HIPAA Notice of Privacy Practices.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Who this notice covers

The Covered Entity for clinical care delivered to REVRCEL patients is Locumtele, LLC and its affiliated professional practice ("we," "us," or "our"). Licensed physicians in that practice conduct clinical evaluation, prescribing, and follow-up care.

REVRCEL LLC, a Wyoming limited liability company, operates the revrcel.com website, memberships, and commerce experience. REVRCEL LLC is not a covered entity and does not practice medicine; where it handles protected health information ("PHI") on behalf of the practice, it does so as a Business Associate under a written business associate agreement.

This Notice describes how we may use and disclose PHI for treatment, payment, and healthcare operations, and for other purposes permitted or required by the Health Insurance Portability and Accountability Act of 1996 ("HIPAA") and applicable state law. It also describes your rights and our legal obligations. We are required by law to maintain the privacy of PHI, provide this Notice, and follow the terms of the Notice currently in effect.

Your rights

Obtain an electronic or paper copy

You may inspect and obtain a copy of medical and billing information in a designated record set, usually within the time required by law. We may charge only a reasonable, cost-based fee permitted by law. We may deny a request in limited circumstances and will explain any review rights.

Ask us to correct your record

You may ask us to amend information you believe is incorrect or incomplete. We may deny the request as permitted by law, but will provide a written explanation and describe your right to submit a statement of disagreement.

Request confidential communications

You may ask us to contact you in a specific way or at a different location. We will accommodate reasonable requests as required by law and will not require you to explain the reason.

Ask us to limit use or disclosure

You may ask us not to use or disclose certain information for treatment, payment, or healthcare operations. We are generally not required to agree, except as law provides. If you pay in full out of pocket for an item or service and ask us not to disclose information about it to a health plan for payment or operations, we will comply unless disclosure is required by law.

Obtain an accounting of disclosures

You may request a list of certain disclosures made during the period allowed by law. The list generally excludes disclosures for treatment, payment, healthcare operations, disclosures to you or authorized by you, and other exclusions established by law. One accounting in a twelve-month period is free; a reasonable fee may apply to additional requests after advance notice.

Choose someone to act for you

If a person has legal authority to act for you, such as a personal representative or healthcare agent, we will verify that authority and allow the person to exercise your rights to the extent required by law.

Obtain this notice

You may request a paper copy at any time, even if you agreed to receive this Notice electronically. A current copy is available on this page and through the patient portal.

Complain without retaliation

You may complain to us using the Privacy Officer contact below. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights through the HHS OCR complaint portal, by mail, or by phone. We will not retaliate against you for filing a complaint.

Your choices

When applicable, you may tell us whether to:

• share information with family, friends, or others involved in your care or payment;
• share information in a disaster-relief situation;
• include information in a facility directory;
• contact you for fundraising, with a right to opt out; or
• communicate when you are unable to state a preference and professional judgment or law permits action in your best interest.

We will obtain a written authorization for uses and disclosures that are not otherwise permitted, including uses of psychotherapy notes, marketing, or the sale of protected health information when HIPAA requires authorization. You may revoke an authorization in writing prospectively, subject to actions already taken in reliance on it.

How we may use and disclose information

Treatment

We may use or disclose information to provide, coordinate, or manage care and related services, including communications among clinicians, pharmacies, laboratories, specialists, and other treating professionals.

Payment

We may use or disclose information to bill, collect payment, verify coverage, obtain authorization, coordinate benefits, or conduct related activities.

Healthcare operations

We may use or disclose information for quality assessment, patient safety, training, credentialing, auditing, compliance, legal, business planning, customer service, and other lawful operations.

Business associates

We may disclose information to contractors that perform services involving protected health information — including REVRCEL LLC — when a required business associate agreement and appropriate safeguards are in place.

Public health and safety

As permitted or required by law, we may disclose information for disease prevention, product recalls, adverse-event reporting, abuse or neglect reporting, workplace surveillance, or to avert a serious and imminent threat.

Legal and governmental purposes

We may disclose information: as required by law; for health oversight; in judicial or administrative proceedings; for law-enforcement purposes subject to legal conditions; to coroners, medical examiners, or funeral directors; for organ, eye, or tissue donation; for workers' compensation; for specialized government, military, national-security, or protective services; for correctional and custodial settings; and for research when an authorization, waiver, preparatory review, decedent rule, or other lawful basis applies.

Other special rules

Additional protections may apply to substance-use-disorder records, psychotherapy notes, genetic information, reproductive-health information, HIV/STI information, mental-health information, minors' information, and other sensitive records. We will comply with the law that applies to the particular information and disclosure.

Confidentiality & security of electronic communication

We use administrative, physical, and technical safeguards to protect electronic communications between you and the practice, including telehealth visits, secure messaging, and patient intake forms. While we take reasonable steps to protect the confidentiality of electronic communications, no method of transmission over the Internet or electronic storage is 100% secure. By using our digital intake and consultation tools, you acknowledge the inherent risks of electronic communication.

Our responsibilities

We are required to:

• maintain the privacy and security of protected health information;
• provide this Notice and follow the Notice currently in effect;
• notify affected individuals following a breach of unsecured protected health information as required by law;
• honor the rights described here;
• avoid using or sharing information except as described or authorized; and
• provide any more protective right required by applicable state or federal law.

Safeguards include access controls, encryption of data in transit and at rest where appropriate, workforce training, audit logging, and routine review of our security practices. Vendors and business associates that handle PHI on our behalf are required to maintain comparable safeguards under written agreements.

Changes to this notice

We may change this Notice at any time. A revised Notice may apply to information we already maintain and information created later, to the extent permitted by law. Updated notices will be posted on this page with a revised "Last Updated" date and made available through the patient portal.

Contact information

Privacy Officer: Dillon Gold
Email: privacy@revrcel.com
Patient portal: portal.revrcel.com (privacy requests may be submitted through your account)

Entities

Covered Entity: Locumtele, LLC and its affiliated professional practice
Physician network partner: locumtele.org

Business Associate: REVRCEL LLC — a Wyoming limited liability company
Mailing Address: 1603 Capitol Ave, Ste 415, No. 853893, Cheyenne, Wyoming 82001
Email: info@revrcel.com

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