HIPAA Notice of Privacy Practices

MY VIP WELLNESS

Notice of Privacy Practices

Effective Date: 1/1/2026

1. OUR COMMITMENT TO YOUR PRIVACY

At MY VIP WELLNESS (“we,” “our,” or “us”), protecting your health information privacy is a top priority. This notice describes how we may use and disclose your protected health information (PHI), and your rights regarding that information, in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and Oregon telehealth regulations.

2. WHAT IS PROTECTED HEALTH INFORMATION (PHI)

Protected health information (PHI) includes any information that identifies you and relates to your past, present, or future health condition, treatment, or payment for healthcare services. Examples include:

Your medical history and health records

Telehealth visit notes

Lab results and imaging

Insurance and billing information

3. HOW WE MAY USE AND DISCLOSE YOUR PHI

We use and disclose PHI for purposes related to your care and healthcare operations. Common uses include:

a. Treatment

We may use your PHI to provide healthcare services or coordinate care with other providers. For example, sharing information with a consulting specialist.

b. Payment

PHI may be used to bill or collect payment for services, including claims to your insurance provider.

c. Healthcare Operations

We may use PHI to improve quality, conduct audits, staff training, and compliance reviews.

d. Required by Law

We may disclose PHI as required by federal, state, or local law. This includes reporting communicable diseases or complying with public health regulations.

e. Public Health and Safety

We may disclose PHI to prevent or lessen a serious threat to health or safety.

f. Legal Proceedings

PHI may be disclosed in response to a court order, subpoena, or other legal process.

g. Business Associates

We may share PHI with third-party service providers (e.g., telehealth platform vendors) under HIPAA-compliant agreements.

4. OTHER USES OF PHI

Other uses not listed above require your written authorization. You may revoke your authorization at any time in writing.

5. YOUR RIGHTS

You have rights regarding your PHI:

Right to Inspect and Copy – Request a copy of your medical records.

Right to Amend – Request corrections to your PHI.

Right to an Accounting of Disclosures – See a list of PHI disclosures outside of treatment, payment, or operations.

Right to Request Restrictions – Ask us to limit uses or disclosures of your PHI.

Right to Confidential Communications – Request communications via alternative means (e.g., email or phone).

Right to a Paper Copy – Even if you agreed to electronic delivery, you may request a paper copy of this notice.

To exercise any of these rights, please contact:

Privacy officer

MY VIP WELLNESS

Oregon: 503-395-8224

Email: contact@myvipwellness.com

6. TELEHEALTH-SPECIFIC CONSIDERATIONS

PHI transmitted during telehealth sessions is encrypted and secured according to HIPAA and Oregon telehealth regulations. Telehealth sessions may involve electronic storage or transmission of PHI; we take measures to protect your information from unauthorized access.

7. CHANGES TO THIS NOTICE

We may change this notice at any time. The revised notice will be posted on our website and available upon request.

8. COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with us or the U.S. Department of Health & Human Services Office for Civil Rights.

To file a complaint with MY VIP WELLNESS:

Privacy Officer

Oregon: 503-395-8224

Email: contact@myvipwellness.com

No retaliation will occur for filing a complaint.