Notice of Privacy Practices

Our Commitment to Your Health Information

Agape Medical Services ("we," "us," or "our") is required by law to maintain the privacy of your protected health information ("PHI"), to provide you with this Notice of our legal duties and privacy practices with respect to your PHI, and to notify you following a breach of unsecured PHI. We are required to follow the terms of the Notice currently in effect.

Protected health information is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health or condition and related health care services.

How We May Use and Disclose Your Health Information

The following categories describe the ways we may use and disclose your PHI. Not every use or disclosure in a category will be listed, but all permitted uses and disclosures will fall within one of the categories.

For Treatment

We may use your PHI to provide, coordinate, or manage your health care and related services. We may disclose your PHI to physicians, nurses, technicians, specialists, hospitals, laboratories, imaging centers, pharmacies, home health agencies, or other health care personnel who are involved in your care, including through our telehealth and mobile visit services and our patient portal.

For Payment

We may use and disclose your PHI so that the treatment and services you receive may be billed to and payment collected from you, an insurance company, a health sharing organization, or a third party. This may include determining eligibility or coverage, billing, claims management, and utilization review. If you pay for a service or item out of pocket in full and ask us not to share that information with your health plan for purposes of payment or health care operations, we will honor that request unless a law requires us to share it.

For Health Care Operations

We may use and disclose your PHI for our health care operations, such as quality assessment and improvement, reviewing the competence or qualifications of health care professionals, training, licensing, accreditation, care coordination, business planning, and general administrative activities.

Appointment Reminders, Treatment Alternatives, and Health-Related Benefits

We may use and disclose your PHI to contact you with a reminder that you have an appointment, to tell you about or recommend possible treatment options or alternatives, and to tell you about health-related benefits or services that may be of interest to you.

Individuals Involved in Your Care

We may disclose your PHI to a family member, friend, or other person you identify as being involved in your medical care or payment for your care, to the extent relevant to that person's involvement. We may also disclose your PHI to notify such a person of your location, general condition, or death. If you are able and available to agree or object, we will give you the opportunity to do so before making these disclosures.

Uses and Disclosures That May Be Made Without Your Authorization

We may use or disclose your PHI without your authorization in the following circumstances, subject to applicable legal requirements:

• As required by law — when federal, state, or local law requires the use or disclosure.
• Public health activities — to prevent or control disease, injury, or disability; to report births, deaths, and reactions to medications or product defects; and to notify persons who may have been exposed to a communicable disease.
• Victims of abuse, neglect, or domestic violence — to a government authority authorized by law to receive such reports.
• Health oversight activities — to a health oversight agency for audits, investigations, inspections, and licensure.
• Judicial and administrative proceedings — in response to a court or administrative order, subpoena, discovery request, or other lawful process.
• Law enforcement — for law enforcement purposes as permitted or required by law.
• Coroners, medical examiners, and funeral directors — to carry out their duties.
• Organ and tissue donation — to organizations that handle procurement or transplantation.
• Research — when the research has been approved by an institutional review board or privacy board and appropriate protections are in place.
• To avert a serious threat to health or safety — when necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public.
• Military, veterans, national security, and protective services — as authorized by law.
• Workers' compensation — as authorized by and to the extent necessary to comply with workers' compensation laws.
• Inmates — to a correctional institution or law enforcement official having lawful custody.
• Business associates — to vendors who perform services on our behalf (for example, our electronic health record and patient portal provider, billing services, and IT providers), each of whom is contractually required to safeguard your PHI.

Uses and Disclosures That Require Your Written Authorization

Other uses and disclosures of your PHI not described in this Notice will be made only with your written authorization. In particular, the following require your authorization:

• Most uses and disclosures of psychotherapy notes;
• Uses and disclosures of PHI for marketing purposes;
• Disclosures that constitute a sale of PHI.

If you provide an authorization, you may revoke it in writing at any time. Your revocation will be effective except to the extent we have already relied on it.

Your Rights Regarding Your Health Information

Right to Inspect and Copy

You have the right to inspect and obtain a copy of the PHI that may be used to make decisions about your care, for as long as we maintain it. To request access, submit your request in writing to our Privacy Officer. We may charge a reasonable, cost-based fee. If we deny your request in certain limited circumstances, you may request a review of the denial.

Right to an Electronic Copy

If your PHI is maintained electronically, you have the right to request an electronic copy and to direct us to send that copy to a third party you designate.

Right to Amend

If you believe the PHI we have about you is incorrect or incomplete, you may ask us to amend it. Your request must be made in writing and must include a reason supporting the request. We may deny your request in certain circumstances.

Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures we made of your PHI, other than disclosures for treatment, payment, health care operations, and certain other purposes. The first accounting in any 12-month period is free; we may charge a reasonable, cost-based fee for additional requests.

Right to Request Restrictions

You have the right to request a restriction or limitation on the PHI we use or disclose for treatment, payment, or health care operations, or to persons involved in your care. We are not required to agree to your request, except that we must agree to a request to restrict disclosure to a health plan for payment or health care operations when you have paid for the service in full out of pocket.

Right to Request Confidential Communications

You have the right to request that we communicate with you about medical matters in a certain way or at a certain location — for example, by mail to a specific address, or by phone rather than email. We will accommodate reasonable requests.

Right to a Paper 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. You may request a copy from our office or download it from this page.

Right to Be Notified of a Breach

You have the right to be notified if we (or one of our business associates) discover a breach of your unsecured PHI.

Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as any information we receive in the future. We will post a copy of the current Notice on this website and in our office, and the effective date will appear at the top. You may obtain a copy of the current Notice at any time.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the Secretary of the U.S. Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.

Contact — Privacy Officer

If you have questions about this Notice, need more information, or wish to exercise any of the rights described above, please contact our Privacy Officer:

• Agape Medical Services — Privacy Officer
• Phone: 702-308-3941
• Email: admin@agapemedicalservicesllc.com
• Address: 8905 W. Post Rd. Suite 110, Las Vegas, NV 89148