KLARITY, LLC NOTICE OF PRIVACY PRACTICES

OUR LEGAL DUTY

We are required by applicable federal and state law to maintain the privacy of your Protected Health Information (PHI). We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice takes effect immediately and will remain in effect until we replace it.

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THE INFORMATION. PLEASE REVIEW IT CAREFULLY.

Klarity, LLC (dba Klarity Clinic or “KC”) is committed to protecting the confidentiality of its patients’ medical information. This Notice describes how KC may use your medical information within KC, and how we may disclose it to others outside of KC. This Notice also describes your rights concerning your own medical information. Please review it carefully and contact us should you have questions.

USE AND DISCLOSURE OF YOUR MEDICAL INFORMATION

Treatment: KC may use your medical information to provide you with medical services and supplies. KC may also disclose your medical information to others who require such information to treat you. These may include, but are not limited to: doctors, physician assistants, nurses and medical transportation providers, as well as others involved in your care, as deemed medically appropriate. For example – your physician may be allowed to have access to your KC medical record to assist in your follow-up care. KC may also use your medical information to contact you to remind you of an upcoming appointment, to inform you about possible treatment options or alternatives, or to advise you about health-related services available to you.

Family Members and Others Involved in Your Care:

KC may disclose your medical information to a family member or friend who is involved in your medical care, or to someone who helps to pay for your care. If you do not want KC to disclose your medical information to family members or others, please inform KC staff members assigned to your care. You may modify this list at any time.

Payment: KC may use and disclose your medical information to secure payment for the medical services and supplies provided to you. For example – your health plan or health insurance company may ask to see parts of your medical record before they will reimburse KC for your treatment.

Healthcare Operations: KC may use and disclose your medical information if it is necessary to improve the quality of care provided to patients or to assist in the day to day operations of KC. Your medical information may be used to conduct quality improvement activities, to obtain an audit, accounting or legal services, or to conduct business management and planning. For example – KC staff members may look at your medical record to evaluate whether KC personnel, your doctors, or other health care professionals performed satisfactorily.

Research: KC may use or disclose your medical information for research projects, such as studying the effectiveness of a treatment you received. These research projects must go through a special process that protects the confidentiality of your medical information.

Required by Law: Federal, state or local laws may require KC to disclose patients’ medical information.

Public Health: KC may report certain medical information for public health purposes. KC also may need to report a patient’s issues with medications or medical products to the Food and Drug Administration (“FDA”), or may notify patients of recalls of products they are using.

Public Safety: KC may disclose medical information for public safety purposes in limited circumstances. We may disclose medical information to law enforcement officials in response to a search warrant or a grand jury subpoena. We may also disclose medical information to assist law enforcement officials in identifying or locating a person, to prosecute a crime of violence, to report deaths that may have resulted from criminal conduct, or to report criminal conduct at KC. We may disclose your medical information to law enforcement officials and others to prevent a serious threat to the health or safety an individual or the community.

Health Oversight Activities: Klarity, LLC may disclose medical information to a government agency that oversees KC or its personnel, and requires medical information to monitor KC’s compliance with state and federal laws.

Military, Veterans, National Security and Other Government Purposes: If you are a member of the armed forces, KC may release your medical information as required by military command authorities or to the Department of Veterans Affairs. KC may also disclose medical information to federal officials for intelligence and national security purposes or for presidential protective services.

Judicial and Administrative Proceedings: KC may disclose medical information in any judicial or administrative proceeding if ordered to do so by a court, or if KC receives a subpoena or a search warrant. You will receive advance notice about this disclosure in most situations, so that you will have a chance to object to sharing your medical information.

Information with Additional Protection: Certain types of medical information have additional protection under state or federal law. Medical information about evaluation and treatment for a serious mental illness or addiction is treated differently than other types of