Notice of Privacy Practices
OurCommitment to Your Privacy
Alyve,Inc. and its affiliated licensed healthcare providers (collectively,"we," "us," or "our") are committed to protectingyour health information. We are required by law to maintain the privacy ofprotected health information ("PHI"), to provide you with this Noticeof our legal duties and privacy practices, and to follow the terms of theNotice currently in effect.
ThisNotice applies to all records relating to your care that are created orretained by Alyve, Inc. and its affiliated providers. It covers both electronicand paper records, including information collected through our telehealthplatform and patient portal.
How WeMay Use and Disclose Your Health Information
Thefollowing categories describe the ways we may use and disclose your PHI. Notevery use or disclosure in a category will be listed. However, all of the wayswe are permitted or required to use and disclose information will fall withinone of the categories.
Treatment
Wemay use your PHI to provide, coordinate, or manage your healthcare and relatedservices. For example, we may disclose your PHI to a licensed physicianaffiliated with our platform so they can provide you with a telehealthconsultation, or to a pharmacy to fulfill a prescription your provider haswritten. We may also share your health information with other providersinvolved in your care.
Payment
Becauseour Services operate on a cash-pay basis, we generally do not use or disclosePHI for insurance billing purposes. However, we may use PHI to process yourpayment, verify your financial information, and send you billingcommunications. If you choose to seek reimbursement from your insurerindependently, we may provide you with documentation of services rendered atyour request.
HealthcareOperations
Wemay use and disclose your PHI for healthcare operations, which include qualityassessment and improvement activities, reviewing provider performance,licensing and accreditation activities, training programs, conducting orarranging for other business activities, and business management and generaladministrative activities.
AppointmentReminders and Treatment Alternatives
Wemay use and disclose PHI to contact you as a reminder about appointments orfollow-up consultations. We may also use your PHI to tell you about treatmentalternatives or other health-related benefits and services that may be ofinterest to you.
Uses andDisclosures Required by Law
Wewill disclose PHI about you when required to do so by federal, state, or locallaw. This includes disclosures to state licensing boards, law enforcement wherelegally required, and mandatory reporting obligations.
PublicHealth Activities
Wemay disclose your PHI for public health activities permitted or required bylaw, including: reporting of communicable diseases to public healthauthorities; reporting abuse, neglect, or domestic violence to appropriateauthorities; reporting reactions to medications or problems with products;notifying people who may have been exposed to a communicable disease; andnotifying appropriate government authorities when we reasonably believe youhave been a victim of abuse, neglect, or domestic violence.
HealthOversight Activities
Wemay disclose PHI to health oversight agencies for activities authorized by law,including audits, investigations, inspections, and licensure.
Judicialand Administrative Proceedings
Wemay disclose PHI in the course of judicial or administrative proceedings,including in response to a court order, subpoena, discovery request, or otherlawful process.
LawEnforcement
Wemay disclose PHI for law enforcement purposes as required by law or in responseto a valid law enforcement request, including to identify or locate a suspect,fugitive, material witness, or missing person; to report certain types ofwounds or injuries; or to alert law enforcement of a crime that occurred on ourpremises.
SeriousThreat to Health or Safety
Wemay use and disclose PHI when necessary to prevent a serious and imminentthreat to the health or safety of a person or the public, and when the disclosureis to someone reasonably able to prevent or lessen the threat.
BusinessAssociates
Wemay disclose PHI to third-party "business associates" that performservices on our behalf (such as billing, data storage, platform infrastructure,or analytics). We require all business associates to enter into a BusinessAssociate Agreement (BAA) that requires them to protect the privacy andsecurity of your PHI.
OrganizedHealthcare Arrangement
Alyve,Inc. may operate as part of an organized healthcare arrangement (OHCA) withaffiliated professional entities. PHI may be shared among participants in theOHCA for treatment, payment, and healthcare operations purposes.
Uses andDisclosures Requiring Your Authorization
Otheruses and disclosures of your PHI not covered by this Notice or required by lawwill be made only with your written authorization. If you authorize us to useor disclose PHI, you may revoke that authorization in writing at any time. Yourrevocation will not affect any use or disclosure that occurred prior torevocation.
Thefollowing uses and disclosures will always require your written authorization:
• Uses and disclosures ofpsychotherapy notes (where applicable).
• Uses and disclosures of PHIfor marketing purposes.
• Sale of PHI.
• Most uses and disclosuresof PHI for research purposes.
• Uses or disclosures nototherwise permitted by this Notice or applicable law.
YourRights Regarding Your Health Information
Youhave the following rights with respect to your PHI. To exercise any of theserights, submit a written request to Support@alyverx.com.
Right toAccess
Youhave the right to inspect and obtain a copy of the PHI that may be used to makedecisions about your care. We will provide you with a copy within 30 days (oras otherwise required by applicable law). We may charge a reasonable cost-basedfee for the preparation and delivery of copies.
Right toRequest Amendment
Ifyou believe that PHI we have about you is incorrect or incomplete, you may askus to amend the information. You have the right to request an amendment for aslong as the information is kept. We may deny your request if the informationwas not created by us, is not part of the information we keep, is not part ofthe information you would be permitted to inspect, or if we determine the recordis accurate and complete.
Right toan Accounting of Disclosures
Youhave the right to request a list of disclosures we have made of your PHI duringthe six years prior to your request (or as required by applicable law). Thisaccounting does not include disclosures for treatment, payment, and healthcareoperations.
Right toRequest Restrictions
Youhave the right to request restrictions on certain uses and disclosures of yourPHI. We are not required to agree to your request unless the request is forrestriction of disclosure to a health plan for a service that you paid for infull out of pocket, in which case we are required to comply.
Right toRequest Confidential Communications
Youmay request that we communicate with you about healthcare matters in a specificway or at a specific location (for example, by email only or at a particularaddress). We will accommodate reasonable requests.
Right toa Paper Copy of This Notice
Youhave the right to a paper copy of this Notice at any time, even if you haveagreed to receive it electronically. You may request a paper copy by contactingus at support@alyverx.com.
Right toBe Notified of a Breach
Youhave the right to be notified in the event of a breach of unsecured PHIaffecting you, as required by the HIPAA Breach Notification Rule (45 CFR §§164.400–414) and applicable state law.
OurDuties
Weare required by law to maintain the privacy of your PHI, to provide you withthis Notice of our duties and privacy practices, and to notify you following abreach of your unsecured PHI. We are required to abide by the terms of this Noticeas currently in effect.
Wereserve the right to change this Notice and to make the revised Noticeeffective for PHI we already have about you as well as any information wereceive in the future. We will post the current Notice on our website and makeit available upon request.
Complaints
Ifyou believe your privacy rights have been violated, you may file a complaintwith us or with the U.S. Department of Health and Human Services, Office forCivil Rights.
Tofile a complaint with us, contact:
support@alyverx.com
Tofile a complaint with the Office for Civil Rights:
U.S.Department of Health and Human Services
Officefor Civil Rights
200Independence Avenue, S.W., Washington, D.C. 20201
Phone:1-877-696-6775 | Website: www.hhs.gov/ocr/privacy/hipaa/complaints
Wewill not retaliate against you for filing a complaint.
How toContact Us
Forquestions about this Notice or to exercise any of your rights, please contact:
support@alyverx.com
3125 WASHINGTON ST
ZELLWOOD, FL 32798

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