How We May Use and Disclose Your PHI

Without Your Written Authorization

We may use and disclose your PHI without your written authorization for:

Treatment

We may use your PHI 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 PHI to obtain payment for services provided to you. This includes billing, claims management, and collection activities.

Healthcare Operations

We may use your PHI for our internal operations, including quality assessment, staff training, compliance programs, and other business activities.

As Required or Permitted by Law

We may disclose your PHI when required or permitted by law, including for:

• Public health activities and reporting
• Health oversight activities
• Judicial and administrative proceedings
• Law enforcement purposes
• Coroners, medical examiners, and funeral directors
• Organ and tissue donation
• Research (with appropriate approvals)
• Averting a serious threat to health or safety
• Specialized government functions
• Workers' compensation

With Your Written Authorization

Uses and disclosures not described in this Notice will be made only with your written authorization. You may revoke any authorization at any time in writing, except to the extent we have already acted in reliance on your authorization.

Authorizations are generally required for:

• Marketing purposes (with limited exceptions)
• Sale of your PHI
• Most uses of psychotherapy notes
• Other purposes not covered by this Notice

Your Rights Regarding Your PHI

You have the following rights regarding your PHI:

Right to Access

You have the right to inspect and obtain a copy of your PHI maintained by us in a designated record set. We may charge a reasonable fee for copies.

Right to Amend

You have the right to request that we amend your PHI if you believe it is inaccurate or incomplete. We may deny your request in certain circumstances.

Right to an Accounting of Disclosures

You have the right to receive a list of certain disclosures we have made of your PHI. This does not include disclosures for treatment, payment, healthcare operations, or disclosures you authorized.

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 in certain circumstances involving payment you have made in full out of pocket.

Right to Request Confidential Communications

You have the right to request that we communicate with you in a specific way or at a specific location (e.g., at a different address or phone number).

Right to a Paper Copy

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

Right to Notification of Breach

You have the right to be notified if there is a breach of your unsecured PHI.

Our Responsibilities

We are required by law to:

• Maintain the privacy of your PHI
• Provide you with this Notice of our legal duties and privacy practices
• Abide by the terms of this Notice currently in effect
• Notify you if there is a breach of your unsecured PHI

We will not use or disclose your PHI without your authorization, except as described in this Notice.

Minimum Necessary Standard

When using or disclosing your PHI or when requesting PHI from another healthcare provider, we will make reasonable efforts to limit the information to the minimum necessary to accomplish the intended purpose.

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 the revised Notice on our website and make copies available upon request.

Complaints

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 retaliated against for filing a complaint.

To file a complaint with the federal government:

Privacy Officer Contact Information

For questions about this Notice, to exercise your rights, or to file a complaint, please contact our Privacy Officer:

Acknowledgment

We will ask you to sign an acknowledgment that you have received this Notice. If you decline to sign, we will still provide you with services, but we will document that we offered you this Notice and you declined to acknowledge receipt.