Notice of Privacy Practices

Effective Date: January 1, 2024

This Notice describes how Well RX and its affiliated licensed healthcare providers may use and disclose your Protected Health Information (PHI) and how you can exercise your rights regarding that information. We are required by law to maintain the privacy of your PHI and to provide you with this Notice.

I. Who Is Covered by This Notice

This Notice applies to Well RX and its affiliates, including affiliated professional medical entities, their physicians, healthcare practitioners, and other personnel involved in your care.

II. Our Legal Obligations

We are required by applicable federal and state law to maintain the confidentiality of your PHI, provide you with this Notice of our legal duties and privacy practices, and notify you in the event of a breach of your unsecured PHI.

III. How We May Use and Disclose Your Health Information Without Authorization

We may use or disclose your PHI without your written authorization for the following purposes:

• Treatment: To provide, coordinate, and manage your healthcare and related services.
• Payment: To obtain payment for services provided to you.
• Healthcare Operations: For quality improvement, compliance, staff training, and other operational activities.
• Family & Caregivers: To individuals involved in your care, unless you object.
• Public Health: As required for public health reporting and safety activities.
• Law Enforcement: As required or permitted by law.
• Research: With appropriate oversight board approval.
• Emergency Situations: To avert a serious threat to health or safety.
• Workers' Compensation: As authorized and required by workers' compensation laws.

IV. Uses and Disclosures Requiring Your Written Authorization

We will obtain your written authorization before using or disclosing your PHI for marketing purposes or for the sale of PHI. We also treat the following categories of information as highly sensitive and require additional authorization for disclosure beyond the permitted purposes above:

• Mental health and substance use disorder records
• HIV/AIDS status
• Sexually transmitted disease information
• Genetic testing results
• Information related to abuse, neglect, or domestic violence

V. Your Rights Regarding Your Health Information

You have the following rights with respect to your PHI:

• Right to Access: You may request access to and copies of your medical records.
• Right to Amend: You may request that we correct inaccurate or incomplete health information.
• Right to Confidential Communications: You may request that we communicate with you in a specific way or at a specific location.
• Right to an Accounting of Disclosures: You may request a list of disclosures we have made of your PHI.
• Right to Request Restrictions: You may request restrictions on how we use or disclose your PHI, though we are not always required to agree.
• Right to File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

VI. Contact & Complaints

To exercise your rights or file a complaint, please contact us at:
Well RX Privacy Officer
Email: privacy@wellrx.com

VII. Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for PHI we already hold as well as any we receive in the future. We will post the current Notice on our website.