HIPAA Notice of Privacy Practices

Your Rights Regarding Your Protected Health Information

You have the right to:

• Request restrictions on certain uses and disclosures of your PHI
• Receive confidential communications of PHI by alternative means or locations
• Inspect and copy your PHI
• Request an amendment to your PHI
• Receive an accounting of disclosures of your PHI
• Obtain a paper copy of this notice

How We Use and Disclose Your Health Information

Quell Health may use and disclose your protected health information for the following purposes:

Treatment

We use your health information to provide you with medical treatment and services. We may disclose your health information to doctors, nurses, and other healthcare professionals involved in your care.

Payment

We use and disclose your health information to bill and collect payment for the treatment and services we provide to you. This may include determining eligibility for insurance benefits and seeking payment from third parties.

Healthcare Operations

We may use and disclose your health information for healthcare operations, including quality assessment, performance improvement, training programs, and accreditation activities.

Security Measures

Quell Health implements comprehensive security measures to protect your PHI:

When Authorization is Required

Quell Health will obtain your written authorization before using or disclosing your PHI for:

• Most uses and disclosures of psychotherapy notes
• Uses and disclosures for marketing purposes
• Disclosures that constitute a sale of PHI
• Other uses and disclosures not described in this notice

Breach Notification

In the unlikely event of a breach of your unsecured protected health information, we will notify you as required by law. We will also notify the Department of Health and Human Services and, if required, the media.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

Changes to This Notice

We reserve the right to change this notice and make the revised notice effective for protected health information we already have as well as any information we receive in the future. We will post a copy of the current notice on our website and provide a copy to you upon request.

Contact Information

For more information about this notice or to exercise your rights, contact: