Notice of Privacy Practices

1. Who We Are

CDIVINE Medical House Services ("CDIVINE," "we," "us," or "our") is a healthcare provider located at 9100 Southwest Freeway, Suite 165, Houston, TX 77074. We provide primary care, mobile home health services, diagnostics, chronic care management, and telehealth services to patients in the Houston metropolitan area.

2. Our Legal Duty

We are required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended by the Health Information Technology for Economic and Clinical Health (HITECH) Act, to protect the privacy of your protected health information. We must provide you with this Notice of Privacy Practices and follow the terms described in this Notice.

3. How We May Use and Disclose Your Health Information

The following categories describe the different ways we may use and disclose your health information:

A. Treatment

We may use your health information to provide, coordinate, or manage your healthcare and related services. For example, we may share your information with specialists involved in your care, with other treating providers, or with mobile care teams conducting home visits.

B. Payment

We may use and disclose your health information so that the treatment and services you receive may be billed and payment may be collected from you, an insurance company, Medicare, Medicaid, or another third party payer.

C. Healthcare Operations

We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications of our healthcare professionals, training, compliance programs, auditing functions, and business management.

D. Required by Law

We will disclose your health information when required to do so by federal, state, or local law, including reporting certain communicable diseases to public health authorities, reporting suspected abuse or neglect, or cooperating with law enforcement or regulatory authorities.

E. Telehealth Services

When you use our telehealth services, your health information may be transmitted electronically. We use HIPAA-compliant platforms and safeguards to protect your information during virtual visits. You will be informed of any recording or data storage practices prior to your telehealth appointment.

4. Uses and Disclosures Requiring Your Authorization

We will obtain your written authorization before using or disclosing your health information for any purpose not described in this Notice, including:

• Most uses and disclosures of psychotherapy notes
• Uses and disclosures for marketing purposes
• Sale of your health information
• Any other use or disclosure not described in this Notice

You may revoke any authorization you provide at any time, in writing, except to the extent we have already taken action in reliance on the authorization.

5. Your Rights Regarding Your Health Information

Right to Access

You have the right to inspect and request copies of your health information that we maintain. To request access, submit a written request to our Privacy Officer. We may charge a reasonable fee for copying and mailing.

Right to Amend

You have the right to request that we amend your health information if you believe it is incorrect or incomplete. We may deny your request under certain circumstances.

Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures we have made of your health information in the last six years.

Right to Request Restrictions

You have the right to request that we restrict uses or disclosures of your health information. We are not required to agree, except in the case of disclosures to your health plan for services you have paid for in full out-of-pocket.

Right to 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, only at your work address or by mail).

Right to a Copy of This Notice

You have the right to a paper copy of this Notice at any time, even if you have agreed to receive it electronically. Contact our office to request a paper copy.

6. Breach Notification

We are required by law to notify you if a breach of your unsecured protected health information occurs. Notice will be provided in the most expedient time possible, and no later than 60 calendar days after discovery of the breach, via first-class mail or email (if you have indicated a preference for email contact).

7. Changes to This Notice

We reserve the right to change the terms of this Notice. We may 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 in our office and on our website. The effective date is noted at the top of the Notice.

8. Complaints

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 Office for Civil Rights. We will not retaliate against you for filing a complaint.

9. Contact Our Privacy Officer

This Notice is effective as of January 1, 2025. CDIVINE Medical House Services complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.