Notice of Privacy Practices

Effective: January 1, 2024

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.

I. Who We Are

This Notice of Privacy Practices describes the privacy practices of ProMultis, LLC and its affiliates, including affiliated professional entities, physicians, health care practitioners, and other personnel ("we" or "us").

II. Our Privacy Obligations

We are legally required to maintain the privacy of your health information (Protected Health Information or "PHI") and to provide you with this Notice describing our legal duties and privacy practices. We must also notify you following a breach of unsecured PHI. All uses and disclosures of PHI must comply with the terms of this Notice.

III. Permissible Uses and Disclosures Without Your Written Authorization

A. Treatment, Payment and Health Care Operations

Treatment. Your PHI may be used and disclosed to diagnose and treat your injuries or illnesses, and shared with other healthcare providers involved in your treatment.

Payment. Your PHI may be used and disclosed to obtain payment for services provided to you.

Healthcare Operations. Your PHI may be used for internal administration, planning, and activities that improve the quality and cost-effectiveness of care. This includes evaluating physician competence, resolving complaints, and sharing information with other providers for treatment, payment, and quality assessment.

B. Disclosure to Relatives, Close Friends and Other Caregivers

Your PHI may be disclosed to family members, relatives, close friends, or persons identified by you, with your agreement or opportunity to object. When you are unavailable due to incapacity or emergency, professional judgment determines whether disclosure serves your best interests. Only information directly relevant to the person's involvement in your healthcare will be disclosed.

C. Public Health Activities

Your PHI may be disclosed to public health authorities to prevent or control disease, injury, or disability; authorities regarding child abuse and neglect; agencies regarding FDA-regulated products; persons exposed to communicable disease; and employers regarding work-related illnesses and injuries.

D. Victims of Abuse, Neglect or Domestic Violence

If there is reasonable belief that you are a victim of abuse, neglect, or domestic violence, your PHI may be disclosed to authorized governmental or protective services agencies.

E. Health Oversight Activities

Your PHI may be disclosed to health oversight agencies responsible for ensuring government health program compliance, including Medicare or Medicaid.

F. Judicial and Administrative Proceedings

Your PHI may be disclosed in judicial or administrative proceedings in response to legal orders or lawful process.

G. Law Enforcement

Your PHI may be disclosed to law enforcement officials as required by law, court order, grand jury subpoena, or administrative subpoena.

H. Decedents

Your PHI may be disclosed to coroners, medical examiners, or funeral directors as authorized by law.

I. Research

Your PHI may be used or disclosed without consent or authorization if an Institutional Review Board or Privacy Board approves a waiver of authorization.

J. Health or Safety

Your PHI may be used or disclosed to prevent or lessen serious and imminent threats to individual or public health or safety.

K. Specialized Government Functions

Your PHI may be disclosed to government units with special functions, such as the U.S. military or Department of State, under certain circumstances.

L. Workers' Compensation

Your PHI may be disclosed as authorized and necessary to comply with state workers' compensation or similar programs.

M. As Required By Law

Your PHI may be used and disclosed when required by any other applicable law.

IV. Uses and Disclosures Requiring Your Written Authorization

A. Use or Disclosure with Your Authorization

Written authorization is required for marketing purposes and sales of PHI. Other uses and disclosures not described in this Notice require written permission on an authorization form.

B. Highly Confidential Information

Federal and state law provides special protections for "Highly Confidential Information," including PHI about mental health and developmental disabilities services, alcohol and drug abuse prevention and treatment, HIV/AIDS testing, sexually-transmitted diseases, genetic testing, child abuse and neglect, domestic abuse, and sexual assault. Disclosure of Highly Confidential Information requires your authorization except for purposes permitted by law.

C. Revocation of Your Authorization

You may withdraw your written authorization regarding Highly Confidential Information by delivering a written statement to the Privacy Officer identified below.

V. Your Rights Regarding Your Protected Health Information

A. For Further Information and Complaints

For questions about privacy rights, concerns about privacy violations, or disagreements regarding PHI access decisions, contact the Compliance and Privacy Officer. Written complaints may be filed with the Director, Office for Civil Rights of the U.S. Department of Health and Human Services. No retaliation will occur for filing complaints.

B. Right to Request Additional Restrictions

You may request restrictions on how your PHI is used and disclosed for treatment, payment, and healthcare operations purposes. For example, you may request that PHI not be disclosed to health plans for out-of-pocket healthcare items or services.

C. Right to Receive Confidential Communications

We will accommodate reasonable written requests for alternative means or locations for receiving your PHI.

D. Right to Inspect and Copy Your Health Information

You may request access to your medical record files and billing records for inspection and copying. Contact the Privacy Officer to request a Release of Information Form. Cost-based fees may apply.

E. Right to Request Amendments

You may request amendments to PHI in your medical record files or billing records. Contact the Compliance and Privacy Officer to obtain an Amendment Request Form.

F. Right to Receive An Accounting of Disclosures

Upon request, you may obtain an accounting of PHI disclosures during any period not exceeding six years prior to the request date.

G. Right to Receive A Copy of this Notice

Copies of this Notice are available by email or paper format. Submit requests to:

ProMultis, LLC
Email: help@promultis.co

VI. Effective Date and Changes

This Notice is effective January 1, 2024. We reserve the right to change the terms of this Notice at any time, with new terms applying to all maintained Protected Health Information. Updated notices are posted on our website.

VII. Privacy Officer

ProMultis, LLC
Email: help@promultis.co
Website: promultis.co